bandage-green

Minimally Invasive BPH Surgery (HoLEP / PVP / UroLift)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, Supine, arms tucked, Bed turned 90 degrees
Time : 1-2 hours (average)
Blood Loss : Moderate (50 - 200 ml)
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : No
Considerations : Off-site, Anticoagulation / Antiplatelet Therapy, Prolonged Lithotomy / Well-Leg Compartment

Anesthetic Approaches

1GLMA
2Spinal
3MAC, Propofol Drip, Local Anesthetic
The Surgery

Cystoscopy and sizing - The urologist passes a scope, confirms gland size and configuration, and rules out a bladder tumor or stone. Gland size drives which operation is done and how long it takes:...

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