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Intravesical instillation of ropivacaine reduces bladder spasms following paediatric ureteroneocystostomy

L Harper1, F Semjen, M Bordes

  • 1Department of Paediatric Surgery, Hôpital Pellegrin-Enfants, C.H.U Bordeaux, Place Amélie Raba-Léon, 33076 Bordeaux Cedex, France. harper_luke@hotmail.com

Journal of Pediatric Urology
|October 25, 2008
PubMed

Insights

Daily intravesical instillation of ropivacaine effectively reduced postoperative bladder spasms in children following ureteroneocystostomy. This treatment offers a safe and feasible option for managing post-surgical bladder discomfort.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Anesthesiology

Background:

  • Postoperative bladder spasms are a common source of pain after surgical procedures requiring catheter drainage.
  • Current therapeutic methods for bladder spasms lack widespread success.

Purpose of the Study:

  • To evaluate the safety and efficacy of intravesical ropivacaine for preventing bladder spasms after ureteroneocystostomy in children.

Main Methods:

  • A prospective randomized trial involving 26 children.
  • Daily intravesical instillation of ropivacaine as a prophylactic treatment.

Main Results:

  • No systemic toxicity was observed, though mild transient pain occurred during instillation in some patients.
  • A statistically significant reduction in the average number of daily spasms was observed (p<0.01).

Conclusions:

  • Intravesical ropivacaine is a safe and feasible prophylactic treatment for postoperative bladder spasms.
  • This method shows promise in improving patient comfort after ureteroneocystostomy.
Abstract

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