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2-Year Followup Pressure Flow Studies of Prostate Photoselective Vaporization Using Local Anesthesia With Sedation

2009; Lippincott Williams & Wilkins; Volume: 181; Issue: 4 Linguagem: Inglês

10.1016/j.juro.2008.11.097

1527-3792

John Martin Pedersen, Pål Romundstad, Jan Mjønes, Carl‐Jørgen Arum,

Anesthesia and Pain Management

No AccessJournal of UrologyAdult Urology1 Apr 20092-Year Followup Pressure Flow Studies of Prostate Photoselective Vaporization Using Local Anesthesia With Sedation John Martin Pedersen, Pål R. Romundstad, Jan G. Mjønes, and Carl-Jørgen Arum John Martin PedersenJohn Martin Pedersen Department of Surgery, St. Olav's University Hospital, Norwegian University of Science and Technology, Trondheim, Norway More articles by this author , Pål R. RomundstadPål R. Romundstad Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway More articles by this author , Jan G. MjønesJan G. Mjønes Department of Surgery, St. Olav's University Hospital, Norwegian University of Science and Technology, Trondheim, Norway More articles by this author , and Carl-Jørgen ArumCarl-Jørgen Arum Department of Surgery, St. Olav's University Hospital, Norwegian University of Science and Technology, Trondheim, Norway Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2008.11.097AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report 2-year pressure flow studies and other clinical outcomes of photoselective prostate vaporization with the patient under general or spinal anesthesia vs local anesthesia with sedation. Materials and Methods: The study included 150 unselected patients with an average age of 73 years (range 51 to 92) and a mean American Society of Anesthesiologists score of 2.4 (median 2.0), of whom 33% were medicated with acetylsalicylic acid and 5% were on anticoagulation with warfarin. Photoselective prostate vaporization was performed under general or spinal anesthesia in the first 67 patients and under local anesthesia with light sedation in the remaining 83. Results: No patient who received local anesthesia required conversion to general anesthesia. The median preoperative to postoperative decrease in hemoglobin was 0.55 gm/dl and no patient required blood transfusion. The median postoperative catheterization requirement was 2 hours after local anesthesia and 9 hours after general or spinal anesthesia. Median time from operation to hospital discharge was 12 hours in the local anesthesia group and 24 hours in the general or spinal anesthesia group (p 100 ml. BJU Int2007; 100: 3. Google Scholar 10 : Photoselective vaporization of the prostate: a volume reduction analysis in patients with lower urinary tract symptoms secondary to benign prostatic hyperplasia and carcinoma of the prostate. J Urol2005; 173: 158. Google Scholar 11 : Photoselective potassium-titanyl-phosphate laser vaporization of the benign obstructive prostate: observations on long-term outcomes. J Urol2005; 174: 1344. Link, Google Scholar © 2009 by American Urological AssociationFiguresReferencesRelatedDetails Volume 181Issue 4April 2009Page: 1794-1799 Advertisement Copyright & Permissions© 2009 by American Urological AssociationKeywordsurodynamicsanesthesiaprostatelaser therapyurinary bladder neck obstructionAcknowledgmentsDr. Duan Chen, Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology provided comments.Metrics Author Information John Martin Pedersen Department of Surgery, St. Olav's University Hospital, Norwegian University of Science and Technology, Trondheim, Norway More articles by this author Pål R. Romundstad Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway More articles by this author Jan G. Mjønes Department of Surgery, St. Olav's University Hospital, Norwegian University of Science and Technology, Trondheim, Norway More articles by this author Carl-Jørgen Arum Department of Surgery, St. Olav's University Hospital, Norwegian University of Science and Technology, Trondheim, Norway Department of Cancer Research and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway More articles by this author Expand All Advertisement PDF downloadLoading ...