Review Article
Pain Management for Urological Cancer Patients in Palliative Care
Hisaharu Oya1*, Masahiko Koike1, Naoki Iwata1, Daisuke Kobayashi1, Motohiro Matoba2, Satoshi Murakami3, Takashi Kawahara2, Tomohiko Hara2, Takashi Maeda4, Mitsuro Kanda1, Chie Tanaka1, Suguru Yamada1, Tsutomu Fujii1, Goro Nakayama1, Hiroyuki Sugimoto1, Shuji Nomoto1, Michitaka Fujiwara1 and Yasuhiro Kodera1
1Department of Gastroenterological Surgery (Surgery II), Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan
2Palliative Care Division, National Cancer Research Center Hospital, Tokyo, Japan
3Palliative Care Division, Seirei Sakra Citizen Hospital, Chiba, Japan
4Palliative Care Division, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan
- *Corresponding Author:
- Hisaharu Oya
Department of Gastroenterological Surgery (Surgery II)
Nagoya University Graduate School of Medicine
65 Tsurumai-cho, Showaku, Nagoya, Aichi 466-8550, Japan
Tel: +81-52-744-2249
Fax: +81-52-744-2111
E-mail: u4946008@yahoo.co.jp
Received date: August 26, 2013; Accepted date: December 27, 2013; Published date: December 31, 2013
Citation: Oya H, Koike M, Iwata N, Kobayashi D, Matoba M et al. (2013) Pain Management for Urological Cancer Patients in Palliative Care. J Palliat Care Med 3:168. doi: 10.4172/2165-7386.1000168
Copyright: © 2013 Oya H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Pain mitigation and therapy is one of the most important medical tasks of the urologist, where patients benefit a lot from the basic concepts of analgesia. However, pain resulting from cancer can be more complex than the one after the surgery. Patients that are not receiving regional analgesia should be administered with intravenous or oral non-opioid analgesics in combination with titration. Slow-release of oral opioids is increasingly being used as part of systemic pain management despite little evidence of their efficacy. Continuous epidural infusion is recommended for pain resulting from extensive retroperitoneal and transperitoneal cancers because of its ability to enhance recovery. Additional pain relief-related approaches such as radiation, psychosocial and spiritual needs of the patients have to be considered. Therefore, a multidisciplinary team of experts is needed to administer etiology-specific pain management and therapeutics. Patients often benefit from multimodal, interdisciplinary pain management techniques comprising psychological and educational approaches, including physiotherapy. This article reviews the pain management techniques for the patients under palliative care. In addition, it presents the cases of urological cancer patients that approach palliative care department of our institution for pain management.
