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Pain management for urological malignancies.

W R McKay1

  • 1Department of Anesthesia, University of California, San Francisco.

Urologia Internationalis
|January 1, 1991
PubMed
Summary

This review explores cancer pain management by interrupting pain signals and altering pain perception. It covers analgesics, antidepressants, anticonvulsants, and surgical interventions for effective pain relief.

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Area of Science:

  • Oncology
  • Pain Management
  • Neuroscience

Background:

  • Malignancy-related pain significantly impacts patient quality of life.
  • Effective pain management is crucial for cancer care.
  • Current strategies address pain at its source, transmission, or perception.

Purpose of the Study:

  • To review agents and techniques for cancer pain relief.
  • To focus on interrupting pain transmission and altering pain perception.
  • To provide an overview of pharmacological and procedural interventions.

Main Methods:

  • Literature review of pain management strategies.
  • Discussion of nonnarcotic analgesics.
  • Examination of antidepressants and anticonvulsants for pain.
  • Analysis of anesthetic and neurosurgical procedures.

Main Results:

  • Nonnarcotic analgesics offer a baseline for pain control.
  • Antidepressants and anticonvulsants are effective in neuropathic cancer pain.
  • Anesthetic and neurosurgical procedures provide options for refractory pain.

Conclusions:

  • A multimodal approach is key to managing cancer pain.
  • Interrupting pain transmission and altering perception are vital strategies.
  • Pharmacological and procedural interventions offer diverse options for pain relief.

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