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Clinical management of acute post-operative bladder spasm in children and young people

Rebecca Saul1, Kuan Ooi2

  • 1pain control service, Great Ormond Street Hospital for Children NHS Foundation Trust, London, England.

Nursing Children and Young People
|January 26, 2026
PubMed

Insights

Acute post-operative bladder spasm (APBS) is a common, painful condition after pediatric urological surgery. Understanding its unique pain and multimodal management is key for nurses to improve recovery and reduce distress.

Area of Science:

  • Pediatric Urology
  • Pain Management
  • Surgical Nursing

Background:

  • Acute post-operative bladder spasm (APBS) frequently affects children and young individuals after urological procedures.
  • APBS-related pain is distinct from general post-surgical discomfort, necessitating specific clinical recognition.

Purpose of the Study:

  • To elucidate the incidence, symptomatology, and pathophysiology of APBS in pediatric patients.
  • To emphasize the critical role of a comprehensive, multimodal management approach for APBS.
  • To equip healthcare professionals, particularly children's nurses, with knowledge for effective APBS care.

Main Methods:

  • Review of current literature on APBS incidence, symptoms, and pathophysiology.
  • Analysis of non-pharmacological and pharmacological interventions for APBS management.
  • Discussion of the importance of a multimodal strategy.

Main Results:

  • APBS is a significant cause of post-operative morbidity in pediatric urology.
  • Effective management requires a combination of approaches tailored to individual patient needs.
  • Early recognition and intervention are crucial for optimal outcomes.

Conclusions:

  • A thorough understanding of APBS pathophysiology and pain characteristics is essential for healthcare providers.
  • Multimodal management strategies, integrating various interventions, are vital for alleviating APBS-related pain.
  • Enhanced knowledge empowers nurses to improve post-operative recovery and reduce patient and family distress.

Keywords:
child healthclinicalmedicines managementpainpain managementpharmacologypost-operative carepost-operative painpre-operative caresurgicalurinary cathetersurogenital pain

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