EAJAIC
Eurasian Journal of Anesthesiology and Intensive Care

The Eurasian Journal of Anesthesiology and Intensive Care (EAJAIC) is an independent-unbiased, peer-reviewed, "double-blind", and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, differential diagnoses, editorial opinions, letters to the editor, and educational papers in anesthesiology, algology, and intensive care medicine.

ISSN: Active
eISSN: 3023-6738
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Review
Anesthesia for urological procedures
Abstract
Urological procedures are performed on patients of varying ages, including pediatric and elderly individuals. Given the high prevalence of renal dysfunction in patients undergoing urological surgery, a comprehensive preoperative assessment is of particular importance, with a particular focus on renal function. There are a number of potential risks associated with patient positioning and position-related management during surgical procedures. It is crucial to consider the potential for complications, such as nerve damage and respiratory changes, when determining the optimal position for each patient, taking into account safety concerns. It is essential to determine the optimal anesthesia technique for urological surgical procedures, to identify potential complications, and to establish invasive monitoring protocols for high-risk cases. A comprehensive approach is essential for ensuring patient safety and attaining optimal surgical outcomes in urological procedures.

Keywords : Urology, anesthesia, management, patient safety

Download Article


1. Cousins J, Howard J, Borra P. Principles of anaesthesia in urological surgery. BJU Int. 2005;96(2):223-229. doi:10.1111/j.1464-410X.2005.05664.x
2. Koo CH, Ryu JH. Anesthetic considerations for urologic surgeries. Korean J Anesthesiol. 2020;73(2):92-102. doi:10.4097/kja.19437
3. Alaali HH, Irwin MG. Anaesthesia for urological surgery. Anaesthesia Int Care Med. 2021;22(7):449-453. doi:10.1016/j.mpaic.2012.04.010
4. Battillo JA, Hendler MA. Effects of patient positioning during anesthesia. Int Anesthesiol Clin. 1993;31(1):67-86. doi:10.1097/00004311-199331010-00008
5. Akhavan A, Gainsburg DM, Stock JA. Complications associated with patient positioning in urologic surgery. Urology. 2010;76(6):1309-1316. doi:10.1016/j.urology.2010.02.060
6. Bjoro B, Mykkeltveit I, Rustoen T, Candas Altinbas B, Roise O, Bentsen SB. Intraoperative peripheral nerve injury related to lithotomy positioning with steep Trendelenburg in patients undergoing robotic-assisted laparoscopic surgery - a systematic review. J Adv Nurs. 2020;76(2):490-503. doi:10.1111/jan.14271
7. Gal J, Hyman J, Gainsburg DM. Positioning for urological procedures. In: Gainsburg D, Bryson E, Frost E, ed. Anesthesia for Urologic Surgery. Springer. 2014.
8. Katayama S, Mori K, Pradere B, et al. Influence of steep Trendelenburg position on postoperative complications: a systematic review and meta-analysis. J Robot Surg. 2022;16(6):1233-1247. doi:10.1007/s11701-021-01361-x
9. Tekgül ZT, Horsanali BÖ, Horsanali MO. Anesthesia for urological surgery. Cur Topics Anesthesiol. 2017;17:53-97. doi:10.5772/66196
10. Ghabra H, Smith SA. Anesthesia for urological procedures. In: Goudra B, et al., ed. Anesthesiology. Springer. 2018.
11. Yoshida T, Nakamoto T, Kamibayashi T. Ultrasound-guided obturator nerve block: a focused review on anatomy and updated techniques. Biomed Res Int. 2017;2017:7023750. doi:10.1155/2017/7023750
12. Wu J, Gao Y, Xiong Z, et al. Comparison of different methods of obturator nerve block in transurethral resection of bladder tumors: a systematic review and network meta-analysis. Cancer Med. 2023;12(5):5420-5435. doi:10.1002/cam4.5364
13. Agin C. Anesthesia for transurethral prostate surgery. Int Anesthesiol Clin. 1993;31(1):25-46. doi:10.1097/00004311-199331010-00005
14. Rassweiler J, Teber D, Kuntz R, Hofmann R. Complications of transurethral resection of the prostate (TURP)--incidence, management, and prevention. Eur Urol. 2006;50(5):969-979 doi:10.1016/j.eururo.2005.12.042
