[Intravesical morphine analgesia in pediatric urology].
OBJECTIVE
Evaluation of the technique and value of intravesical morphine instillation after ureterovesical reimplantation in children.


METHODS
From July 1997 to June 1998, the Duckett protocol (Philadelphia, USA), comprising slow intravesical infusion of morphine for the first three prosoperative days, was applied in 25 children aged five months to twelve years after ureterovesical reimplantation surgery, without bladder catheterization. Postoperative pain was evaluated by CHEOPS and VAS scales and by all nursing staff by an anonymous questionnaire.


RESULTS
Analgesic assessment tests confirmed a significant improvement of postoperative comfort, despite the absence of a bladder catheter. No adverse effects or complications related to intravesical morphine instillation were observed.


CONCLUSIONS
Intravesical morphine instillation is an easy, effective postoperative analgesia technique, allowing good tolerance of the absence of postoperative bladder catheterization.
Bertschy
C
C
Service de Chirurgie Pédiatrique, CHU Saint-Jacques, Besançon, France.
Aubert
D
D
Lassauge
F
F
Pequegnot-Jannin
C
C
Bawab
F
F
Lombardot
V
V
D000283:Administration, Intravesical; D000701:Analgesics, Opioid / Q000008:administration & dosage* / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009020:Morphine / Q000008:administration & dosage* / Q000627:therapeutic use; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D012086:Reoperation; D014513:Ureter / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*
D000701:Analgesics, Opioid; D009020:Morphine
Analgésie par morphine intravésicale en Urologie Pédiatrique.