title: Spinal versus General Anaesthesia in Postoperative Pain Management during Transurethral Procedures.
abstract: We compared the analgesic efficacy of spinal and general anaesthesia following transurethral procedures. 97 and 47 patients underwent transurethral bladder tumour resection (TUR-B) and transurethral prostatectomy (TUR-P), respectively. Postoperative pain was recorded using an 11-point visual analogue scale (VAS). VAS score was greatest at discharge from recovery room for general anaesthesia (P = 0.027). The pattern changed significantly at 8 h and 12 h for general anaesthesia's efficacy (P = 0.017 and P = 0.007, resp.). A higher VAS score was observed in pT2 patients. Patients with resected tumour volume >10 cm(3) exhibited a VAS score >3 at 8 h and 24 h (P = 0.050, P = 0.036, resp.). Multifocality of bladder tumours induced more pain overall. It seems that spinal anaesthesia is more effective during the first 2 postoperative hours, while general prevails at later stages and at larger traumatic surfaces. Finally, we incidentally found that tumour stage plays a significant role in postoperative pain, a point that requires further verification.
authors.affiliation: Department of Urology, Athens University Medical School, LAIKO Hospital, Athens 11527, Greece.
authors.forename: Stavros I
authors.initials: SI
authors.lastname: Tyritzis
authors.forename: Konstantinos G
authors.initials: KG
authors.lastname: Stravodimos
authors.forename: Ioanna
authors.initials: I
authors.lastname: Vasileiou
authors.forename: Georgia
authors.initials: G
authors.lastname: Fotopoulou
authors.forename: Georgios
authors.initials: G
authors.lastname: Koritsiadis
authors.forename: Vasileios
authors.initials: V
authors.lastname: Migdalis
authors.forename: Anastasios
authors.initials: A
authors.lastname: Michalakis
authors.forename: Constantinos A
authors.initials: CA
authors.lastname: Constantinides
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