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Multiple bladder biopsies under intravesical lignocaine anaesthesia
S Holmäng1, F Aldenborg, H Hedelin
1Department of Urology, Sahlgrenska Sjukhuset, University of Göteborg, Sweden.
British Journal of Urology
|February 1, 1994
Summary
Urinary bladder biopsies performed under local anesthesia offer high quality and patient acceptance with minimal complications. This method significantly reduces costs compared to traditional procedures.
Area of Science:
- Urology
- Oncology
- Anesthesiology
Background:
- Superficial bladder cancer management often requires multiple biopsies.
- Traditionally, these biopsies are performed via transurethral resection under general or spinal anesthesia.
- This approach can be associated with higher costs and patient discomfort.
Purpose of the Study:
- To evaluate the quality of urinary bladder biopsies obtained under local anesthesia.
- To assess complications and patient acceptance of this minimally invasive technique.
- To compare the cost-effectiveness of local anesthesia biopsies versus traditional methods.
Main Methods:
- Twenty patients with a history of superficial bladder cancer underwent multiple cold-cup urinary bladder biopsies.
- The procedure was performed in an outpatient clinic setting using topical lignocaine anesthesia.
- Post-operative observation ranged from 0.5 to 2 hours.
Main Results:
- Biopsy quality was consistently high and influenced patient treatment decisions in most cases.
- Patient acceptance was very high, with minimal reported complications.
- The procedure was successfully conducted in an outpatient setting.
Conclusions:
- Urinary bladder biopsies can be effectively performed under intravesical lignocaine anesthesia.
- This method yields high-quality biopsies, is well-tolerated by patients, and has minimal complications.
- Utilizing local anesthesia for bladder biopsies significantly reduces healthcare costs by approximately 70% compared to procedures requiring general or spinal anesthesia.