Feasibility of urological procedures in paraplegic patients without anaesthesia- Our experience!

The need of anaesthesia for urological procedures in paraplegic patients has generated a hefty debate in the past. The risk of autonomic dysreflexia (AD) has been a valid concern with Paraplegic patients. We present our experience of 4 cases where urological procedures have been successfully completed without anaesthesia in paraplegic patients under stringent intraoperative monitoring. One patient had sudden intraoperative hypertension which was managed with labetalol injection. All procedures were completed with no obvious complications. We suggest that under vigilant intraoperative monitoring, short urological procedures can be attempted in paraplegic patients when General or regional anaesthesia is not feasible.