title: Topical or no anaesthesia for external urethral sphincterotomy in neurogenic vesical dysfunction due to spinal injury.
abstract: Considerable controversy exists regarding the ideal anaesthetic coverage for external urethral sphincterotomy in spinal injury patients with detrusor-sphincter dyssynergia. From this preliminary experience on 34 patients in whom this procedure was indicated and then attempted under topical (urethral instillation of 20 ml of 2 per cent Lignocaine jelly) or no anaesthesia, we are encouraged into believing that these patients may not require general or regional anaesthesia for this operation.
mesh_terms: D000368:Aged; D000758:Anesthesia / Q000379:methods*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011468:Prostatectomy / Q000379:methods; D013119:Spinal Cord Injuries / Q000150:complications*; D014521:Urethra / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000601:surgery*