Transurethral prostatectomy using sedoanalgesia

Abstract AR

Objectives : To study the efficacy ofTURP using sedoanalgesia, a type of local anesthesia.

Methods: In a prospective study of 513 TURP procedures, between 1993-2000, 267 were started and 235 were completed without the use of general or regional anaesthesia.

In these 267patients, TURP was performed with the use of lignocaine jelly in the urethra, together with injection of lignocaine and marcaine into the prostatic tissue and the bladder.

In addition, intravenous analgesia with Alfentanil, a synthetic morphine derivative, and intramuscular midazolam, a central tranquilizer were used.

This combination is referred to as sedoanalgesia.

Results: The results obtained using this method (235 patients), were compared with TURP done under general or spinal anesthesia (278 patients).

In terms of symptoms score, average resected weight, and the rate of complications, there was no increase in the risk, rate of complications or unsatisfactory surgical results of treatment observed.

Conclusion : Sedoanalgesia is safe and effective for TURP in our experience