Assessment of the level of pain in patients after urological endoscopy

Abstract

Introduction. Urology as a separate surgical specialty is quite young. The invention and use of the endoscope had a huge impact on the development of this specialization. The endoscope is used to diagnose the disease and to perform certain procedures. Each surgical intervention is accompanied by pain, which often causes a lot of problems for the patient during the disease. The use of an endoscope allows for procedures to be performed, after which patients’ recovery is much faster.

Aim. The aim of the study is to assess the level of postoperative pain after endoscopic procedures in urology in the opinion of patients.

Material and methods. An anonymous survey was conducted among patients hospitalized for endoscopic procedures in the Urology Department of the Provincial Specialist Hospital. Blessed Father Jerzy Popiełuszko in Włocławek. A population of 100 patients over 18 years of age treated in this department was studied. The study aimed to assess the level of postoperative pain after endoscopic procedures in urology in the opinion of adult patients’ procedures. The research was carried out using our own questionnaire and a standardized tool, which is the VAS (visual analogue scale). The survey was statistically analyzed using the Statistica 13.3 statistical package, the Pearson correlation coefficient, the chi2 test and the survey of a test student or a univariate variance. The statistically significant value of the probability was p<0.05.

Results. The analysis of the results of our own research showed that patients of different ages have different experiences with pain after endoscopic surgery. The level of pain experienced after the procedure varies. The type of anesthesia used during the procedure does not affect the level of pain (local and general anesthesia). The average VAS (visual analog scale) was 5,784 and 5,346. Most patients are informed by medical staff about the possibility of pain and how to combat it. Patients who underwent the examination are mostly satisfied with the methods of pain relief (74%).

Conclusions. After the procedures, patients experienced greater pain intensity on the first day compared to the second day. The level of pain is not influenced by the type of anesthesia used during the procedure. The level of pain is not influenced by the location of the procedure. The level of pain perception is influenced by gender.