About this trial
Bladder tenesmu is defined as the need to urinate despite the person urinating and is associated with various causes such as bladder spasm, infection, stones, catheters. Catheters used in urinary surgeries can cause various complications, especially pain and discomfort. There is no sufficient study in the literature on bladder tenesmus caused by mechanical interactions related to urinary catheters, and this situation negatively affects patient comfort. Transcutaneous Electrical Nerve Stimulation (TENS) is an effective method of reducing pain with low-voltage electrical current. However, there are no studies on the application of TENS in the management of symptoms associated with bladder tenesmus after urinary surgery. This study aims to investigate the effect of TENS application on bladder tenesmus-related pain and patient comfort in the early postoperative period after urinary surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Being 18 years or older
To undergo endoscopic urological surgery (Transurethral prostate resection/bladder surgery)
Having an ASA score of 1-2
Inserting a urinary catheter during surgery
Disqualifiers
To undergo emergency surgery
Being under the age of 18
Having an ASA score of 3 and above
Having a urinary catheter inserted before surgery
Trial design
Parallel
Treatments tested in this trial
TENS
Other interventionBefore surgery: The socio-demographic data of the patients will be recorded. During surgery: After patients are taken to the operating room and anesthesia is induced, TENS electrodes will be attached to the paravertebral muscles at the level of Lumbar vertebrae 2, 3 and Sacral Vertebrae 2, 3. After the surgery is completed, TENS will be activated before the patient is woken up. TENS settings: In modulation type, medium intensity contractions will be given at a frequency ranging from 60-80 Hertz to 1-5 Hertz, with a current rate ranging from 50-100 microseconds to 150-200 microseconds. After surgery: TENS will continue to be applied to patients in the recovery room for 30 minutes after the surgery. Patients will be evaluated by researchers in terms of pain and comfort associated with bladder tenesmus at 0, 15 and 30 minutes in the recovery room and at 6, 12 and 24 hours in the postoperative ward.
Treatment groups
Trial outcomes
Primary outcomes
TENS
Change in pain score related to bladder tenesmus as measured by Visual Analog Scale (VAS) at 0, 15, and 30 minutes, and 6, 12, and 24 hours post-intervention.
TENS
Change in patient comfort score related to bladder tenesmus as measured by Numeric Rating Scale (NRS) at 0, 15, and 30 minutes, and 6, 12, and 24 hours post-intervention.
Locations
Sponsors and contacts
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