Effectiveness of a Pre-emptive Preoperative Belladonna and Opium Suppository on Postoperative Urgency and Pain After Ureteroscopy.
PURPOSE
Postoperative ureteroscopy patients can develop bladder spasms, complaints of pain, and the urgent need to void during emergence from anesthesia. Discomfort leads to patient agitation, resulting in a risk to patient safety. The purpose of this study was to determine the effectiveness of a preemptive preoperative belladonna and opium (B + O) suppository on postoperative bladder comfort, narcotic requirements, and length of stay of ureteroscopy patients.


DESIGN
A prospective double-blind study was conducted.


METHODS
Fifty adult outpatients scheduled for ureteroscopy were assigned to routine care or a B + O suppository immediately after anesthesia induction. Urinary urgency and pain were assessed every 15 minutes.


FINDINGS
Urgency significantly decreased in the B+O group, with less than half reporting urgency at discharge.


CONCLUSIONS
Pre-emptive preoperative administration of a B + O suppository before ureteroscopy results in decreased urinary urgency during the postoperative recovery. Pre-emptive preoperative interventions can result in positive outcomes before discharge.
['Fetzer|Susan Jane|SJ|', 'Goodwin|Linda|L|', 'Stanizzi|Matthew|M|']
D000328:Adult D000368:Aged D000701:Analgesics, Opioid D001532:Atropa belladonna D004311:Double-Blind Method D005260:Female D006801:Humans D007902:Length of Stay D008297:Male D008875:Middle Aged D009892:Opium D010149:Pain, Postoperative D011183:Postoperative Complications D011300:Preoperative Care D011446:Prospective Studies D013488:Suppositories D018666:Ureteroscopy
suppositories ureteroscopy postoperative period urinary bladder