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Evidence-Based Perioperative Analgesia for Urologic Surgery

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Perioperative Pain Control: Tools for Surgeons

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Abstract

Despite advancements in medical technology and improved methods of pain control administration, pain persists as the most common patient complaint with surgical procedures. It is estimated that 75% of urologic postoperative complaints in patients is pain and that approximately 80% of these patients complain of moderate to severe pain (Gould, J Clin Nurs 10:697–706, 2001; Peng et al. Pain Res Manag 12:85–92, 2007).

Management of perioperative pain is one of the most important goals in surgical practice, aside from definite treatment of the original cause for surgery. Managing pain results in a shorter hospital stay, lower economic burden, and reduced morbidity and increases patients’ satisfaction after treatment. Urologic surgery is similar in this matter to other fields of medicine. Pain in urologic patients may arise from obstructive causes, inflammatory responses, trauma, incisional pain, and a number of other reasons. Pain is a very complex response to mechanical, biological, behavioral, and emotional factors and mandates a deep understanding in the pathophysiology of pain itself. An important factor in understanding pain is the psychological perception of pain and how it varies from one patient to the other. As a result, pain must be dealt with in an individualized manner in order to target the causes of pain, differentiate the types of pain, and address it as it pertains to each individual patient. In addition, there are different tools to treat pain in urology depending on the type of surgery performed. In this chapter, we discuss the perioperative analgesia that is used in the field of urologic surgery.

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Authors and Affiliations

  1. Department of Urology, Hackensack University Medical Center Hackensack, Hackensack, NJ, USA

    Fahad Sheckley & Ravi Munver

  2. Hackensack Meridian School of Medicine at Seton Hall University, Nutley, NJ, USA

    Shaw Benotakeia & Ravi Munver

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  1. Fahad Sheckley
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  2. Shaw Benotakeia
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  3. Ravi Munver
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Correspondence to Fahad Sheckley .

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Editors and Affiliations

  1. Bergen Medical Associates, Emerson, NJ, USA

    Peter F. Svider

  2. Anesthesiology, Pain Medicine, Columbia University Irving Medical Center, New York, NY, USA

    Anna A. Pashkova

  3. Otolaryngology – Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO, USA

    Andrew P. Johnson

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Sheckley, F., Benotakeia, S., Munver, R. (2021). Evidence-Based Perioperative Analgesia for Urologic Surgery. In: Svider, P.F., Pashkova, A.A., Johnson, A.P. (eds) Perioperative Pain Control: Tools for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-030-56081-2_15

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  • DOI: https://doi.org/10.1007/978-3-030-56081-2_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-56080-5

  • Online ISBN: 978-3-030-56081-2

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