Surgery
Conditions
Keywords
Bladder, Surgery
Brief summary
This study evaluates the ability of a belladonna and opium suppository given prior to surgery to improve bladder comfort after surgery for patients who are having elective ureteroscopy surgery.
Detailed description
Belladonna and opium suppositories are administered postoperatively to relieve bladder discomfort usually caused by bladder spasms. The onset of action of the suppository is 30-60 minutes. Bladder spasms are more likely to occur following uteroscopy procedures. The spasms result in a felt desire to void, even when there is no urine in the bladder. The spasms can produce pain or a sense of severe urgency. By administering a belladonna and opium suppository at the beginning of surgery, it is hoped that there will be a decrease in the incidence of bladder spasms, increased comfort and less need for additional medications.
Interventions
DRUGB+O Suppository
Sponsors
Southern New Hampshire Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients from one urology practice schedule for elective uteroscopy.
Exclusion criteria
* Patients with pre-operative indwelling catheter or urinary stent. * Patients who report any allergy to belladonna or opium.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in mean bladder comfort (baseline at PACU admission to PACU discharge) between experimental and control groups | Length of postoperative stay from admission to PACU to discharge from PACU an expected average of 2 hours | Bladder comfort is defined as bladder pain and bladder urgency. Bladder pain is measured on a 0-10 verbal analog scale with 0 = no pain and 10 = most pain possible. Bladder urgency is measured by a 0 - 4 scale with 0 = no desire to void, 1 = awarenes of need to void which can be delayed at least 30 minutes, 2 = moderate urgency than can be delayed for no more than 15 minutes, 3 = severe urgency that can be delayed for no more than 5 minutes, 4 = must void now. Pain and urgency are reported by the patient with or without questioning by the nurse. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of PACU length of stay | Time from admission to PACU to discharge from PACU an expected average of 2 hours | The time in minutes of the PACU length of stay |
Other
| Measure | Time frame | Description |
|---|---|---|
| Requirements for rescue therapy for pain and urgency | From PACU admission to PACU discharge an expected average of 2 hours | Additional interventions for rescue pharmacology administered postoperatively to relieve pain or urgency |
Outcome results
None listed