This study aims to compare general anesthesia and spinal anesthesia with local anesthetic infiltration for buccal mucosal graft (BMG) in urethroplasty.
Male patient age ≥ 21 years.
American Society of Anesthesiologists (ASA) classification I-II.
Patient scheduled for urethroplasty.
Patients who are taking analgesics for chronic illness or have a history of substance abuse.
Patients who are unable to describe their postoperative pain (e.g., neuropsychiatric disorder).
Patients with known local anesthetics and opioid allergy.
Patients with infection at the site of the needle puncture.
Parallel
Spinal anesthesia
Other interventionPatients will receive spinal anesthesia with local anesthetic infiltration.
General anesthesia
Other interventionPatients will receive general anesthesia.
Degree of pain
Each patient will be instructed about postoperative pain assessment with the Numerical rating Scale (NRS). NRS (0 represents "no pain"; (1-3) mild pain; (4-6) moderate pain; (7-10) severe pain. NRS will be assessed at 0, 4, 8, 12, 18 and 24h postoperatively.
Postoperative morphine consumption
Rescue analgesia of morphine will be given as 3 mg bolus if the Numerical rating Scale (NRS)\> 3 to be repeated after 30 min if pain persists until the NRS\< 4.
Operative time
Operative time will be recorded from the induction of anesthesia to discharge to the post-anesthesia care unit (PACU).
Length of hospital stay
Length of hospital stay will be recorded from admission till the discharge from the hospital.
Patient satisfaction
• Degree of patient satisfaction will be assessed on a 5-point Likert scale patient satisfaction (1, extremely unsatisfied; 2, unsatisfied; 3, neutral; 4, satisfied; 5, extremely satisfied).
Click on the lead sponsor to view all of their trials.
