Local or Spinal Anesthesia in Subinguinal Varicocelectomy: A Prospective Randomized Trial

Objective To determine whether local anesthesia (LA) is an acceptable alternative to spinal anesthesia (SA) for varicocelectomy. Methods A total of 60 men with varicocele were included in the present study. The evaluation of pain during and after surgery was determined using the visual analog scale....

Full description

Saved in:
Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2012-07, Vol.80 (1), p.9-14
Main Authors: Kadihasanoglu, Mustafa, Karaguzel, Ersagun, Kacar, Cem Kivilcim, Arıkan, Mehmet Salih, Yapıcı, Mustafa Engin, Türkmen, Nihat
Format: Article
Language:English
Subjects:
Adult
Anesthesia, Local
Anesthesia, Spinal
Biological and medical sciences
Humans
Inguinal Canal
Male
Medical sciences
Nephrology. Urinary tract diseases
Prospective Studies
Urologic Surgical Procedures, Male - methods
Urology
Varicocele - surgery
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective To determine whether local anesthesia (LA) is an acceptable alternative to spinal anesthesia (SA) for varicocelectomy. Methods A total of 60 men with varicocele were included in the present study. The evaluation of pain during and after surgery was determined using the visual analog scale. The secondary outcome measures of the present study were the interval to the first postoperative analgesic requirement, total analgesic consumption, and the incidence of side effects. Results The mean postoperative visual analog scale score was 2.56 ± 1.85 for the SA group and 2.77 ± 1.94 for the LA group ( P = .659). Patients in the SA group experienced significantly less pain during surgery than those in the LA group ( P = .017). However, the pain scores between the 2 groups did not differ significantly at 2, 4, 6, 8, 12, or 24 hours after surgery. In addition, a positive correlation was found between the duration of symptoms and the visual analog scale score at 24 hours postoperatively. The mean dosage of injected diclofenac was 46.5 ± 23.3 mg and 32 ± 28.15 mg in the SA and LA groups, respectively ( P = .018). The SA group developed more postoperative complications, such as urinary retention, postspinal backache, headache, hypotension, and delayed mobilization, in the postoperative period. Conclusion LA is an effective, reliable, reproducible, simple, and safe alternative anesthetic method for subinguinal varicocelectomy.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2012.01.052