regional block
Conditions
Interventions
Ropivacaine blockade group:Anterior approach sacral plexus block with 0.25% ropivacaine
Normal saline control group:Normal saline anterior approach sacral plexus infiltration
Sponsors
Beijing Chaoyang Hospital Affiliated to Capital Medical University
Eligibility
Sex/Gender
Male
Age
50 Years to 80 Years
Inclusion criteria
Inclusion criteria: Patients who have signed the informed consent form and voluntarily joined the study, scheduled for elective transurethral prostatectomy under general anesthesia, aged 50 - 80 years, with a body mass index (BMI) of 18 - 35 kg/m² and an American Society of Anesthesiologists (ASA) physical status classification of Class I to III.
Exclusion criteria
Exclusion criteria: Patients with prostate cancer, severe urinary tract infection, or a diagnosis of overactive bladder or neurogenic bladder; those who have received treatment with M-receptor antagonists or ß3-adrenergic receptor agonists within the past two weeks; those with a preoperative suprapubic catheter in place; individuals with a history of prostate or bladder neck surgery; patients with a known allergy to ropivacaine or any other local anesthetic; cases with infection at the puncture site; individuals with coagulopathy; patients with severe hepatic or renal dysfunction; those on long-term opioid therapy; and patients with psychiatric disorders or language barriers will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of moderate to severe catheter-related bladder discomfort (CRBD) within 24 hours postoperatively.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of catheter-related bladder discomfort;CRBD score;Pain score;Incidence of agitation during the recovery period.;consumption of intravenous morphine equivalent after surgery;need for rescue analgesic within 24h after surgery;time to first ambulation;QoR-15 score at 24h after surgery; patient satisfaction;length of stay after surgery; | — |
Countries
China
Contacts
Public ContactWu Anshi
Beijing Chaoyang Hospital Affiliated to Capital Medical University
Outcome results
None listed