Epidural Anesthesia for Transurethral Resection of The Prostate

Launched by BAŞAKŞEHIR ÇAM & SAKURA CITY HOSPITAL · Mar 18, 2025

Keywords

ClinConnect Summary

In urological procedures, the preferred anaesthetic modalities may be topical, regional or general. The decision is made by the anaesthesiologists based on patient age, sex, general condition and the surgical procedure to be performed. Transurethral procedures are frequently applied to geriatric patients, who are more likely to have comorbidities. In such cases, epidural anaesthesia may be preferred for geriatric patients.

In this study, we utilised various routes for the administration of local anaesthetics to induce epidural anaesthesia in patients scheduled for transurethral resection o...

Gender

MALE

Eligibility criteria

• Inclusion Criteria:
• • Male undergoing transurethral prostatic resection,
• • 40 to 75 years old,
• • ASA-I-III
• • Not using anticoagulants or antiaggregants,
• • No peripheral neuropathy or muscle disease,
• • Can be orientated and co-operated,
• • No vertebral deformity,
• • Body Mass Index \<30,
• • Patients consenting to epidural anaesthesia.
• Exclusion Criteria:
• • TUR-P operation will not be male,
• • Female patients,
• • ASA-IV,
• • Not in the appropriate age range (40-75),
• • Taking anticoagulants or antiaggregants, Previous lumbar surgery or skeletal deformity in the lumbar region,
• • Peripheral neuropathy, neuromuscular or neuropsychiatric disease,
• • Alcohol or drug addiction,
• • Obese with a body mass index \>30,
• • History of frequent analgesic use,
• • Patients shorter than 155 cm and taller than 180 cm,
• • Who refused epidural anaesthesia,
• • Patients without orientation and co-operation.