Der Urologe. Ausg. A
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Der Urologe. Ausg. A · Oct 2009
Review[Acute pain in adults, including perioperative pain management].
The vast majority of surgical patients suffer from postoperative pain, which has an enormous influence on quality of life and the progress of the stationary stay. This article gives practical advice on perioperative pain management, taking into consideration the European Association of Urology guidelines for 2009 and the S3 guideline on the treatment of acute perioperative and traumatic pain.
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Der Urologe. Ausg. A · Oct 2009
Review[Sleep apnea in urology. Influence of obstructive sleep apnea on erection and bladder function].
Obstructive sleep apnea syndrome affects 4-5% of middle-aged men. A high percentage of these patients suffer from additional urological diseases such as erectile dysfunction, nocturia, overactive bladder, and urgency incontinence. Awareness of these correlations is crucial for diagnosis and treatment of affected patients to avoid unnecessary medical treatment and even prevent fatal cardiovascular events, which can be associated with obstructive sleep apnea.
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Difficulties in estimating the kind and intensity of pain as well as uncertainty in drug selection and dosing are often responsible for a suboptimal treatment of pain therapy in the various age groups in childhood. The following article will help to minimize these deficits by contributing full details of safe and effective concepts for perioperative pain therapy in childhood.
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Der Urologe. Ausg. A · Oct 2009
Review[Postoperative pain therapy after radical prostatectomy with and without epidural analgesia].
Epidural analgesia for postoperative pain treatment is favored, for example, within the scope of so-called fast-track surgery, especially abdominal surgery. To improve pain care for our urological patients, we examined the quality of postoperative pain therapy with and without epidural analgesia after radical prostatectomy. After the investigation was approved by the local ethics committee, patients were questioned in detail about the pain they experienced for 7 days after radical prostatectomy. ⋯ This could be shown for the average and strongest pain intensity at rest as well as for pain during mobilization. Patients with epidural analgesia were discharged, on average, 1 day earlier. After radical prostatectomy, postoperative pain therapy with epidural analgesia seems to offer advantages with regard to the quality of analgesia and the average length of hospital stay.
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Der Urologe. Ausg. A · Oct 2009
Review[Special pain conditions in urology. Summary, literature review and suggestions].
The diagnosis of acute or chronic pain syndromes of the urogenital system can be verified and successfully treated by exact exploration of the patients medical history, the physical examination and a few image-guided or laboratory analyses Pain conditions which remain of unknown etiology even after extensive investigations are difficult to treat by the urologist alone. In cases where no causally determined morphological changes can be found or the alteration is disproportionate to the discomfort sensed by the patient, a multidisciplinary therapy strategy offers an approach to find a solution.