Laser resection of the prostate: Implications for anesthesia

Richard A. Hanson, Mark Zornow, Michael Conlin, Ansgar Brambrink

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Holmium:yttrium-aluminum-garnet and potassium-titanyl-phosphate lasers make it possible to perform transurethral prostate resection with almost no absorption of irrigant and minimal blood loss. Subarachnoid block is usually administered for classical transurethral resection of the prostate, so that the patient can be monitored for the onset of transurethral resection of the prostate syndrome secondary to irrigant absorption. New laser resection techniques may allow the patient and anesthesiologist to choose options most appropriate for the patient's medical conditions and preference.In this study, we review the urologic literature to provide an overview of current laser technology for prostate reduction surgery. We also screened this literature for evidence of potential effects on anesthesia care for special patient groups as well as for overall perioperative management.Our findings suggest that the anesthesiologist may now safely offer general anesthesia for endourologic laser surgery, even on an ambulatory basis. This includes patients with cardiovascular disease or receiving continuous anticoagulation therapy.We found no studies specifically aimed at evaluating best anesthetic practices for patients undergoing laser procedures. Therefore, clinical research is needed to better define the risks and benefits of the various anesthetic alternatives.

Original languageEnglish (US)
Pages (from-to)475-479
Number of pages5
JournalAnesthesia and Analgesia
Volume105
Issue number2
DOIs
StatePublished - Aug 2007

Fingerprint

Prostate
Lasers
Anesthesia
Transurethral Resection of Prostate
Anesthetics
Holmium
Solid-State Lasers
Laser Therapy
Practice Guidelines
General Anesthesia
Patient Care
Cardiovascular Diseases
Technology
Research
Anesthesiologists
Therapeutics

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Laser resection of the prostate : Implications for anesthesia. / Hanson, Richard A.; Zornow, Mark; Conlin, Michael; Brambrink, Ansgar.

In: Anesthesia and Analgesia, Vol. 105, No. 2, 08.2007, p. 475-479.

Research output: Contribution to journalArticle

Hanson, Richard A. ; Zornow, Mark ; Conlin, Michael ; Brambrink, Ansgar. / Laser resection of the prostate : Implications for anesthesia. In: Anesthesia and Analgesia. 2007 ; Vol. 105, No. 2. pp. 475-479.
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