Ten years of sedoanalgesia and how it has affected urological practice.

This article describes the use of midazolam in combination with local anaesthesia for the performance of endoscopic and open operations in urological practice. The technique is called sedoanalgesia. The sedation greatly facilitates the possibilities of local anaesthetic surgery and has transformed urological practice. Eighty percent of urological cases in our unit can be performed as a day case using this method. The procedure is not only safe but highly cost-effective.