Dorsal Penile Block for Post-Robotic Prostatectomy Foley Discomfort



Status:Recruiting
Conditions:Prostate Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:40 - 80
Updated:2/8/2015
Start Date:December 2011
Contact:Chris O. Wambi, M.D.
Email:cow2101@columbia.edu
Phone:(212)305-9722

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Randomized Trial to Determine the Effect of Dorsal Penile Block on Post-Robotic Prostatectomy Foley Discomfort

The indwelling urethral foley is a major source of discomfort following radical
prostatectomy. Our hypothesis is that intra-operative dorsal penile nerve block with
bupivacaine may decrease immediate post-operative foley discomfort.

Patients undergoing robot-assisted radical prostatectomy (RARP) will be randomized in a
double-blind placebo controlled manner to undergo penile ring block injection at the time of
skin incision closure. A visual analog scale (VAS) based questionnaire including newly
developed foley discomfort scores will be administered at various time points
post-operatively.

Inclusion Criteria:

- age 40 years and above,

- diagnosis of prostate cancer,

- electing to undergo robot-assisted radical prostatectomy

Exclusion Criteria:

- allergy to bupivacaine or amide-type local anesthetics,

- chronic pain condition,

- recently or currently on narcotics,

- genital abnormalities
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