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Prostate brachytherapy under hypnosedation: A prospective evaluation.

Olivier Chapet1, Corina Udrescu1, Samy Horn1

  • 1Department of Radiation Oncology, Centre Hospitalier Lyon Sud, Pierre-Benite, France.

Brachytherapy
|November 15, 2018
PubMed
Summary
This summary is machine-generated.

Hypnosedation (HS) is a safe and effective anesthesia alternative for prostate brachytherapy patients. This method reduces medication needs and offers a comfortable experience, making it a viable option compared to general or spinal anesthesia.

Keywords:
AnesthesiaBrachytherapyHypnosedationProstate cancer

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Area of Science:

  • Urology
  • Anesthesiology
  • Oncology

Background:

  • Prostate brachytherapy is a common treatment for prostate cancer.
  • Anesthesia choices for brachytherapy include general anesthesia (GA) and spinal anesthesia (SA).
  • Hypnosedation (HS) has been proposed as an alternative anesthesia method.

Purpose of the Study:

  • To evaluate the feasibility and efficacy of hypnosedation (HS) for prostate brachytherapy.
  • To compare HS with general anesthesia (GA) and spinal anesthesia (SA) in terms of patient comfort, pain, and medication requirements.

Main Methods:

  • Seventy-nine patients underwent prostate brachytherapy using HS.
  • Patient comfort, anxiety, and pain were assessed using the Visual Analog Scale (VAS).
  • Data were compared with historical controls of 79 patients under GA and 37 patients under SA.

Main Results:

  • 68 patients (86.1%) achieved adequate hypnotic levels with HS.
  • HS patients reported low pain (mean 3.1) and high comfort (mean 7.4) scores, with sustained results at 8 weeks.
  • HS required significantly fewer medications compared to GA and SA (3.1 vs. 7.9 vs. 5.6, p < 0.0001).
  • HS increased operating room time but eliminated recovery room time and reduced urinary catheter duration.

Conclusions:

  • Hypnosedation is a feasible, comfortable, and effective anesthesia method for prostate brachytherapy.
  • HS offers a good alternative to GA and SA, with reduced medication use and improved patient experience.
  • The study highlights the benefits of HS in terms of patient-reported outcomes and resource utilization.