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[Control of postoperative bladder spasm by caudal anesthesia in children undergoing ureteral reimplantation]

Yoshifumi Matsuda1, Maki Yamada, Takero Arai

  • 1Department of Anesthesiology, Dokkyo Medical University Koshigaya Hospital, Koshigaya 343-8555.

Masui. the Japanese Journal of Anesthesiology
|May 26, 2009
PubMed

Insights

General anesthesia combined with single shot caudal anesthesia effectively prevents postoperative bladder spasms following ureteral reimplantation. This approach ensures patients experience minimal pain and are discharged promptly.

Area of Science:

  • Anesthesiology
  • Urology
  • Pain Management

Context:

  • Ureteral reimplantation surgery often leads to postoperative bladder spasms.
  • Epidural anesthesia is a less common choice due to potential complications and risks.
  • General anesthesia is frequently used, but alternative methods for spasm prevention are sought.

Purpose:

  • To evaluate the efficacy of general anesthesia combined with single shot caudal anesthesia in preventing postoperative bladder spasms after ureteral reimplantation.
  • To assess the pain relief provided by this combined anesthetic technique.

Summary:

  • A study involving 18 patients undergoing ureteral reimplantation utilized general anesthesia with single shot caudal block (0.3% ropivacaine).
  • Pain was assessed using a face pain scale at multiple postoperative intervals.
  • Results indicated significant suppression of bladder spasms, with 83% of patients scoring 1 or less on the pain scale at 5 and 24 hours post-surgery, and all patients achieving a score of 0 or 1 at discharge.

Impact:

  • This combined anesthetic technique effectively suppresses postoperative bladder spasms.
  • The approach facilitates a shorter hospital stay, with all patients discharged within three postoperative days.
  • Offers a potentially safer and more effective alternative to traditional anesthetic methods for this surgical procedure.
Abstract

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