[Anesthesia problems in patients with an infravesical obstruction]

The past few years mark an ever increasing interest in intravesical obstructions in urological practice. After clarifying issues relating to the role and type of the underlying disease leading to intravesical obstruction, 173 patients with such a condition, subjected to analgesia of varying type, are analyzed under the aspect of anesthesiology. In 98 cases (56.65 percent) the underlying cause of obstruction is adenoma of the prostate gland, in 60 men and 9 women (39.88 percent)-carcinoma of the bladder, and in eight patients (3.47 percent)-sclerosis of the prostate gland. Preparation of the patients for anesthesia and operation is greatly interfered with by the concomitant polymorbidity, insofar as 83.5 percent of the contingent are older than 60 years of age. Analgesia is secured by endotracheal anesthesia (96 cases), epidural analgesia (64) and spinal-epidural analgesia (13). A comprehensive analysis based on the type of anesthesia and condition of the patient during operation is done, leading to the inference that all three methods are individually indicated.