Objective: To determine the effect of intravenous injection of hyoscine on the discomfort caused by the urinary tract catheter after trans-urethral resection of the prostate.
Study Design: A randomized, double-blind.Inclusion criteria: patients underwent trans-urethral resection of the prostate. Exclusion criteria: decision to open prostatectomy surgery instead of TURB, uncontrolled underlying diseases, chronic pelvic pain, opium addiction, contra indications of the intravenous of hyoscine, spinal anesthesia.
Interventions: 50 patients divided into two groups of intervention and control group. Patients in the intervention group received intravenous injection of 20 mg hyoscine N-butyl bromide slow over a minute at the end of the surgery. Patients in the control group received one ml of saline as placebo. Furthermore, the amount of intraoperative bladder irrigation, size and type of the folly catheter was recorded in the data collection forms. . Patients in the both groups were checked every half hour for 2 hours in the recovery room from arrival to the recovery room. The intensity of catheter-related urinary tract discomfort, dry mouth - tachycardia (heart rate over a hundred), nausea, vomiting, blurred vision, severe discomfort were checked. All patients with the grade 2 and 3 of catheter discomfort received a slow intravenous injection of 25 mg pethedine.