Application of intravenous anesthesia without intubation in transurethral blue laser vaporization of the prostate
10.3969/j.issn.1009-8291.2025.06.007
- VernacularTitle:不插管静脉全身麻醉在经尿道前列腺蓝激光汽化术中的应用（“大家泌尿网”观看手术视频）
- Author:
Zhenwei FAN
1
;
Zhen HAO
2
;
Guoxiong LIU
1
;
Quan DU
1
;
Yu WANG
2
;
Xiaoliang FU
1
;
Wanglong YUN
2
;
Xiaofeng XU
1
Author Information
1. Department of Urology,
2. Department of Anesthesiology and Operating Theater, Xianyang Central Hospital, Xianyang 712000, China
- Publication Type:Journal Article
- Keywords:
intravenous anesthesia without intubation;
blue laser vaporization of the prostate;
benign prostatic hyperplasia;
enhanced recovery after surgery
- From:
Journal of Modern Urology
2025;30(6):493-496
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the safety and feasibility of transurethral blue laser vaporization of the prostate (BVP) under intravenous anesthesia without intubation. Methods: Clinical data of 30 benign prostatic hyperplasia (BPH) (prostate volume <40 mL) patients undergoing BVP under intravenous anesthesia without intubation in our hospital during Jul.and Nov.2024 were retrospectively analyzed.Preoperative and 1-month postoperative international prostate symptom score (IPSS), quality of life score (QoL), maximum urinary flow rate (Qmax), and postvoid residual volume (PVR) were compared.The operation time, cumulative blue laser activation time, recovery time, postoperative bladder irrigation time, postoperative catheter indwelling time, postoperative 2-hour visual analog scale (VAS) score and incidence of surgical and anesthetic complications were recorded. Results: All 30 patients successfully completed BVP under intravenous anesthesia without intubation.The operation time was (12.5±5.0) min, cumulative laser activation time (9.8±4.1) min, recovery time (6.8±1.2) min, postoperative bladder irrigation time (11.0±4.6) h, postoperative catheter indwelling time (2.7±1.1) days and postoperative 2-hour VAS score was (3.0±1.3).No cases required conversion to intubated general anesthesia, and no severe perioperative surgical or anesthetic complications occurred.Significant improvements in IPSS, QoL, Qmax, and PVR were observed 1 month postoperatively (P＜0.001). Conclusion: BVP under intravenous anesthesia without intubation in the treatment of prostate volume <40 mL BPH is clinically feasible, significantly improving lower urinary tract symptoms without significant surgical or anesthetic complications.
