Pain management in urology.

21:08 EDT 31st March 2015 | BioPortfolio

Summary of "Pain management in urology."

This article reviews aspects of postoperative and chronic pain management in urology patients. Continuous epidural techniques are recommended for extensive retroperitoneal und transperitoneal surgery due to its excellent analgesia and facilitation of enhanced recovery. In patients without regional analgesia techniques, intravenous or oral non-opioid analgesics should be combined with titration of fast acting opioids on an as-needed basis. Oral slow-release opioids are increasingly being used as part of systemic pain management although little evidence exists. Local wound infiltration and transcutaneous electrical nerve stimulation (TENS) treatment are simple and effective supplements for postoperative pain management. In 70-90% of urological cancer patients pain can be adequately relieved by consistent adherence to the WHO cancer pain recommendations. Additional pain relief approaches, such as radiation as well as psychosocial and spiritual needs of these patients have to be considered. In long-term treatment of non-cancer pain, effective use of opioids is not evidence-based. These patients often benefit from multimodal, interdisciplinary pain management comprising psychological and educational approaches as well as activating physiotherapy.

Affiliation

Klinik für Anästhesiologie und Intensivtherapie, Erlanger Allee 101, 07747, Jena, Deutschland, Annette.Zimmer@med.uni-jena.de.

Journal Details

This article was published in the following journal.

Name: Der Urologe. Ausg. A
ISSN: 1433-0563
Pages:

Links

PubMed Articles [11581 Associated PubMed Articles listed on BioPortfolio]

Scrotal pain: Evaluation and management.

Scrotal pain is a common complaint in a urological practice. Its diagnosis can prove challenging in both acute and chronic forms and requires a thorough and complete history and physical examination. ...

Pain Management in the Emergency Chain: The Use and Effectiveness of Pain Management in Patients With Acute Musculoskeletal Pain.

While acute musculoskeletal pain is a frequent complaint in emergency care, its management is often neglected, placing patients at risk for insufficient pain relief. Our aim is to investigate how ofte...

Educational gaps among healthcare providers: An institution needs assessment to improve pain management for postsurgical patients.

Nurses should be educated in pain management because they are more likely than other healthcare professionals to educate patients about their pain. The authors sought to identify the knowledge gaps in...

Opportunities to Improve Pain Management Outcomes in Total Knee Replacements: Patient-Centered Care Across the Continuum.

Despite the importance of pain management to each patient's overall experience with a total knee replacement, opportunities to improve pain care exist. The authors target an unnecessarily fragmented p...

Adherence of pain assessment to the German national standard for pain management in 12 nursing homes.

Pain is very common among nursing home residents. The assessment of pain is a prerequisite for effective multiprofessional pain management. Within the framework of the German health services research ...

Clinical Trials [3615 Associated Clinical Trials listed on BioPortfolio]

Women's Initiative for Pelvic Pain and Sexual Health (WISH) Program in the Department of Urology at Beaumont

Comprehensive database from the WISH (Women's Initiative for Pelvic Pain and Sexual Health) program in the department of Urology at Beaumont.

Improving Pain Management in Patients With Nonhematologic Cancer

RATIONALE: A pain assessment and management system for people with cancer may help doctors accurately assess and plan more effective pain treatment for patients who have cancer. PURPOSE: ...

Improving Cancer Pain Management Through Self-Care

This study will test two different doses of a psychoeducational intervention to improve cancer pain management. In addition, the study will determine if the changes in pain management beha...

Patient-Centered Acupuncture for Pain (PCAP)

The objective of this study is to find out if acupuncture can improve the management of pain in cancer patients when used as part of a treatment plan that includes conventional pain medica...

Massage After Surgery To Help Treat Post-Operative Pain

Postoperative pain is often undertreated. Although studies have demonstrated that many patients experience a substantial degree of unrelieved pain following operative procedures and that t...

Medical and Biotech [MESH] Definitions

The management of all procurement, distribution, and storage of equipment and supplies, as well as logistics management including laundry, processing of reusables, etc.

Participation of employees with management as a labor-management team, in decisions pertaining to the operational activities of the organization or industry.

Business management of medical and dental practices that may include capital financing, utilization management, and arrangement of capitation agreements with other parties.

A type of pain that is perceived in an area away from the site where the pain arises, such as facial pain caused by lesion of the VAGUS NERVE, or throat problem generating referred pain in the ear.

Management review designed to evaluate efficiency and to identify areas in need of management improvement within the institution in order to ensure effectiveness in meeting organizational goals.

Search BioPortfolio:
Loading
Advertisement

Relevant Topics

Neurology - Central Nervous System (CNS)
Latest News Clinical Trials Research Drugs Reports Corporate
Neurology is the branch of medicine concerned with nerves; both the central nervous system and the peripheral nervous system. This includes strokes and disorders affecting the brain aswell as spinal cord damage and peripheral neuropathies.The complexity ...

Urology
Latest News Clinical Trials Research Drugs Reports Corporate
Urology is the branch of medicine concerned with the urinary tract and diseases that affect it. Examples include urethritis, urethrostenosis and incontinence. Follow and track Urology News on BioPortfolio: Uro...

Advertisement

Searches Linking to this Article