Transurethral Resection of the Prostate

Malhotra, Vinod

doi:10.1016/s0889-8537(05)70200-5

Cited by 50 publications

(30 citation statements)

References 39 publications

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“…Sensory levels above T9 are undesirable as pain due to perforation of the prostatic capsule (like in TURP, TURBT) will not be apparent to the patient if this complication occurs, so higher levels as in group A are undesirable. [26]The intensity and the duration of motor block achieved with this combination favored early ambulation. Butorphanol combination provides less intense motor block than sufentanil combination.…”

Section: Discussionmentioning

confidence: 99%

A comparative evaluation of intrathecal bupivacaine alone, sufentanil or butorphanol in combination with bupivacaine for endoscopic urological surgery

et al. 2011

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Background:The objective of the present study was to compare the onset, degree and recovery time of sensory and motor block and hemodynamic effects of intrathecal bupivacaine alone and bupivacaine with sufentanil or butorphanol in endoscopic urological surgeries.Methods:In a randomized, double-blind study, 90 patients of either sex and age, belonging to ASA Grades I and II, scheduled for elective endoscopic urological surgeries under spinal anesthesia, were allocated into three groups of 30 each. Patients received either 2.5 ml of 0.5% hyperbaric buypivacaine 12.5 mg (Group A), 1.5 ml of 0.5% hyperbaric bupivacaine 7.5 mg with 10 μg sufentanil (Group B) or 1.5 ml of 0.5% hyperbaric bupivacaine 7.5 mg with 25 μg butorphanol (Group C). Vital parameters, level, duration and regression of sensory block and motor block and side-effects were recorded and compared.Statistical Analysis:Analysis of variance (ANOVA), post hoc test and Chi-square test were used.Results:Intrathecal addition of sufentanil/butorphanol prolonged the duration of sensory block (DOSB) compared with bupivacaine alone (DOSB being 156.83±23.83 min, 170.87 ± 22.21 min and 171.17 ± 23.99 min in groups A, B and C, respectively) without altering the duration of motor blockade. Bromage score 3 was achieved in 100%, 90% and 54.4% patients in groups A, B and C, respectively. The time to first request for analgesia was 112 ± 46.3 min, 323 ± 65.0 min and 299 ± 73.9 min in groups A, B and C, respectively. Complications were reduced by the addition of butorphanol, which also has a lower tendency than sufentanil to produce pruritus (60%).Conclusions:The analgesia was significantly prolonged in groups B and C; group C had a less-intense motor block. Complications were reduced by the addition of butorphanol, which also has a lower tendency than sufentanil to produce pruritus. Thus, this combination of butorphanol with low-dose bupivacaine is especially beneficial in the geriatric group of patients who have multiple co-morbid conditions.

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Section: Discussionmentioning

confidence: 99%

A comparative evaluation of intrathecal bupivacaine alone, sufentanil or butorphanol in combination with bupivacaine for endoscopic urological surgery

et al. 2011

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“…[2][3][4][5][6] Spinal anaesthesia is frequently used during urological operations because it provides some major advantages over general anaesthesia, such as a shorter time to onset of motor block, and it allows for the use of lower volumes of local anaesthetic. 6,7 Although there is a degree of hypotension risk associated with spinal anaesthesia, it enables early detection of excessive fluid load and hyponatraemia. 3 Effective spinal anaesthesia is possible with the correct choice of local anaesthetic.…”

Section: Introductionmentioning

confidence: 99%

Intrathecal bupivacaine or levobupivacaine: Which should be used for elderly patients?

et al. 2014

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Objectives: To compare two intrathecal anaesthetics, bupivacaine and levobupivacaine, for their effects on motor and sensory blockade and haemodynamics in patients aged !65 years undergoing transurethral resection of the prostate (TUR-P) or transurethral resection of the urinary bladder (TUR-M). Methods: Patients scheduled to undergo TUR-P or TUR-M were randomized to receive either 3 ml (15 mg) 0.5% isobaric levobupivacaine (group L) or 3 ml (15 mg) of 0.5% hyperbaric bupivacaine (group B) for spinal anaesthesia. The onset time, maximum level and time to reach the maximum level of sensory and motor blockade were recorded. Changes to haemodynamic parameters were also recorded. Results: The study randomized 100 patients: 57 to group L and 43 to group B. Levobupivacaine did not cause any significant changes in haemodynamic parameters, including systolic blood pressure, and showed a similar sensory block onset time compared with bupivacaine, but it had a significantly longer motor block onset time compared with bupivacaine. Conclusion: These current findings suggest that levobupivacaine can be used as a substitute for bupivacaine for spinal anaesthesia in elderly patients !65 years of age undergoing elective TUR-P or TUR-M operations.

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“…Several factors are identified as risk factors including age older than 80, large prostates, and the resection time more than 90 minutes [13]. Anesthesia technique does not influence of mortality rates [14,15]. Our study is patients' number limited and this explains that no death is memorized despite of comparable average patients' age.…”

Section: Discussionmentioning

confidence: 63%

Complications of Transurethral Resection of the Prostate

Pesha¹

2016

CMR

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Abstract:Benign prostatic hypertrophy can be treated by several therapeutic options including medical and surgical techniques. Among the surgical options, transurethral resection has a crucial role. Transurethral resection of the prostate (TURP) remains the standard surgical treatment for benign prostatic hypertrophy (BPH). This technique was the first minimally invasive procedure of the modern surgical practice remaining the most commonly procedure. During 2010-2015, 324 patients were enrolled in our study, recording all postoperative complications. Our paper emphasizes all the theoretical aspects of TURP's complications comparing to our data.

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Transurethral Resection of the Prostate

Cited by 50 publications

References 39 publications

A comparative evaluation of intrathecal bupivacaine alone, sufentanil or butorphanol in combination with bupivacaine for endoscopic urological surgery

A comparative evaluation of intrathecal bupivacaine alone, sufentanil or butorphanol in combination with bupivacaine for endoscopic urological surgery

Intrathecal bupivacaine or levobupivacaine: Which should be used for elderly patients?

Complications of Transurethral Resection of the Prostate

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