[Special problems with anesthesia in urologic emergency surgery]

In the operative medicine the urological emergency interventions occupy a particular position. Apart from iatrogenic and/or emergency cases provoked by the external trauma, the life-threatening and urgent operations are very rare, in comparison to the other surgical disciplines. The maximum stress by anaesthesia of the urological emergency operations is, however, by far less and connected with considerable risks. In the analysis of 1,216 anaesthesias which were declared by the urologists as urgent operations it was shown that the frequency of anaesthesia accidents gradually increases from intact renal function up to uraemia and anuria. On account of less total stress in contraindications for the regional anaesthesia in urological emergency interventions the neuroleptanalgesia is to be preferred in comparison to the other anaesthesia methods.