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which anesthesia to choose.

3 years 10 months ago #48096 by dieseldoc
If you get a spinal you will be paralyzed for at least 6 hours. If you get the general anast. You will probably go home very soon after waking up.

T1,NO,MO battling bladder cancer since 2005

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3 years 11 months ago #48035 by fighterm
Thanks everybody for your input.I am wondering why they don't do a simple IV, I will ask my doc the next time I have an appointment. I still have time to find out more about the procedure and decide. I was also told that I would have a catheter and two bags, a smaller one for the daytime and a bigger one for the night. Then a nurse comes to my home to take it out after several days.

66yo female, 1992-Non-Hodg. lymphoma(NHL) high grade, chemo, rads, 2007 NHL, low grade, rads, 2013 NHL low grade, stage 4, chemo till Jan 2015; 2014 TCC, first Turb 01/29/2015.

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3 years 11 months ago #48033 by Alan
For my $$$ a general is simply better than a spinal. Besides, I don't want to be awake as they are probing there. I have been knocked out 5 times in the past 8 years and each time they seem to be doing a better job calibrating. FWIW

DX 5/6/2008 TAG3 papillary tumor .5 CM in size. 2 TURBS followed by 6 instillations of BCG weekly with a second round of 6 after a 6 week wait.

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3 years 11 months ago - 3 years 11 months ago #48032 by CatherineH
Maybe some facilities are more sensitive to the effects of anesthesia since the widely publicized Joan Rivers death. I was not asked to make that decision but my TURBT was now 5 years ago.

Given the choice between general anesthesia or a spinal block, I would opt for the anesthesia, but that's just me. I'm not a fan of needles. As far as the tube down your throat, you wouldn't know anything about the tube because they knock you out first by having you breath through a mask with sleepy gas in it. You'll be out almost before you can count to 10.

Edit: I'm not trying to advise you either way but just answering with the way I would go if I were having surgery. And, anesthesia didn't cause Joan's death, inattentive staff did.)

Best of luck with your TURBT...

Best wishes... Catherine
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TURBT 1/21/10 at age 55
Dx: T2aN0M0 Primary Bladder Adenocarcinoma
Partial Cystectomy 2/25/10
Vanderbilt Medical Center
Nashville, TN

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3 years 11 months ago #48031 by sara.anne
Never heard of such choices being used. Usually it is an IV med that is short acting. Same as might be used for GI studies.

SA

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
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3 years 11 months ago #48030 by fighterm
I got a date for my first TURB, end of January. The uro said that I can choose the general anesthesia with a tube in my throat or a spinal needle that causes freezing from the waist down. I guess in this case I will not sleep. Which one is better?

66yo female, 1992-Non-Hodg. lymphoma(NHL) high grade, chemo, rads, 2007 NHL, low grade, rads, 2013 NHL low grade, stage 4, chemo till Jan 2015; 2014 TCC, first Turb 01/29/2015.

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