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We compared the analgesic efficacy of spinal and general anaesthesia following transurethral procedures. 97 and 47 patients underwent transurethral bladder tumour resection (TUR-B) and transurethral prostatectomy (TUR-P), respectively. Postoperative pain was recorded using an 11-point visual analogue scale (VAS). VAS score was greatest at discharge from recovery room for general anaesthesia ( P  = 0.027). The pattern changed significantly at 8 h and 12 h for general anaesthesia's efficacy ( P  = 0.017 and  P  = 0.007, resp.). A higher VAS score was observed in pT2 patients. Patients with resected tumour volume >10 cm 3  exhibited a VAS score >3 at 8 h and 24 h ( P  = 0.050,  P  = 0.036, resp.). Multifocality of bladder tumours induced more pain overall. It seems that spinal anaesthesia is more effective during the first 2 postoperative hours, while general prevails at later stages and at larger traumatic surfaces. Finally, we incidentally found that tumour stage plays a significant role in postoperative pain, a point that requires further verification.

Spinal versus General Anaesthesia in Postoperative Pain Management during Transurethral Procedures