|
KMID : 0390320130230010143
|
|
Chungbuk Medical Journal
2013 Volume.23 No. 1 p.143 ~ p.152
|
|
|
Correlation between the Pre-operative Erectile Function and Post-operative Pain in Radical Prostatectomy Patients
|
|
Shim Ui-Jae
Kang Ho-Won
Kim Won-Tae
Kim Yong-June
Yun Seok-Joong
Lee Sang-Cheol
Kim Wun-Jae
|
|
|
Abstract
|
|
|
PURPOSE: In this study, the correlation between the pre-operative erectile function and post-operative pain in radical prostatectomy patients was investigated.
MATERIALS and METHODS: A total of 59 patients who underwent radical retropubic prostatectomy between December 2010 and June 2012 were prospectively analyzed. The patients were examined based on the International Index of Erectile Function (IIEF) before their surgery. The patients with pre-operative IIEF scores of 12 or lower were assigned to Group Ⅰ (impotence group, 23 patients), and the patients with pre-operative IIEF scores of 13 or higher were assigned to Group Ⅱ (normal erectile function group, 36 patients). The pain felt by the patients was assessed using numerical rating scale (NRS) scores. The NRS scores of the two groups while intravenous patient-controlled analgesia (IV-PCA) was maintained and at operative day, post-operative 3 days and 5 days were compared.
RESULTS: The mean age of Group I was 69.3 years, and that of Group Ⅱ significantly differed at 66.5 years (p=0.029). In both groups, no significant difference in the prostate-specific antigen (PSA), prostate volume, operative time, and stage was observed (p=0.237, 0.555, 0.180, and 0.364, respectively). The NRS score of Group Ⅱ while the IV-PCA was maintained was 3.56, significantly higher than 3.09 of Group I (p=0.033). The NRS scores of Group Ⅱ at operative day and post-operative 3 days were 5.00 and 2.66, respectively, which are significantly higher than 3.60 and 2.29 of Group I (p=0.001 and 0.046, respectively). In comparison, the NRS score of Group I at post-operative 5 days was 2.10, which does not significantly differ from 2.30 of Group Ⅱ (p=0.451).
CONCLUSIONS: A correlation between the pre-operative erectile function and post-operative pain was confirmed in this study. Therefore, the post-operative pain of patients with a good pre-operative erectile function must be actively managed. Additional large-scale multi-institutional studies may be necessary in the future.
|
|
|
KEYWORD
|
|
|
Radical retropubic prostatectomy, International Index of Erectile Function (IIEF), Pain, NRS score
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|