R. Malleswari1, K. Bhargava Vardhana Reddy2, U. Seshapani3, K. M. S. Reddy4, T. Nagraj5, B. Sridevi6, V. Srilaxmi7
OBJECTIVES: To study the feasibility of intracorpus spongiosum block (ICSB) in high risk patients for Visual internal urethrotomy.
METHODS: Visual Internal Urethrotomy (VIU) for urethral stricture can be performed under various types of anesthesia, including topical anesthesia and ICSB. This descriptive study was conducted in Santhiram medical college and general hospital between July 2013 and Dec 2014. Total number of 30 male patients of high risk group with American Society of Anesthesiologists (ASA) physical status grading 3 and 4 having stricture urethra were treated by VIU under ICSB. VIU was performed with a cold-cutting knife. The effect of this anesthetic technique was evaluated by Numerical Rating Scale (NRS) for pain. Out of the 30 patients five patients have no pain, twenty three patients have mild pain only.
CONCLUSION: ICSB is safe and more effective than topical anesthesia alone for providing pain relief during VIU even in high risk patients.
