The study will include adult patients of both gender, suffering of hemorrhoids grade 3-4 and planned open hemorrhoidectomy (Milligan-Morgan hemorrhoidectomy) under general anesthesia.
Conditions
Interventions
While the patient is in lithotomy position, US guided pudendal nerve block will be eprformed using bupivecaine 0.25 % 5 ml on each side
perineal local anesthetic infiltration( lidocaine 1% 10 ml).
Sponsors
King Khalid University-Abha-Asir-KSA
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: adult patients of both gender, suffering of hemorrhoids grade 3-4 and planned open hemorrhoidectomy (Milligan-Morgan hemorrhoidectomy) under general anesthesia
Exclusion criteria
Exclusion criteria: Patients with known allergy to bupivacaine, redo surgery, preoperative voiding problems, prostatic hyperplasia, neurological disease affecting voiding control or patient ability to communicate will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the incidence of post-haemorhdectomy urinary retentin (primary outcome) measured in the irst 24 hours after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary variables will include; postoperative pain scores, postoperative voiding symptoms, postoperative analgesia consumption. | — |
Countries
Asia(except Japan)
Contacts
Public ContactAlrefaey Alrefaey
Mansoura University- Egypt Anestheia department
Outcome results
None listed