15. Jensen V. The TURP syndrome. Can J Anaesth. 1991;38(1):90-96. doi:10. 1007/BF03009169
16. Hawary A, Mukhtar K, Sinclair A, Pearce I. Transurethral resection of the prostate syndrome: almost gone but not forgotten. J Endourol. 2009;23(12): 2013-2020. doi:10.1089/end.2009.0129
17. Schneidewind L, Kranz J, Schlager D, et al. Mulitcenter study on antibiotic prophylaxis, infectious complications and risk assessment in TUR-P. Cent European J Urol. 2017;70(1):112-117. doi:10.5173/ceju.2017.941
18. Okmen K, Okmen BM. Ultrasound-guided anterior quadratus lumborum block for postoperative pain after percutaneous nephrolithotomy: a randomized controlled trial. Korean J Anesthesiol. 2020;73(1):44-50. doi:10. 4097/kja.19175
19. Berger JH, Abdou W, Roberts JL, et al. Erector spinae plane blocks for analgesia after percutaneous nephrolithotomy a pathway to reduce opioids. Can Urol Assoc J. 2023;17(10):E330-E335. doi:10.5489/cuaj.8323
20. Knudsen F, Jorgensen S, Bonde J, Andersen JT, Mogensen P. Anesthesia and complications of extracorporeal shock wave lithotripsy of urinary calculi. J Urol. 1992;148(3 Pt 2):1030-1033. doi:10.1016/s0022-5347(17)36807-6
21. Kofler O, Prueckner S, Weninger E, et al. Anesthesia for open radical retropubic prostatectomy: a comparison between combined spinal epidural anesthesia and combined general epidural anesthesia. Prostate Cancer. 2019;2019:4921620. doi:10.1155/2019/4921620
22. D’Alonzo RC, Gan TJ, Moul JW, et al. A retrospective comparison of anesthetic management of robot-assisted laparoscopic radical prostatectomy versus radical retropubic prostatectomy. J Clin Anesth. 2009; 21(5):322-328. doi:10.1016/j.jclinane.2008.09.005
23. Whalley DG, Berrigan MJ. Anesthesia for radical prostatectomy, cystectomy, nephrectomy, pheochromocytoma, and laparoscopic procedures. Anesthesiol Clin North Am. 2000;18(4):899-917. doi:10.1016/s0889-8537(05)70201-7
24. Ozyuvaci E, Altan A, Karadeniz T, Topsakal M, Besisik A, Yucel M. General anesthesia versus epidural and general anesthesia in radical cystectomy. Urol Int. 2005;74(1):62-67. doi:10.1159/000082712
25. Kulkarni JN. Perioperative morbidity of radical cystectomy: a review. Indian J Urol. 2011;27(2):226-232. doi:10.4103/0970-1591.82842
26. Chen K, Wang J, Dai J, et al. Anesthetic management of radical nephrectomy in patients with renal cell carcinoma involving renal vein or inferior vena cava. Tumori. 2019;105(5):411-416. doi:10.1177/0300891619839295
27. Cary C, Foster RS, Masterson TA. Complications of retroperitoneal lymph node dissection. Urol Clin North Am. 2019;46(3):429-437. doi:10.1016/j.ucl.2019.04.012
28. Stephens M, Murphy T, Hendry D. Anaesthesia for retroperitoneal lymph node dissection in the treatment of testicular cancer. BJA Educ. 2019;19(9): 283-289. doi:10.1016/j.bjae.2019.04.003
29. Altas C, Kucukosman G, Yurtlu BS, et al. Anesthesia methods used by anesthetic specialists for circumcision cases. National survey study for Turkey. Saudi Med J. 2017;38(1):75-81. doi:10.15537/smj.2017.1.15632
30. Adler AC, Bhatia VP, Chandrakantan A, Nathanson BH, Ouellette L, Austin PF. Association of analgesic block with the incidence of complications following hypospadias surgery; a meta-analysis. Urology. 2022;166:11-17. doi:10.1016/j.urology.2022.03.002
31. Heid F, Jage J. The treatment of pain in urology. BJU Int. 2002;90(5):481-488. doi:10.1046/j.1464-410x.2002.02908.x
Article available in :
Volume 2, Issue 1, 2025
Page : 35-39
https://doi.org/10.51271/EAJAIC-0027
Article Information
Received : 04 Ara 2024
Accepted : 10 Oca 2025
Published : 03 Şub 2025
Corresponding Author :

Erbil Türksal: Department of Anesthesiology and Reanimation, Ankara Atatürk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, Turkiye

[email protected]
Citation : Türksal E. Anesthesia for urological procedures. Eur J Anesthesiol Intens Care. 2025;2(1):35-39.

Read: 516
Download : 7212
Cited: 0
_Footer