Accelerated recovery after surgery in pediatric urology: current evidence and future practice in Kazakhstan

Authors

  • Zhakupova Maiya Associate professor of the department of public health of the kazakh national medical university named after s. D. Asfendiyarov, almaty, kazakhstan
  • Izbassarova Akmaral candidate of medical sciences, associate professor head of the department of physical medicine and rehabilitation, sports medicine kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan
  • Xetayeva Gulzakira candidate of medical sciences, associate professor departamentof pediatric infectious diseases, kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan
  • Nurlybaeva Gulnaz candidate of medical sciences, associate professor department of physical medicine and rehabilitation, sports medicine, kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan
  • Issenova Balday phd, assistant professor, department of nursing, kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan
  • Aimbetova Gulshara associate professor, professor of the department of “public health” kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan
  • Akhmetov Valikhan doctor of medical sciences, professor, professor of the course “economics in healthcare” kazakhstans medical university “ksph”.
  • Madaliyeva Sanam assistant professor of the department of “communication skills” kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan
  • Aliya Atabayeva phd, teacher in public health department njsc semey medical university, kazakhstan

DOI:

https://doi.org/10.3329/bjms.v25i1.86430

Keywords:

pediatric urology; enhanced recovery after surgery (eras); postoperative recovery; opioid use; patient satisfaction; hospital length of stay; complication rates; kazakhstan; multimodal analgesia; pediatric surgery

Abstract

Background pediatric urology has seen significant advancements, particularly with the adoption of enhanced recovery after surgery (eras) protocols, which aim to improve recovery outcomes. These protocols, initially developed for adult surgeries, have been adapted for pediatric urology with promising results. However, challenges related to healthcare infrastructure and cultural factors in kazakhstan may affect their implementation and effectiveness. Aim this study evaluates the impact of eras protocols on postoperative recovery in pediatric urology surgeries in kazakhstan, focusing on recovery times, opioid use, complication rates, and patient satisfaction. Methods a prospective observational study was conducted at three pediatric urology centers in kazakhstan between january 2023 and december 2024. A total of 300 patients, aged 1-18 years, undergoing elective urologic surgery were divided into pre-eras (n=150) and post-eras (n=150) cohorts. Key postoperative metrics, including hospital length of stay (los), opioid use, time to oral intake, and time to mobilization, were compared between the two groups. Results the eras cohort demonstrated significantly improved recovery outcomes, with reduced hospital los (2.8 vs. 4.5 days, p<0.001), lower opioid use (1.2 vs. 4.6 mg, p<0.001), and faster times to oral intake (6.2 vs. 10.5 hours, p<0.001) and mobilization (12.5 vs. 18.9 hours, p<0.001). Patient satisfaction was higher in the eras group (8.9 vs. 7.2, p<0.001), though complications and readmission rates were similar between groups. Conclusion the adoption of eras protocols in pediatric urology improves postoperative recovery, reduces opioid use, and enhances patient satisfaction. These findings support the integration of eras into pediatric urology practice in kazakhstan, with potential benefits for clinical outcomes and patient care.

BJMS, Vol. 25 No. 01 January’26 Page : 305-311

 

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Author Biographies

Zhakupova Maiya, Associate professor of the department of public health of the kazakh national medical university named after s. D. Asfendiyarov, almaty, kazakhstan

 

 

Izbassarova Akmaral, candidate of medical sciences, associate professor head of the department of physical medicine and rehabilitation, sports medicine kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan

 

 

Xetayeva Gulzakira, candidate of medical sciences, associate professor departamentof pediatric infectious diseases, kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan

 

 

Nurlybaeva Gulnaz, candidate of medical sciences, associate professor department of physical medicine and rehabilitation, sports medicine, kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan

 

 

Issenova Balday, phd, assistant professor, department of nursing, kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan

 

 

Aimbetova Gulshara, associate professor, professor of the department of “public health” kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan

 

 

Akhmetov Valikhan, doctor of medical sciences, professor, professor of the course “economics in healthcare” kazakhstans medical university “ksph”.

 

 

Madaliyeva Sanam, assistant professor of the department of “communication skills” kazakh national medical university named after s.d. asfendiyarov, almaty, kazakhstan

 

 

Aliya Atabayeva, phd, teacher in public health department njsc semey medical university, kazakhstan

 

 

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Published

2026-01-26

How to Cite

Maiya, Z., Akmaral, I., Gulzakira, X., Gulnaz, N., Balday, I., Gulshara, A., … Atabayeva, A. (2026). Accelerated recovery after surgery in pediatric urology: current evidence and future practice in Kazakhstan. Bangladesh Journal of Medical Science, 25(1), 305–311. https://doi.org/10.3329/bjms.v25i1.86430

Issue

Vol. 25 No. 1 (2026)

Section

Original Articles

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Copyright (c) 2026 Zhakupova Maiya, Izbassarova Akmaral, Xetayeva Gulzakira, Nurlybaeva Gulnaz, Issenova Balday, Aimbetova Gulshara, Akhmetov Valikhan, Madaliyeva Sanam, Aliya Atabayeva

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