Transurethral Resection of the Prostate and Laser Prostatectomy under Local Anesthesia

A review of studies published during 1998 examining the treatment and management of benign prostatic obstruction

“…A Danish paper comparing the Danish Prostate Symptom Score (DAN-PSS) with the IPSS, the Madsen± Iversen and Boyarsky Symptom score was also published during 1998 [61]. The study compared the performance of the DAN-PSS, the Madsen±Iversen and the IPSS questionnaires in a group of patients randomized to either alfuzosin or placebo, and compared the DAN-PSS with the Boyarsky questionnaires in another group of Postoperative infection rates and factors TURP and laser prostatectomy under local anaesthesia [54] Pain score A theoretical model for TUMT [49] Power and blood¯ow, ®xed vs feedback energy Preservation of ejaculation after TUR of both the prostate and bladder neck [50] Antegrade ejaculation, and ejaculate volume TURP in the anticoagulated patient [53] Haemoglobin, transfusion rate, and secondary haemorrhage Suitability of patients for TUMT [51] Catheter-free`same-day TURP'…”

Pudendusblockade oder kombinierte Spinal-Epidural-Anästhesie (CSE) bei der High-Dose-Rate-Brachytherapie des Prostatakarzinoms?

“…Die angewandte VAS (von 0 bis 100) lag durchschnittlich bei 10. Weitere Autoren [17][18][19] bestätigten dieses von Birch publizierte Verfahren. Allerdings wurde in keinem Fall die gezielte Pudendusblockade angewendet.…”

“…Der Zeitaufwand für die Anlage des NPB betrug 10 (10,5 ± 2,5) min, die der CSE in 30 (30,5 ± 5,5) min (p < 0,005). Durchschnittlich wurden 24 (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) Hohlnadeln perineal für 79 ± 11,7 min (p = 0,23) eingebracht. Das peri-und postoperative Schmerzempfinden lag bei beiden Gruppen bei 1,3 ± 1,1 und 1,1 ± 1,0 (p = 0,61 und p = 0,29), somit keine wesentlichen Unterschiede.…”

Prostate innervation and local anesthesia in prostate procedures

“…The patients tolerated the procedure well, and there were no anesthetic complications. Akalin et al 44 , in 1998, performed 54 prostate surgeries, with mild pain in 5 (11%) and significant pain in only 1 patient. Sinha et al 45 , in 1985, reported mild pain in 29 (48%) of 60 patients.…”