title: [Ureteroscopy under local anesthesia with or without intravenous analgesia].
abstract: We report our experience on performing ureteroscopic procedures using local anaesthesia with or without intravenous analgesia. During a two year period 334 ureteroscopic procedures were performed in our hospital. 159 of them were begun but only 138 completed without the use of general or regional anaesthesia. In 9 patients ureteroscopy was performed with lindocaine jelly in the urethra only, and in 129 with additional intravenous analgesia Fentanyl, a synthetic morphine derivative, was used for intravenous analgesia. Ureteroscopy was performed for stone fragmentation or extraction in 119 patients for taking away a double J catheter which showed migration into ureter in 8 and for diagnostic purposes in 11. Ureteric lesions were observed in 7 patients (5%). The findings suggest that ureteroscopy when performed without general or regional anaesthesia does not increase the risk of complications or compromise the results of treatment.
authors.affiliation: Département d'Urologie, Université d'Athène, Grèce.
authors.forename: C
authors.initials: C
authors.lastname: Deliveliotis
authors.forename: N
authors.initials: N
authors.lastname: Stavropoulos
authors.forename: C
authors.initials: C
authors.lastname: Macrochoritis
authors.forename: G
authors.initials: G
authors.lastname: Koutsokalis
authors.forename: D
authors.initials: D
authors.lastname: Picramenos
authors.forename: A
authors.initials: A
authors.lastname: Kostakopoulos
mesh_terms: D000698:Analgesia / Q000379:methods; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000772:Anesthesia, Local; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage; D014151:Anti-Anxiety Agents / Q000008:administration & dosage; D003975:Diazepam / Q000008:administration & dosage; D005283:Fentanyl / Q000008:administration & dosage; D005548:Foreign-Body Migration / Q000628:therapy; D006801:Humans; D007275:Injections, Intravenous; D008012:Lidocaine / Q000008:administration & dosage; D014514:Ureteral Calculi / Q000628:therapy; D014515:Ureteral Diseases / Q000175:diagnosis; D018666:Ureteroscopy / Q000379:methods; D014521:Urethra; D014546:Urinary Catheterization / Q000009:adverse effects / Q000295:instrumentation
chemical_list: D000701:Analgesics, Opioid; D018686:Anesthetics, Intravenous; D000779:Anesthetics, Local; D014151:Anti-Anxiety Agents; D008012:Lidocaine; D003975:Diazepam; D005283:Fentanyl
vernacular_title: Urétéroscopie sous anesthésie locale avec ou sans analgésie intraveineuse.