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Introduction:DVIU is a common urological procedure for short segment urethral stricture ≤2cm and is generally done under spinal anesthesia. The study was performed to access the feasibility to perform DVIU under local anesthesia to reduce the cost, hospital stay and the morbidity of anaesthesia. Material and Methods: A prospective randomized study was conducted in 168 patients who were divided in two groups. Group ‘a’ received only ICS block intra corporospongiosal block) and group ‘b’ received both ICS with US block(urethrosphincteric block).VAS pain score was obtained at the end and one hour after the procedure. Results: The visual analogue score (VAS) at the time of procedure were significantly lower for Group ‘b’ (Group a =3.46, Group b=2.55 p value=0.0053), and was also lower at the end of one hour (Group a=3.1, Group b=2.01 p value=0.0001). The change in blood pressure and pulse rate as a measure of hemodynamic variability were recorded in both groups and significant differences were noted at the time of procedure Group ‘a’ 6.43±1.08, Group ‘b’ 3.95±1.46, p < 0.0001 value. Conclusion: DVIU is a common urological procedure which can be safely performed under local anaesthetic blocks instead of spinal anaesthesia. A combination of ICS with US block increases the safety and tolerability of the procedure.

international journal of contemporary medical research

A Randomised Controlled Study to Compare the Efficacy and Safety of Intracorpospongiosal Anesthesia alone Versus Transperineal Urethrosphincteric Block and Intracorpos Spongiosal Anesthesia Combined in Direct Vision Internal Urethrotomy in Urethral Strictures