A Randomised Controlled Study to Compare the Efficacy and Safety of Intracorpospongiosal Anesthesia alone Versus Transperineal Urethrosphincteric Block and Intracorpos Spongiosal Anesthesia Combined in Direct Vision Internal Urethrotomy in Urethral Strictures
Loading...
Date
2019-04
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
International Society for Contemporary Medical Research
Abstract
Introduction:DVIU is a common urological procedure forshort segment urethral stricture ≤2cm and is generally doneunder spinal anesthesia. The study was performed to accessthe feasibility to perform DVIU under local anesthesia toreduce the cost, hospital stay and the morbidity of anaesthesia.Material and Methods: A prospective randomized study wasconducted in 168 patients who were divided in two groups.Group ‘a’ received only ICS block intra corporospongiosalblock) and group ‘b’ received both ICS with USblock(urethrosphincteric block).VAS pain score was obtainedat the end and one hour after the procedure.Results: The visual analogue score (VAS) at the time ofprocedure were significantly lower for Group ‘b’ (Groupa =3.46, Group b=2.55 p value=0.0053), and was alsolower at the end of one hour (Group a=3.1, Group b=2.01 pvalue=0.0001). The change in blood pressure and pulse rateas a measure of hemodynamic variability were recorded inboth groups and significant differences were noted at the timeof procedure Group ‘a’ 6.43±1.08, Group ‘b’ 3.95±1.46, p <0.0001 value.Conclusion: DVIU is a common urological procedure whichcan be safely performed under local anaesthetic blocks insteadof spinal anaesthesia. A combination of ICS with US blockincreases the safety and tolerability of the procedure.
Description
Keywords
DVIU, Local Block Anesthesia, Urethrosphincteric (US) Block, Intracorporospongiosal (ICS) Block
Citation
Jamal Arshad, Singh Rana Pratap. A Randomised Controlled Study to Compare the Efficacy and Safety of Intracorpospongiosal Anesthesia alone Versus Transperineal Urethrosphincteric Block and Intracorpos Spongiosal Anesthesia Combined in Direct Vision Internal Urethrotomy in Urethral Strictures. International Journal of Contemporary Medical Research . 2019 Apr; 6(4): d1-d4