Effect of Anesthesia Techniques on Quality of Recovery Scores in HOLEP Surgery

Официальное название

The Effect of Anesthesia Techniques on Quality of Recovery (QoR-40) Scores in Benign Prostatic Hyperplasia (Holmium Laser Enucleation of the Prostate - HoLEP) Surgery: A Cross-Sectional, Observational, Prospective Study

Обзор

The aim of this observational study is to evaluate the effects of different anesthesia techniques on the quality of recovery (QoR) and patient satisfaction in male patients, typically older adults with benign prostatic hyperplasia, undergoing Holmium Laser Enucleation of the Prostate (HoLEP). Participants will undergo HoLEP surgery under one of three anesthesia techniques-general, spinal, or combined spinal-epidural anesthesia-and will complete the QoR-40 questionnaire both before and after the surgery.

Подробное описание

These patients will be informed about the preoperative study and the Quality of Recovery 40 (QoR-40) scoring scale will be applied by the responsible researcher preoperatively and within 24 hours postoperatively, and the values will be recorded. The anesthesia method of the patients will be determined as determined routinely according to the patient's age, additional diseases, duration of surgery, and patient preference and will be applied by an experienced anesthesiologist. Routine intraoperative follow-ups of all patients will be performed. Surgeries completed without any complications will be taken to the recovery unit at the end of the procedure, and stable patients will be transferred to the ward. In patients whose ward follow-ups continue routinely, catheter-related bladder discomfort will be evaluated within 24 hours postoperatively, postoperative patient and surgeon satisfaction will be evaluated according to the 5-point Likert scale, and the QoR-40 score will be recorded. Postoperative pain levels and analgesic needs will be recorded. Parameters will be compared by dividing into groups according to the anesthesia method.

Вмешательства

• Процедура Anesthesia method
  Patients will be divided into subgroups according to different anesthesia methods (general, spinal, and combined spinal-epidural anesthesia) and compared in terms of recovery quality (QoR-40) and other parameters.

Первичные конечные точки

• The Quality of Recovery Score (QoR-40) [Срок оценки: Baseline (preoperative) and postoperative day 1]

Вторичные конечные точки (1)

• Patient satisfaction and surgeon satisfaction [Срок оценки: Postoperative day 1]

Критерии участия

Критерии включения

• Patients scheduled for HOLEP surgery due to benign prostatic hyperplasia.
• Patients who consent to participate in the study.

Критерии исключения

• Refusal to participate in the study
• Presence of cognitive impairment
• Use of psychoactive medications
• Failure of the intraoperative anesthesia technique and necessity to change the anesthesia method
• Requirement for reoperation or admission to the intensive care unit
• Voluntary withdrawal from the study

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения

Когортное

Центры проведения

Turkey (Türkiye) · 1 центр

• Erciyes University — Melikgazi

Идентификаторы

NCT: NCT07020390 · 2025/195

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