硬膜外麻酔による尿路の術後管理とくに尿しぶりに対する治療

概要

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Bladder tenesums which develops after lower urinary tract operation, especially after prostatectomy for benign prostatic hypertrophy, is very distressing for the patients as well as for the urologists. Antispasmodics and analgesics are usually of little use to improve the condition. The authors tried, in 26 cases (In 21 cases, suprapubic prostatectomy had been performed), epidural anesthesia for bladder tenesmus, which is used for obstetric analgesia and for control of postoperative pain, and found that the procedure was markedly effective. Lumbar epidural anesthesia is effective not only for relieving bladder tenesmus, but also for controlling postoperative pain. It is stressed that epidural anesthesia, carefully performed, is associated with little complication and should be more widely used.
社団法人日本泌尿器科学会の論文