Review of 235 cases of transurethral resection of prostate using sedoanalgesia

to verify the efficacy, effectiveness, results, and any possible complication of using sedoanalgesia rather than conventional types of anesthesia in performing transurethral prostatectomy [TURP]. in this study, 513 TURP procedures were analyzed. Two hundred and sixty seven [267] were started and two hundred and thirty five [235] were completed without the use of general or regional anesthesia. In the 267 patients that fulfilled the inclusion criteria, TURP was performed with the use of lignocaine jelly in the urethra, together with injection of lignocaine and marcaine into the prostatic tissue and the bladder. In addition intravenous analgesia alfentanil, a synthetic morphine derivative, and intramuscular midazolam, a central tranquilizer were used, this combination is referred to as sedoanalgesia. comparable results were obtained using either this method or the conventional types of anesthesia that were used in 246 patients. sedoanalgesia is a good, safe and effective method for TURP, providing proper preparation and selection of patients

Transurethral Rostatectomy using sedoanalgesia

To study the efficacy of TURP using sedoanalgesia, a type of local anesthesia. In a prospective study of 513 TURP procedures, between 1993-2000, 267 were started and 235 were completed without the use of general or regional anaesthesia. In these 267 patients, TURP was performed with the use of lignocaine jelly in the urethra, together with injection of lignocaine and marcaine into the prostatic tissue and the bladder. In addition, intravenous analgesia with Alfentanil, a synthetic morphine derivative, and intramuscular midazolam, a central tranquilizer were used. This combination is referred to as sedoanalgesia. The results obtained using this method [235 patients], were compared with TURP done under general or spinal anesthesia [278 patients]. In terms of symptoms score, average resected weight, and the rate of complications, there was no increase in the risk, rate of complications or unsatisfactory surgical results of treatment observed. Sedoanalgesia is safe and effective for TURP in our experience

Bullet injury to the penis: Abnormal presentation

This is a case report of a 24-year-old male patient who presented with an unusual bullet injury to the penis. He had no urethral injury and normal voiding. The bullet was surgically extracted from the corpora with no difficulty. He left the hospital 2 days after surgery and regained full sexual function after one month

Urethral stricture following abdominal aortic surgery

To assess the occurrence rate of urethral stricture after major vascular surgery and to compare it with the occurrence rate following bladder surgery. All urethral strictures were dealt with at Queen Alia Military Hospital for two years. Urethral stricture cases following major vascular surgery were compared with that following instrumental bladder surgery. Twenty-eight cases of urethral stricture were encountered during the period of study. Whereas seven cases of urethral stricture out of 55 cases of aortic surgery were found [12.7%], only three cases were encountered following 57 cases of transurethral bladder surgery [5.3%]. This high occurrence rate after major vascular surgery is reported for the first time. The explanation is open to speculation. It might be related to the type of catheter used combined with its irritating effect on an already ischemic urethral mucosa