Transurethral prostatic resections under local anesthesia

Area of Science:

• Urology
• Anesthesiology

Background:

• Benign prostatic hyperplasia (BPH) is a common condition in aging men.
• Transurethral prostatic resection (TURP) is a standard surgical treatment for BPH.
• Anesthesia choice for TURP impacts patient safety and recovery.

Purpose of the Study:

• To evaluate the safety and efficacy of local anesthesia for standard transurethral prostatic resections.
• To determine if local anesthesia alone or supplemented with tranquilizers is a viable option for TURP.

Main Methods:

• Eighteen patients with benign prostatic hyperplasia underwent standard transurethral prostatic resection.
• Local anesthesia was administered via 1% lidocaine infiltration of the prostate.
• Topical lidocaine was instilled into the urethra.
• Intravenous tranquilizers were used as a supplement in some cases.

Main Results:

• The procedure using local anesthesia was found to be safe, simple, and effective.
• No major complications were reported in the study cohort.
• Patient tolerance to the local anesthesia approach was positive.

Conclusions:

• Local anesthesia, including lidocaine infiltration and topical instillation, is a safe and effective method for performing transurethral prostatic resections.
• Supplementation with modest doses of intravenous tranquilizers can be utilized when necessary.
• This anesthetic approach offers a practical alternative for TURP procedures.