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Use of a Schelin catheter for transurethral intraprostatic anesthesia (TUIA) prior to iTIND procedure

  • Silvia Secco,
  • Alberto Olivero,
  • Mattia Longoni,
  • Paolo Dell’Oglio,
  • Stefano Tappero,
  • Edoardo Dibilio,
  • Tommaso Saccucci,
  • Giampaolo Siena,
  • Aldo Massimo Bocciardi,
  • Antonio Galfano,
  • Luca Cindolo

摘要

Background/Objectives

Endorsing the principles of minimal invasiveness in benign-prostatic hyperplasia (BPH) surgery, we conducted the first evaluation of transurethral intraprostatic anesthesia (TUIA) using Schelin catheter® (SC) prior to iTIND positioning.

Subjects/Methods

Of 23 patients enrolled, 11 (48%) received TUIA via SC whereas the remaining underwent standard anesthesia protocol. Pain was assessed using visual analogue scale (VAS).

Results

No differences between cohorts were observed for pain during the device implantation and removal. Conversely, significantly lower median VAS scores were reported at 24- (1.0 vs. 3.0) and 48- (1.0 vs. 2.5) hour follow-up favoring TUIA.

Conclusions

SC TUIA offers effective pain control during iTIND procedures, supporting its use in outpatient settings.