Ultrasound Guided Pudendal Block in Transurethral Prostatectomies
Ultrasound Guided Pudendal Block in Transurethral Prostatectomies
The pudendal nerve conveys sensory, motor, sympathetic fibres to the perineum, bladder neck
 and proximal urethra. Pain management during transurethral procedures is a major
 concern.Patients who have been catheterized under anesthesia complained of urgency in the
 postoperative period because of catheter-related bladder irritation. We want to investigate
 that the effect of pudendal block to postoperative pain, bladder spasm and patient comfort in
 transurethral prostatectomies
Outcome measures USG guided transperineal pudendal block success Postoperative pain score
 (VAS score) Postoperative bladder spasm (Severity of bladder discomfort will record as
 severe(behavioral responses such as strong vocal response, flailing limbs),moderate (not
 accompanied by any behavioral responses) and no bladder discomfort.

 Postoperative patient's comfort (poor, sufficient, good)
Inclusion Criteria:

 -  ASA I,II,III status

 -  Who were scheduled to have elective transurethral resection of the prostate

 Exclusion Criteria:

 -  Chronic renal failure

 -  coagulopathy

 -  active anorectal disease

 -  active urinary tract infection

 -  uncontrolled diabetes