Comparing General Anesthesia and Spinal Anesthesia with Local Anesthetic for Buccal Mucosal Graft in Urethroplasty Surgery

What this Trial Is About

Researchers are evaluating two anesthesia methods general anesthesia and spinal anesthesia with local anesthetic infiltration used during buccal mucosal graft BMG urethroplasty surgery. Urethroplasty is the standard surgical treatment for bulbar urethral strictures, a condition affecting about 300 per 100,000 males. The study aims to compare these anesthesia approaches, focusing on pain and recovery after surgery. Participants will be randomly assigned to receive either spinal anesthesia combined with local anesthetic infiltration or general anesthesia during their urethroplasty procedure. General anesthesia induces complete unconsciousness and muscle relaxation, useful for complex surgeries, while spinal anesthesia numbs the lower body, offering a faster, simpler, and often safer alternative. The study evaluates outcomes up to one week post-surgery. During the study, researchers will assess pain levels 24 hours after surgery as the primary outcome. Secondary outcomes include morphine use within 24 hours, operative time until discharge to post-anesthesia care, hospital stay length up to one week, patient satisfaction at 24 hours, and any complications within 24 hours after the procedure. Participants will be monitored closely throughout their hospital stay to gather these data.

General Anesthesia Versus Spinal Anesthesia With Local Anesthetic Infiltration for Buccal Mucosal Graft in Urethroplasty