Issa M M, Ritenour C, Greenberger M, Hollabaugh R, Steiner M
Department of Urology, College of Medicine, University of Tennessee, Memphis 38163, USA.
World J Urol. 1998;16(6):378-83. doi: 10.1007/s003450050085.
With the emergence of minimally invasive techniques for the treatment of benign prostate hyperplasia and the need to reduce health care costs, a simple and effective prostate anesthetic block may allow more procedures to be done in an outpatient or office setting. As based on neuroanatomy studies of the prostate, the perineal approach appeared to be the best way to anesthetize the prostate. This technique was used in 43 patients who underwent interstitial laser coagulation an outpatient or office setting. The perineal prostatic block was effective for pain control whether lidocaine or lidocaine/bupivacaine was used as determined by visual analog scale, linear pain scale, or global pain questionnaire. The use of intravenous (i.v.) sedation did not influence the efficacy of the prostate anesthetic block. Thus, the perineal prostate anesthetic block may be employed in patients undergoing minimally invasive surgery for benign prostatic hyperplasia in the outpatient/office location.
随着治疗良性前列腺增生的微创技术的出现以及降低医疗成本的需求，一种简单有效的前列腺麻醉阻滞可能使更多手术能够在门诊或诊室环境中进行。基于对前列腺的神经解剖学研究，会阴途径似乎是麻醉前列腺的最佳方法。该技术应用于43例在门诊或诊室环境中接受间质激光凝固术的患者。根据视觉模拟评分、线性疼痛评分或整体疼痛问卷确定，无论使用利多卡因还是利多卡因/布比卡因，会阴前列腺阻滞在控制疼痛方面均有效。静脉镇静的使用并不影响前列腺麻醉阻滞的效果。因此，会阴前列腺麻醉阻滞可用于在门诊/诊室接受良性前列腺增生微创手术的患者。
