Urologic Surgery includes bladder and prostate
examinations, bladder stone surgery,
prostate resections, bladder biopsies and kidney operations. This type of surgery lends
itself well to a wide range of anesthetics.
Some surgery such as Transurethral Prostate resections are generally much safer
when done under spinal anesthesia. Other surgery such as bladder biopsies,
examinations, and most kidney stone procedures may be done with general
anesthesia, or spinal anesthesia. Occasionally, epidural anesthesia may be used.
Placement of radioactive prostate seed implants generally requires anesthesia and
may use general or spinal anesthesia.
Suprapubic and radical prostate operations and kidney operations are more involved
surgeries and usually are performed under general anesthesia . They may involve
blood loss sufficient to require transfusion and are usually associated with more
intense monitoring including both central venous lines and an arterial line. Epidural analgesia is often offered as an option for pain control after surgery to patients undergoing radical prostatectomy and kidney surgery.