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Endoscopic surgery under local anesthesia.

J P Sarramon1, B Elman, P Rischmann

  • 1Department of Urology, CHU Purpan, Toulouse, France.

European Urology
|January 1, 1987
PubMed
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Transurethral resection under local anesthesia is effective for bladder tumors and benign prostatic hypertrophy in elderly patients. This technique avoided general anesthesia and resulted in no complications, offering a safe alternative for debilitated individuals.

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Transurethral resection (TUR) is a common surgical procedure.
  • Benign prostatic hypertrophy (BPH) and superficial bladder tumors are prevalent conditions, particularly in elderly populations.
  • General anesthesia poses risks for debilitated patients.

Purpose of the Study:

  • To evaluate the efficacy and safety of transurethral resection under local anesthesia for treating papillary bladder tumors and benign prostatic hypertrophy.
  • To assess the feasibility of using local anesthesia, with or without neuroleptanalgesia, in elderly and debilitated patients.

Main Methods:

  • Transurethral resection was performed on 26 patients.
  • Procedures included resection of 14 superficial bladder tumors (9 adenomas) and 9 bladder neck obstructions.

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  • Local anesthesia was employed, with neuroleptanalgesia used in some cases.

    • Main Results:

    • All 26 patients underwent successful transurethral resection.
    • No patient required general anesthesia.
    • No complications related to local anesthesia were reported.

    Conclusions:

    • Transurethral resection under local anesthesia is a safe and effective method for managing superficial bladder tumors and benign prostatic hypertrophy.
    • This approach is particularly suitable for elderly and debilitated patients, avoiding the risks associated with general anesthesia.