Pain management in urology.

08:00 EDT 27th March 2013 | 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.


Klinik für Anästhesiologie und Intensivtherapie, Erlanger Allee 101, 07747, Jena, Deutschland,

Journal Details

This article was published in the following journal.

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


PubMed Articles [11884 Associated PubMed Articles listed on BioPortfolio]

Willingness to Use Pain Medication to Treat Pain.

Despite the growth of the economic impact of pain and pain management, there remains a lack of knowledge about disparities, especially, evidence regarding individual attitudes and beliefs about accept...

Knowledge about Sterile Water Injections for Pain Relief in Labor.

Current Approaches to the Management of Peripheral Neuropathic Pain.

Symptoms and signs of neuropathic pain can be both positive and negative. Tricyclic antidepressants are the first-line treatment option for neuropathic pain. Opioid agonists have demonstrated efficacy...

Chronic Pain Management: An Overview of Taxonomy, Conditions Commonly Encountered, and Assessment.

Chronic pain has multiple mechanisms that result in pain amplification and maintenance, including central and peripheral sensitization and altered modulation of pain perception. Assessment of pain req...

Why Postoperative Pain Remains a Problem.

Despite great progress in our understanding and management of pain, undertreatment of postoperative pain is still a major problem. There are individual patient differences in terms of nociception and ...

Clinical Trials [4303 Associated Clinical Trials listed on BioPortfolio]

Characterization of Post-operative Pain Trajectories Over Seven Days and Links With Chronicity

The main objective of this study is to establish the postoperative "pain pathways" observed from D1 to D7 in the context of the current management after orthopedic, digestive, obstetrics a...

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.

Structured Treatment of Pain (STOP) Study

This study seeks to compare two different behavioral treatments for pain in Veterans with a history of TBI. Both treatments involve educating the Veteran about pain, discussing the impact ...

Pain Management of Intensive Care Unit Patients

The purpose of this study is to evaluate the effect of an algorithm, where ICU patients pain are assessed systematically with valid pain assessment tools and where pain is treated after pa...

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: ...

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.


Relevant Topics

Neurology - Central Nervous System (CNS)
Alzheimer's Disease Anesthesia Anxiety Disorders Autism Bipolar Disorders Dementia Epilepsy Multiple Sclerosis (MS) Neurology Pain Parkinsons Sleep Disorders Neurology is the branch of medicine concer...

Benign Prostatic Hyperplasia (BPH) Erectile Dysfunction Urology Urology is the branch of medicine concerned with the urinary tract and diseases that affect it. Examples include urethritis, urethrostenosis and incontinence. Urology is a su...

Searches Linking to this Article