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Anaesthesia for urological surgery in the elderly 

Anaesthesia for urological surgery in the elderly
Chapter:
Anaesthesia for urological surgery in the elderly
Author(s):

Ian Whitehead

and John Hughes

DOI:
10.1093/med/9780199604999.003.0025
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date: 18 August 2019

This chapter reviews the common urological conditions and their treatment in the elderly. After a brief review of key issues common in these procedures, such as renal function, temperature, and fluid balance, it details the common non-tumour-related procedures and then those for urinary malignancy. Prostatic hypertrophy-related procedures are reviewed, and the complications of transurethral resection of prostate syndrome, infection, bleed loss, and bladder perforation are discussed. Procedures for malignancy are then covered including radical cystectomy. Anticoagulant therapy and urological surgery are reviewed against the risks of bleeding and those of stopping therapy. Patient positioning, including lithotomy, Trendelenberg, prone and lateral positions, is then detailed with regard to the elderly patient. The choices of anaesthesia techniques and the evidence of benefit, one to another, are then reviewed.

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