Spinal anesthesia tied to faster recovery after holmium laser enucleation of prostate in high risk patients
Spinal anesthesia provides greater hemodynamic stability and allows faster overall postoperative recovery with preferable pain management in patients undergoing Holmium laser enucleation of the prostate, finds a recent study.
The research is published in the Journal of Urology.
Thilo Westhofen and colleagues from the Department of Urology, University Hospital Großhadern, Ludwig-Maximilians-University Munich, Germany compared the perioperative management and functional outcome of spinal anesthesia (SpA) to general anesthesia (GA) in high-risk patients treated for lower urinary tract symptoms (LUTS) with Holmium laser enucleation of the prostate (HoLEP).
The authors conducted a retrospective analysis in which a propensity-score-matching of patients treated for lower urinary tract symptoms with risk patients treated for lower urinary tract symptoms with Holmium (n=300) in spinal anesthesia with ASA>2 (n=100), general anesthesia with ASA>2 (GA-high-risk) (n=100) or GA with ASA≤2 (GA-low-risk) (n=100) was performed.
The impact of anesthesiologic mode on perioperative anesthesiologic outcome, early functional outcome and treatment related adverse events (according to Clavien Dindo), was evaluated.
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