From: Optimal pain management for radical prostatectomy surgery: what is the evidence?
Reference | Intervention studied | Pain scores | Supplementary analgesia | Time to first analgesic request |
---|---|---|---|---|
Epidural analgesia versus systemic analgesia | ||||
 Allaire 1992 [11] | Epidural fentanyl versus morphine | ↓↓ at rest | - | - |
 Gupta 2004 [22] | Epidural ropivacaine, fentanyl and adrenaline plus placebo via IV-PCA versus epidural placebo and morphine via IV-PCA | ↓↓ at rest and on coughing | - | - |
 Hohwü 2006 [27] | Epidural ropivacaine versus bupivacaine infiltration + oral oxycodone | NS | - | - |
 Liu 1995 [31] | Epidural hydromorphone versus hydromorphone via IV-PCA | NS at rest and on coughing | - | - |
Perioperative epidural analgesia versus postoperative epidural analgesia | ||||
 Gottschalk 1998 [20] | Preemptive epidural fentanyl (4 μg/kg) versus preemptive epidural bupivacaine (5mg/ml) and postoperative morphine versus postoperative morphine and bupivacaine. All patients received postoperative epidural morphine (0.1mg/ml) and bupivacaine (0.5mg/mL) | ↓↓ at rest in both preemptive groups | ↓↓ in bupivacaine group only | - |
 Hong 2011 [28] | Epidural ropivacaine versus epidural ropivacaine (3mg/ml) plus sufentanil (1 μg/ml) versus epidural placebo | ↓ at rest | ↓↓ | - |
Components of epidural analgesia | ||||
 Aribogan 2003 [13] | Epidural combination of tramadol and bupivacaine versus tramadol only versus bupivacaine alone | ↓↓ at rest | ↓↓ | - |
 Heid 2007 [26] | Epidural ropivacaine versus bupivacaine | NS at rest and on coughing | NS | - |
Epidural analgesia versus local infiltration analgesia | ||||
 Fant 2011 [18] | Epidural ropivacaine and fentanyl versus ropivacaine via intra-abdominal catheter | ↓↓ at rest and on coughing | ↓↓ | - |
Intrathecal Opioids | ||||
 Andrieu 2009 [12] | Intrathecal morphine 4 μg/kg versus morphine 4 μg/kg plus clonidine 1 μg/kg versus placebo | ↓↓ at rest and on movement in both treatment groups for 18 h. Clonidine extended duration by 6 h. | ↓↓ | ↓ |
 Brown 2004 [16] | Intrathecal morphine 0.2 mg and clonidine 75 μg | ↓↓ | ↓↓ | - |
 Nuri Deniz 2013 [56] | Intrathecal morphine 0.2 mg | ↓↓ | ↓↓ | - |
Wound infiltration versus placebo | ||||
 Wu 2005 [43] | Subfascial bupivacaine versus placebo | NS at rest and on movement | NS | - |
 Kristensen 2013 [61] | subfascial bupivacaine versus placebo | NS | NS | - |
 Elkassabany 2013 [59] | TAP block versus placebo | ↓↓ | ↓↓ | - |
Penile nerve block | ||||
 Weinberg 2014 [49] | Dorsal penile nerve block with bupivacaine vs. placeboa | NS | NS | - |
Wound infiltration with magnesium | ||||
 Lee 2011 [46] | Magnesium under remifentanil-based anaesthesia versus placebo under remifentanil-based anaesthesia magnesium under remifentanil-based anaesthesia versus placebo under desflurane-based anaesthesiaa | ↓↓ on movement | ↓↓ | ↓↓ |
NS on movement | NS | NS | ||
 Tauzin-Fin 2009 [42] | Infiltration of ropivacaine plus magnesium versus infiltration of ropivacaine plus magnesium, IV | NS at rest | ↓↓ | ↓↓ |