[The use of spinal analgesia in urology]

The past few years are marked by a renewed interest in regional analgesia application in urological practice. The opinion is set forth that this is attributable to the new technique for spinal analgesia suggested, as well as to the influence exerted by the improved endoscopic electroresection technique. To assay spinal analgesia performed by the new technology, the clinical course of spinal analgesia, level of block, expenditure of analgetics, blood loss and changes in hemodynamics are studies in a series of 202 patients, operated in the Clinical Center of Urology. As shown by the results, the block occurs promptly and last for three hours against the background of stable hemodynamics and blood loss reduction. There are no changes in gas exchange and acid-base balance, nor complaints of post-puncture headache. Proceeding from the aforementioned findings, vindication of the spinal analgesia method in urology is proposed.