(284) A Systematic Review of Loco-sedative Anesthesia for Penile and Scrotal Surgery

Abstract Introduction The current standard of care for patients undergoing the majority scrotal and penile procedures is to administer general or spinal anesthesia. use anesthesia can lead several complications, long wait times not feasible in many rural remote areas. Objective objective this study perform a systematic review characteristics outcomes conscious sedation local urologic procedures. Methods A search was conducted on PubMed, Scopus databases following PRISMA criteria from inception August 2021. Articles were included if they prospective, randomized non-randomized controlled trials that used anesthetic interventions. Additionally, studies provided primary data loco-sedative efficacy complications Results Nine articles with 4511 study. Procedures examined vasectomies, adult circumcisions, varicocelectomies, urethrocutaneous fistula repair, microepididymal sperm aspiration testicular extraction. Of reported age, mean patient age 29.3 years old. most common analgesic relief 1% lidocaine. Only one whereas rest anesthetics. However, there significant heterogeneity type method whether combination used. 44.4% visual analog scale (VAS) their endpoint. All 100% successful no sedative complications. Conclusions Given high rates, promising technique body literature has limited wider array Further examining larger variety interventions are recommended. This also demonstrates how may be assessed anesthetics substitute Disclosure No