Cystoscopy and turt using sedoanalgesia : Experience in 398 patients

Abstract EN

Objective: To verify the efficacy, cost effectiveness, results and any possible implication by using sedoanalgesia rather than conventional types of anesthesia in diagnosis and treatment of hematuria and bladder tumors.

Methods: The study entailed 398 patients with suspicious hematuria between 1995 and 2001.

Bladder tumor was diagnosed in 173 where transurethral resection of tumor was performed.

One hundred and twenty two of them kept having regular check cystoscopy.

Intraurethral Xylocaine jelly, submucosal infiltration to the bladder wall using local anesthetic (Xylocaine and Marcaine), and intravenous pain and anxiety relieving medication (Sedoanalgesia) were used instead of conventional anesthesia.

Results: Seventy percent of the interventions were performed using sedoanlgesia in 835, out of 1190 interventions in total.

Seventy-one percent of the patients tolerated that type of intervention, no specific complication, and with a high degree of satisfaction and acceptance.

Conclusion: Using sedoanalgesia is a good, safe, cost effective method of urological intervention, mainly for bladder tumor due to the special characteristic of this disease, namely the need for repeated interventions.