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\begin{document}

\title{A Randomized-Controlled, Prospective Study on the Effect of Dorsal
Penile Nerve Block after TURP on Catheter-Related Bladder Discomfort and
Pain}



\author[1]{Yunus Emre Goger}%
\author[2]{Mehmet Serkan Ozkent}%
\author[2]{Esra Göger}%
\author[1]{Tansel Kılınç}%
\author[1]{Gökhan Ecer}%
\author[1]{Mesut Pişkin}%
\author[1]{Atilla Erol}%
\affil[1]{Necmettin Erbakan University Meram Medical Faculty Hospital}%
\affil[2]{Konya City Hospital}%


\vspace{-1em}



  
  \date{May 26, 2024}


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\selectlanguage{english}
\begin{abstract}
Purpose:In the present study, the impact of penile nerve block(PNB) on
postoperative pain and CRBD in transurethral resection of prostate(TURP)
patients were evaluated. Methods:Participants of the present study were
selected from patients who performed TURP under spinal anesthesia for
benign prostatic hyperplasia(BPH) between January 2018-July 2020. This
study was planned as a single center, randomized-controlled prospective
study. The patients were divided into two groups; Group 1 was
administered Control(n:40), and Group 2 ultrasonography(USG) guided
PNB(n:40). The patients were included in the Groups respectively. Visual
analogue scale(VAS) scores were questioned and recorded in order to
evaluate the postoperative pain complaints of the patients after the
operation. In addition, in order to evaluate the CRBD, VAS scores were
questioned and recorded as 0-1th hour, 1st-2nd hours, 2nd -- 4th hours,
4th-8th hours, 8th-12th hours, and 12th-24th hours. In addition,
postoperative pain and analgesic need were recorded. Tramodol was given
to patients with moderate to severe CRBD. The findings was compared
between to the Groups. Results:There was no statistical difference
between Group 1 and Group 2 between demographic and per-operative data.
The CRBD and pain-related VAS scores was significantly higher in Group 1
between the 0-8th hours. There was no difference between VAS scores in
the postoperative 8-24th hours. In total 24 hours, Group 2's need for
tramodol for CRBD and pain was significantly less than Group 1. On
examining the factors affecting CRBD in the multivariate analysis, age,
body mass index(BMI), prostate volume, operation time do not affect CRBD
statistically, only PNB reduces CRBD (p: 0.029). While less drug-related
complications were observed in Group 2, no serious complications related
to PNB were observed. Conclusion:PNB is the effective method for the
decrease pain and CRBD after urological surgery.It will also reduce the
need for analgesics, and provide the painless patients in postoperative
period.%
\end{abstract}%



\sloppy


\textbf{A Randomized-Controlled, Prospective Study on the Effect of
Dorsal Penile Nerve Block after TURP on Catheter-Related Bladder
Discomfort and Pain}Yunus Emre G\selectlanguage{ngerman}öger\textsuperscript{1}, Mehmet Serkan
Özkent\textsuperscript{2}, Esra Göger\textsuperscript{3}, Muzaffer
Tansel K\selectlanguage{polish}ı\selectlanguage{english}l\selectlanguage{polish}ı\selectlanguage{english}n\selectlanguage{ngerman}ç\textsuperscript{1}, Gökhan Ecer\textsuperscript{1}, Mehmet
Mesut Pi\selectlanguage{polish}ş\selectlanguage{english}kin\textsuperscript{1}, Atilla Erol\textsuperscript{4}

\section*{\texorpdfstring{\textsuperscript{1}\textsubscript{-} Department
of Urology, Meram Medical Faculty, Necmettin Erbakan University, Konya,
Turkey.}{1- Department of Urology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey.}}

{\label{department-of-urology-meram-medical-faculty-necmettin-erbakan-university-konya-turkey.}}

\textsuperscript{2}- Department of Urology,~Konya City Hospital,
Konya,~Turkey.\textsuperscript{3}- Department of Anaesthesiology,~Konya
City Hospital, Konya,~Turkey.\textsuperscript{4}- Department of
Anaesthesiology,~Meram Medical Faculty, Necmettin Erbakan University,
Konya, Turkey.\textbf{Running Title:} Dorsal Penile Nerve Block after
TURP\textbf{Key Words:} Postoperative pain, penile nerve block,
urological surgery, anesthesia\textbf{Article Type:} Original
Article\textbf{Number of tables:} 6\textbf{Number of figures:}
\textbf{Abstract word count:} 300\textbf{Manuscript word count:}
3479\textbf{Number of references:} 43

