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Transurethral ureteroscopy: is local anesthesia with intravenous sedation sufficiently effective and safe?
Objective:
To evaluate the effectiveness and safety of local anesthesia and sedation in ureteroscopic interventions and to compare the results with other kinds of anesthesia.
Methods:
107 ureteroscopic interventions have been done to 99 renoureteral units involving 77 patients under different kinds of anesthesia.
Results:
45 of 107 procedures were performed under general anesthesia, 11 under spinal/epidural anesthesia, and 51 using local anesthesia and intravenous sedation. The overall success rate was 90%. The failure rate was 18% for the procedures undertaken using local anesthesia.
Conclusion:
Local anesthesia in ureteroscopic interventions may be considered as a first choice because of almost similar success rates to other kinds of anesthesia: is has a low morbidity and low cost.