Save
COMPARISON OF EPIDURAL, SPINAL AND SADDLE BLOCK FOR HOLMIUM LASER ENUCLEATION OF THE PROSTATE (HOLEP)
ESRA Academy. Kim Y. Sep 8, 2016; 138454; 0309 Topic: TUR Bladder / Prostate

Access to Premium content is currently a membership benefit.


Click here to join ESRA or renew your membership.

Abstract
Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

 The aim of the present study was to compare and to find optimal regional anesthesia technique for Holmium laser eneucleation of the prostate (HoLEP), is being paid attention for alternative to transurethral resection of the prostate.

Methods:

Sixty nine patients with American Society of Anesthesiologists scores of I-III were randomly allocated into three groups. Patients in group E were received epidural block with 75mg of bupivacaine plus 50ug of fentanyl. In group S, 15mg of bupivacaine and 50ug fentanyl were used for spinal anesthesia. In group SA, patients were received saddle block with 15mg of bupivacaine and 50ug of fentanyl. Systolic blood pressure (SBP), heart rate (HR), time to block of thoracic(T)-10 dermatome, maximal sensorial block time, sensorial block regression time, and side effect were recorded.

Results:

Time to maximal level was longest in group E (p<0.05), and maximal sensorial block level was lowest in group SA (p<0.05). Between group E and SA, there was difference in regression time (p<0.05). In group E, group S, and group SA, there was a significant decrease in SBP and HR relative to baseline after the anesthesia. However, there was no statistically diffierence between the groups. In group E, 3 cases of hypotension and 3 cases of bradycardia were observed, and 2 cases of bradycardia was seen in group S and SA.

Conclusions:

All three anesthetic techniques may be used safely and are appropriate for HoLEP. However, saddle block may be preferable in HoLEP because we achieve an adquate sensorial level with less side effect.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings