Ethanol‐glycine irrigating fluid for transurethral resection of the prostate in practice

Sandfeldt, Lars

doi:10.1046/j.1464-410x.2001.02239-5.x

BJU International

2001

DOI: 10.1046/j.1464-410x.2001.02239-5.x

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Ethanol‐glycine irrigating fluid for transurethral resection of the prostate in practice

Lars Sandfeldt

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“…You have published some interesting papers on the important subject of irrigant absorption during TURP [1–4]. One aspect not covered was how to manage a bladder stone that can be associated with the obstructed prostate.…”

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Prostatectomy and bladder stones

Sharma¹

2002

BJU International

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CorrespondenceIncreased patient satisfaction from transrectal ultrasonography and biopsy under sedation Sir, We congratulate the authors on an excellent study [1]. We have recently reviewed our experience using a 'sedoanalgesia' protocol over 10 years for a multitude of urological procedures, including prostate biopsies. First, patient satisfaction for prostate biopsies was high (satisfied 95%, not satisfied 5%, 940 patients; adverse events, none). Importantly, the cost of sedoanalgesia is lower, as it can be administered without an anaesthetist, with the 'cocktail' given 30 min before the procedure, when the patient is most anxious. The cocktail consists of intramuscular midazolam (0.1 mg/kg or 0.01 mg/kg in the elderly) and gentamicin (120 mg), rectal metronidazole (1 g) and diclofenac (100 mg) plus intranasal oxygen [2] and ciprofloxacin (500 mg, three doses) on discharge, the same day. The authors stated in their discussion that an anaesthetist is not necessary, but in our experience any intravenous administration of sedative has more potential problems than the relatively lower doses given intramuscularly. As our health system is already overburdened, perhaps theatre time and the anaesthetist could be used for other tasks, as sedoanalgesia is clinically safe and cost-effective [2].

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confidence: 99%

Prostatectomy and bladder stones

Sharma¹

2002

BJU International

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Ethanol‐glycine irrigating fluid for transurethral resection of the prostate in practice

Cited by 1 publication

References 24 publications

Prostatectomy and bladder stones

Prostatectomy and bladder stones

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