The review of this procedure will take place in 2019 and will be published by end of 2021

Knowledge Key:

Intra-Operative

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Anaesthetic, Analgesic, Operative Techniques

Anaesthesia and analgesia

Note: Although an intra-operative intervention may be used to produce surgical analgesia, its main effects are measured in the postoperative period. All intra-operative anaesthetic and/or analgesic interventions are considered in the postoperative section.

There is insufficient evidence to recommend one anaesthetic technique over another. The choice of anaesthetic technique should be based on the co-morbid state of the patient rather than on the management of postoperative pain (GoR D)

Operative techniques

PROSPECT Recommendations

No recommendation can be made at the present time regarding particular surgical techniques, due to limited procedure-specific evidence
It is recommended that surgical requirement rather than pain management should be the main consideration in choosing the surgical procedure (GoR D)
Voting for: 8; voting against: 0; abstentions: 0

Clinical Practice

None cited

Transferable Evidence

None cited

Radical Prostatectomy-Specific Evidence

Comparison of different surgical approaches showed inconsistent results in postoperative pain scores during the first 24 h Guazzoni et al 2006 Click here for more information