Table 2 Cases with intraoperative penile erection (n = 9)
Case | ASA | Typeof surgery | Duration of surgery | Anesthesia/Level | Onset of erection | Treatment | Outcome |
|---|---|---|---|---|---|---|---|
1 | 1 | TURP | 55 | Spinal/T10 | Post-urethroscope | Ketamine 75 mg | Conversion to GA |
2 | 1 | TURP | 90 | Spinal/T8 | Post-urethroscope | Ketamine 25 mg | Delayed procedure |
3 | 2 | TURBT | 130 | Spinal/T8 | Post-urethroscope | Ketamine 50 mg | Conversion to GA |
4 | 1 | TURP | 140 | Spinal/T10 | Pre-urethroscope | Ketamine 25 mg | Delayed procedure |
5 | 2 | TURBT | 40 | Spinal/T10 | Post-urethroscope | Ketamine 20 mg | Delayed procedure |
6 | 2 | TURP | 90 | Spinal/T8 | Post-urethroscope | Ketamine 21 mg | Delayed procedure |
7 | 1 | TURP | 95 | Spinal/T8 | Post-urethroscope | Ketamine 18 mg | Delayed procedure |
8 | 1 | TURP | 90 | Spinal/T10 | Pre-urethroscope | Ketamine 25 mg | Delayed procedure |
9 | 2 | TURP | 95 | Spinal/T8 | Post-urethroscope | Ketamine 50 mg | Delayed procedure |
Total (n = 9) | |||||||
Age (years) | Mean (SD) | 68.3 (6.6) | |||||
Weight (kg), mean (SD) | Median (IQR) | 69.0 (8) | |||||
Median (IQR) | 80.7 (7.8) | ||||||
Height (cm), mean (SD) | 82 (6) | ||||||
Median (IQR) | 172 (5) | 174.6 (7.7) | |||||
ASA physical status | |||||||
category, n (%) | I | 5 (55.6) | |||||
Type of operation, n (%) | II | 4 (44.4) | |||||
TURP | 7 (77.8) | ||||||
Type of anesthesia, n (%) | TURBT | 2 (22.2) | |||||
Spinal | 9 (100.0) | ||||||
Level of anesthesia, n (%) | General | 0 (0.0) | |||||
T10 | 4 (44.4) | ||||||
T8 Post | 5 (55.6) | ||||||
Onset of erection | urethroscope Pre | 7 (77.8) | |||||
urethroscope | 2 (22.2) | ||||||
Ketamine total dose (mg) | Mean (SD) | 34.3 (19.5) | |||||
Median (min-max) | 25.0 (18.0–75.0) | ||||||
Duration of operation (min) | Mean (SD) | 91.7 (31.3) | |||||
Median (min-max) | 90.0 (40.0–140.0) | ||||||
Outcome, n (%) | Resolved-delayed procedure | 7 (77.8) | |||||
Conversion to general anesthesia | 2 (22.2) | ||||||