Optimizing Pain Control in Transurethral Resection of the Prostate
Pain, BPH With Urinary Obstruction, BPH With Urinary Obstruction With Other Lower Urinary Tract Symptoms
About this trial
This is an interventional treatment trial for Pain focused on measuring postoperative pain, Transurethral resection of the prostate, Multimodal pain control
Eligibility Criteria
Inclusion Criteria:
- Are identified as candidates for TURP
- Are 18 years of age or greater
- Are proficient in English
Exclusion Criteria:
- Have filled an opioid prescription in the last 2 months
- Have an allergy to a medication included in the protocol
- Have a history of pelvic radiation
- Have renal failure (Serum Cr > 2.0 mg/dl), peptic ulcer disease, history of gastric bypass, cirrhosis, or other contraindication precluding use of NSAID's
- Have liver failure, hepatitis, or alcohol abuse which precludes use of acetaminophen
Sites / Locations
- Virginia Mason Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Standard of care arm
Multi-modal group
The standard of care group will group will receive the following regimen while inpatient: 2% topical lidocaine gel applied to catheter tip as needed for pain, maximum dose of 600mg in 12 hours Acetaminophen 1000mg every 8 hours standing Oxycodone 5mg PO every 4 hours as needed pain Phenazopyridine 100mg TID as needed for urinary burning Senna 1 tab every 12 hours Miralax 17g powder once daily as needed for constipation The standard of care group will get the following prescriptions on discharge: Oxycodone 5mg every 4 hours as needed pain - 15 tabs Acetaminophen 1000mg every 8 hours standing for two days then as needed Phenazopyridine 100mg TID as needed for urinary burning - 9 tabs Senna 1 tab every 12 hours - 10 tabs
The multi-modal group will receive the following regimen while inpatient: 2% topical lidocaine gel applied to catheter tip as needed for pain, maximum dose of 600mg in 12 hours Acetaminophen 1000mg every 8 hours standing Ibuprofen 600mg every 6 hours standing Oxycodone 5mg PO every 4 hours as needed pain Phenazopyridine 100mg TID as needed for urinary burning Senna 1 tab every 12 hours Miralax 17g powder once daily as needed for constipation Patient Education (Figures 2 & 3) The multi-modal group will receive the following prescriptions on discharge: Acetaminophen 1000mg every 8 hours standing for two days then as needed - 30 tabs Ibuprofen 600mg every 8 hours standing for two days then as needed - 30 tabs Phenazopyridine 100mg TID as needed for urinary burning - 9 tabs Senna 1 tab every 12 hours - 10 tabs