Transurethral resection of prostate and bladder tumors.

Endoscopic surgery of the prostate and bladder can be accomplished safely, efficiently, and economically, using outpatient or abbreviated-stay procedures. Local anesthetics rather than more traditional spinal or general techniques may also be used. Guidelines and techniques are described.

Transurethral prostatic resections under local anesthesia.

Standard transurethral prostatic resections were done on 18 patients with benign prostatic hyperplasia. Local anesthesia was used with standard 1 per cent lidocaine local infiltration of the prostate and topical instillation into the urethra. This anesthesia was supplemented in a few instances by modest doses of intravenous tranquilizers, which has proved to be a safe, simple and effective procedure.