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Transient hearing loss following spinal anaesthesia.

L P Wang1, J Fog, M Bove

  • 1Department of Anaesthesia, Eksjö-Nässjö Hospital, Sweden.

Anaesthesia
|December 1, 1987
PubMed
Summary

Spinal anesthesia for transurethral prostate resection may cause temporary low-frequency hearing reduction in some patients. Hearing typically recovers fully within months, with epidural anesthesia showing no significant hearing loss.

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Area of Science:

  • Otolaryngology
  • Anesthesiology
  • Urology

Background:

  • Transurethral resection of the prostate (TURP) is a common urological procedure.
  • Anesthesia choices may impact patient outcomes, including sensory functions.
  • Potential effects of spinal anesthesia on hearing require investigation.

Purpose of the Study:

  • To evaluate the impact of spinal anesthesia during TURP on auditory function.
  • To compare hearing changes between spinal and epidural anesthesia for TURP.

Main Methods:

  • Pre- and post-operative audiograms were conducted on 14 patients undergoing TURP under spinal anesthesia.
  • Hearing was reassessed 2 days post-surgery and at follow-up (1-7 months).
  • A control group of 12 patients receiving epidural anesthesia for TURP was also evaluated.

Main Results:

  • Six out of 14 patients (43%) experienced a minor, temporary reduction in low-frequency hearing post-spinal anesthesia.
  • Full hearing recovery was observed in all affected patients within 1-7 months.
  • No significant hearing loss was detected in the 12 patients who received epidural anesthesia.

Conclusions:

  • Spinal anesthesia for TURP can be associated with transient, low-frequency hearing deficits.
  • Hearing function generally recovers spontaneously after spinal anesthesia.
  • Epidural anesthesia appears to be a safer alternative regarding auditory function during TURP.

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