Premium
Patient acceptability of transurethral incision of the prostate under local anaesthesia
Author(s) -
Irani J.,
Bon D.,
Fournier F.,
Doré B.,
Aubert J.
Publication year - 1996
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1046/j.1464-410x.1996.24117.x
Subject(s) - medicine , lidocaine , general anaesthesia , anesthesia , local anesthesia , visual analogue scale , local anaesthetic , transurethral resection of the prostate , surgery , prostate , cancer
Objective To determine the acceptance by patients of transurethral incision of the prostate (TUIP) under local anaesthesia. Patients and methods The study comprised 30 consecutive patients who elected to undergo local anaesthesia for TUIP and were treated between December 1994 and September 1995. Twenty‐two were considered a high risk for general anaesthesia and eight patients chose local anaesthesia for personal reasons. Patients were premedicated (opioid and benzodiazepine) and 1% lidocaine was infiltrated transurethrally using an endoscopic needle. The level of acceptance was determined using an immediate post‐operative questionnaire which included a linear visual analogue scale (VAS) to rate pain. Results No patient required conversion to another type of anaesthesia and there were no complications related to the local anaesthesia. The mean (se) VAS score was 3.2 (1.7) and the questionnaire results showed that 83% of the patients did not consider that general anaesthesia was necessary for the operation and that 90% would agree to undergo the procedure again under local anaesthesia. Conclusion TUIP under local anaesthesia was well tolerated in motivated patients. We recommend it as the operation of choice for the relief of obstruction in high‐risk patients with a small benign prostatic hyperplasia.