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

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dc.contributor.authorJamal, Arshaden_US
dc.contributor.authorSingh, Rana Pratapen_US
dc.date.accessioned2020-09-24T07:09:30Z
dc.date.available2020-09-24T07:09:30Z
dc.date.issued2019-04
dc.description.abstractIntroduction: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.en_US
dc.identifier.affiliationsAssociate Professor and HOD, Department of Urology, Rajendra Institute of Medical Sciences, Ranchi, Indiaen_US
dc.identifier.affiliationsAssistant Professor, Department of Urology, Rajendra Institute of Medical Sciences, Ranchi, Indiaen_US
dc.identifier.citationJamal 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-d4en_US
dc.identifier.issn2393-915X
dc.identifier.issn2454-7379
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/202226
dc.languageenen_US
dc.publisherInternational Society for Contemporary Medical Researchen_US
dc.relation.issuenumber4en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.21276/ijcmr.2019.6.4.34en_US
dc.subjectDVIUen_US
dc.subjectLocal Block Anesthesiaen_US
dc.subjectUrethrosphincteric (US) Blocken_US
dc.subjectIntracorporospongiosal (ICS) Blocken_US
dc.titleA 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 Stricturesen_US
dc.typeJournal Articleen_US
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