AN OPEN STUDY ON THE EFFICACY AND SAFETY OF TRANSURETHRAL NEEDLE ABLATION OF THE PROSTATE IN TREATING SYMPTOMATIC BENIGN PROSTATIC HYPERPLASIA: THE UNIVERSITY OF FLORIDA EXPERIENCE

Autor:	Ashutosh Tewari, Scott A. Kahn, Perinchery Narayan, Paul Alphonse
Rok vydání:	1998
Předmět:	medicine.medical_specialty Lidocaine business.industry Urology medicine.medical_treatment Transurethral needle ablation of the prostate Ablation Surgery Neck of urinary bladder medicine.anatomical_structure Urethra Prostatic urethra Prostate medicine Local anesthesia business medicine.drug
Zdroj:	Journal of Urology. 160:1695-1700
ISSN:	1527-3792 0022-5347
Popis:	Purpose: We determine the safety and efficacy of transurethral needle ablation of the prostate in patients with moderate to severe symptoms of benign prostatic hyperplasia.Materials and Methods: Transurethral needle ablation of the prostate was performed on 45 consecutive patients. For an average prostate of 2.5 to 3 cm. long treatments were performed in 2 separate planes at 4 quadrants (2, 4, 8 and 10 o'clock positions) each. The 2 planes were 1 cm. below the bladder neck and 1 cm. proximal to the verumontanum. For prostatic urethral lengths longer than 3 cm. a treatment plane was added for each additional centimeter of prostatic urethra. The procedure was performed in 26 patients under local anesthesia using 20 cc 2% intraurethral lidocaine gel (11) or supplemented with intravenous 1.25 to 5 mg. midozolam (15). Of these patients 2 had a supplemental perineal block using a mixture of equal amounts of 15 cc 2% lidocaine without epinephrine and 0.25% bripivacaine, 10 underwent the procedure under g...
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::787217f55023ae2cc18a9a116c7d5d67 https://doi.org/10.1016/s0022-5347(01)62385-1 Zobrazit plný text záznamu