\textbf{Corresponding author: Mehmet Serkan Ozkent, MD}Department of
Urology,~Konya City Hospital, Konya,~Turkey.\textbf{Adress:} Akabe,
42020 Karatay/Konya\textbf{Phone:} +90 505 936 41 55\textbf{Email}:
msozkent@gmail.com\textbf{ORCID ID:}
https://orcid.org/0000-0002-6613-0671\textbf{Web of Science Researcher
ID:} AAJ-9851-2020\textbf{Yunus Emre Goger, Assistant Prof.}Department
of Urology, Meram Medical Faculty, Necmettin Erbakan University, Konya,
Turkey.\textbf{Phone:} +90 533 415 07 53\textbf{Email}:
dr\_yegoger@yahoo.com\textbf{ORCID ID:}
https://orcid.org/0000-0002-4480-9093\textbf{Esra Goger, MD.}Department
of Anaesthesiology, Konya City Hospital, Konya, Turkey.\textbf{Phone:}
+90 535 933 74 29\textbf{Email:} dr.esragoger@gmail.com\textbf{ORCID
ID:} https://orcid.org/0000-0002-3237-8695

\selectlanguage{polish}\textbf{Muzaffer Tansel Kılınc, MD.}\selectlanguage{english}

Department of Urology, Meram Medical Faculty, Necmettin Erbakan
University, Konya, Turkey.\textbf{Phone:} +90 553 694 14
28\textbf{Email}: m.tanselkilinc@gmail.com\textbf{ORCID ID:}
https://orcid.org/0000-0002-1024-3394\textbf{Gokhan Ecer, MD.}Department
of Urology, Meram Medical Faculty, Necmettin Erbakan University, Konya,
Turkey.\textbf{Phone:} +90 530 863 06 37\textbf{Email}:
ecergokhan@gmail.com\textbf{ORCID ID:}
https://orcid.org/0000-0002-2805-8664\textbf{Mehmet Mesut Piskin,
Professor.}Department of Urology, Meram Medical Faculty, Necmettin
Erbakan University, Konya, Turkey.\textbf{Phone:} +90 537 671 10
74\textbf{Email}: drmesutpiskin@yahoo.com\textbf{ORCID ID:}
https://orcid.org/0000-0002-0528-6699\textbf{Atilla Erol,
Professor.}Department of Anaesthesiology, Meram Medical Faculty,
Necmettin Erbakan University, Konya, Turkey.\textbf{Phone:} +90 532 767
39 38\textbf{Email}: atillaerol@yahoo.com\textbf{ORCID ID:}
https://orcid.org/0000-0002-2376-2759

\textbf{Declarations}We have agreed to the submission and that the
article is not currently being considered for publication by any other
print or electronic journal. We certify that none of the paper's
contents have been previously published.\textbf{Ethical Approval}All
procedures performed in studies involving human participants were in
accordance with the ethical standards of the institutional and/or
national research committee and with the 1964 Helsinki declaration and
its later amendments or comparable ethical standards. The analysis and
data collection were performed following the after written informed
consent was obtained from all patients. The institutional human research
ethics committee approved the protocol 2020/ (Necmettin Erbakan
University, Meram Medical Faculty Ethics Committee).\textbf{Funding}The
authors declare that this work has not received any
funding.\textbf{Competing interests}The authors declare that they have
no competing interests.\textbf{Availability of data and material}Data
are available on request.\textbf{Code availability}Not
applicable.\textbf{Acknowledgements}Not applicable.\textbf{Authors'
contributionsYE Goger:} Protocol/project development; Data collection or
management; Manuscript writing/editing; Critical revision of the
manuscript; Supervision; Approval of the final manuscript\textbf{MS
Ozkent:} Protocol/project development; Data collection or management;
Data analysis; Manuscript writing/editing; Critical revision of the
manuscript; Supervision; Approval of the final manuscript\selectlanguage{ngerman}\textbf{E
Göger:} Data collection or management; Manuscript writing/editing;
Critical revision of the manuscript; Administrative, technical, or
material support; Approval of the final manuscript\textbf{MT Kilinc:}
Data collection or management; Manuscript writing/editing; Critical
revision of the manuscript; Administrative, technical, or material
support; Approval of the final manuscript\textbf{G Ecer:} Data
collection or management; Manuscript writing/editing; Critical revision
of the manuscript; Administrative, technical, or material support;
Approval of the final manuscript\textbf{MM Piskin:} Protocol/project
development; Data collection or management; Data analysis; Manuscript
writing/editing; Critical revision of the manuscript; Approval of the
final manuscript\textbf{A Erol:} Protocol/project development; Data
collection or management; Data analysis; Manuscript writing/editing;
Critical revision of the manuscript; Approval of the final manuscript\selectlanguage{english}
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