Poster Session 9: Miscellaneous| Volume 8, ISSUE 8, P653, September 2009

S139 Evaluation of the postsurgical pain management after urological surgery

      Introduction and Objectives

      A sufficient pain therapy affects postoperative wound healing process. In our hospital the pain management after open surgical prostate gland procedure range from the oral therapy algorithm with Oxycodon to the intravenous demand therapy with Piritramid. The effect of this therapy was prospective evaluated.

      Material and Methods

      60 patients have undergone radical prostatectomy and/or enucleation of prostate gland adenoma in 2007 at our institution. The demand on short infusions with Piritramid was up to the 7th postsurgical day in those patients. Since August 2008 a new postoperative pain therapy was evaluated in 52 patients based on oral medication with prolonged Oxycodon, if necessary, combined with morphine. The pain intensity was evaluated in both groups by means of VAS.


      Due to the oral therapy pattern from the first post postoperative day until the hospital release a reduction of the average pain intensity has been archived from 2.34 (range 0.29–5.11) to 1.71 (range 0.05–3.53) in VAS scale. The groups were comparable regarding demographic and clinical parameter (age, BMI, ASP). The difference was statistically significant in one multi-variants analysis (p = 0,001).


      The oral opioids seem to be a superior alternative to the intravenous pain management for the postsurgical analgesia after large open surgical prostate interventions. Therefore at our institution the postoperative therapy management was changed to oral medication regime.