The prostate anesthetic block for outpatient prostate surgery

被引:21
作者
Issa, MM
Ritenour, C
Greenberg, M
Hollabaugh, R
Steiner, M [1 ]
机构
[1] Univ Tennessee, Dept Urol, Coll Med, Memphis, TN 38163 USA
[2] Emory Univ, Sch Med, Dept Urol, Atlanta, GA USA
关键词
D O I
10.1007/s003450050085
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
With the emergence of minimally invasive techniques for the treatment of benign prostate hyperplasia and the need to reduce health care costs, a simple and effective prostate anesthetic block may allow more procedures to be done in an outpatient or office setting. As based on neuroanatomy studies of the prostate, the perineal approach appeared to be the best way to anesthetize the prostate. This technique was used in 43 patients who underwent interstitial laser coagulation an outpatient or office setting. The perineal prostatic block was effective for pain control whether lidocaine or lidocaine/bupivacaine was used as determined by visual analog scale, linear pain scale, or global pain questionnaire. The use of intravenous (i.v.) sedation did not influence the efficacy of the prostate anesthetic block. Thus, the perineal prostate anesthetic block may be employed in patients undergoing minimally invasive surgery for benign prostatic hyperplasia in the outpatient/office location.
引用
收藏
页码:378 / 383
页数:6
相关论文
共 13 条
[1]   HIGH-INTENSITY FOCUSED ULTRASOUND FOR THE TREATMENT OF BENIGN PROSTATIC HYPERPLASIA - EARLY UNITED-STATES CLINICAL-EXPERIENCE [J].
BIHRLE, R ;
FOSTER, RS ;
SANGHVI, NT ;
DONOHUE, JP ;
HOOD, PJ .
JOURNAL OF UROLOGY, 1994, 151 (05) :1271-1275
[2]   Neuroanatomy of the male rhabdosphincter [J].
Hollabaugh, RS ;
Dmochowski, RR ;
Steiner, MS .
UROLOGY, 1997, 49 (03) :426-434
[3]   Preservation of putative continence nerves during radical retropubic prostatectomy leads to more rapid return of urinary continence [J].
Hollabaugh, RS ;
Dmochowski, RR ;
Kneib, TG ;
Steiner, MS .
UROLOGY, 1998, 51 (06) :960-967
[4]   A new technique of intraprostatic fiber placement to minimize thermal injury to prostatic urothelium during indigo interstitial laser thermal therapy [J].
Issa, MM ;
Townsend, M ;
Jiminez, VK ;
Miller, LE ;
Anastasia, K .
UROLOGY, 1998, 51 (01) :105-110
[5]   TRANSURETHRAL PROSTATIC RESECTIONS UNDER LOCAL-ANESTHESIA [J].
MOFFAT, NA .
JOURNAL OF UROLOGY, 1977, 118 (04) :607-608
[6]   INTERSTITIAL LASER THERAPY OUTCOMES IN BENIGN PROSTATIC HYPERPLASIA [J].
MUSCHTER, R ;
HOFSTETTER, A .
JOURNAL OF ENDOUROLOGY, 1995, 9 (02) :129-135
[7]   Initial human clinical experience with diode laser interstitial treatment of benign prostatic hyperplasia [J].
Muschter, R ;
DelaRosette, JJMCH ;
Whitfield, H ;
Pellerin, JP ;
Madersbacher, S ;
Gillatt, D .
UROLOGY, 1996, 48 (02) :223-228
[8]  
MUSCHTER R, 1995, WORLD J UROL, V13, P109
[9]   UROLOGICAL ENDOSCOPIC SURGERY UNDER LOCAL-ANESTHESIA - A COST-REDUCING IDEA [J].
ORANDI, A .
JOURNAL OF UROLOGY, 1984, 132 (06) :1146-1147
[10]  
REVELL SI, 1976, ANESTHESIA, V31, P1191