Intravesical morphine analgesia in paediatric urology.

Objective : Evaluation of the technique and value of intravesical morphine instillation after ureterovesical reimplantation in children. Material and Methods : From July 1997 to June 1998, the Duckett protocol (P hiladelphia, USA), comprising slow intravesical infusion of morphine for th e first three prosoperative days, was applied in 25 children aged five mont hs to twelve years after ureterovesical reimplantation surgery without blad der catheterization. Postoperative pain was evaluated by CHEOPS and VAS sca les and by all nursing staff by an anonymous questionnaire. Results : Analgesic assessment tests confirmed a significant improvement of postoperative comfort, despite the absence of a bladder catheter. No adver se effects or complications related to intravesical morphine instillation w ere observed Conclusion : Intravesical morphine instillation is an easy effective postop erative analgesia technique, allowing good tolerance of the absence of post operative bladder catheterization.