Review of 235 cases of transurethral resection of prostate using sedoanalgesia

ABSTRACT

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