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Epidural CatheterNCT06893809

Epidural Anesthesia for Transurethral Resection of The Prostate

A study testing Epidural injection via Tuohy needle, Epidural injection via catheter and Combined epidural injection (needle and catheter) in people with Epidural Catheter and Epidural Analgesia, run by Başakşehir Çam & Sakura City Hospital at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this study is to assess the effects of different routes of local anesthetic administration in epidural anesthesia applied to patients undergoing transurethral resection of the prostate (TUR-P). ASA I-III 60 patients were enrolled in the study. Read more about this study

Who is it for?
Ages 40 to 75 years, men only
What is being tested?
Epidural injection via Tuohy needle, Epidural injection via catheter and Combined epidural injection (needle and catheter)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteTurkey (Türkiye)
Study dates
2 Jan 2010to 30 Dec 2010
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 75 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male undergoing transurethral prostatic resection,
  • 40 to 75 years old,
  • ASA-I-III
  • Not using anticoagulants or antiaggregants,
  • No peripheral neuropathy or muscle disease,
  • Can be orientated and co-operated,
Show all 9Show fewer
  • No vertebral deformity,
  • Body Mass Index <30,
  • Patients consenting to epidural anaesthesia.

Who cannot join

  • TUR-P operation will not be male,
  • Female patients,
  • ASA-IV,
  • Not in the appropriate age range (40-75),
  • Taking anticoagulants or antiaggregants, Previous lumbar surgery or skeletal deformity in the lumbar region,
  • Peripheral neuropathy, neuromuscular or neuropsychiatric disease,
Show all 12Show fewer
  • Alcohol or drug addiction,
  • Obese with a body mass index >30,
  • History of frequent analgesic use,
  • Patients shorter than 155 cm and taller than 180 cm,
  • Who refused epidural anaesthesia,
  • Patients without orientation and co-operation.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Ankara Numune Education and Research Hospital

    Ankara, Altındağ, 06080

Other trials in Turkey (Türkiye)

About this study

Official title: Effects of Different Routes of Local Anesthetic Administration in Epidural Anesthesia for Transurethral Resection of The Prostate

The aim of this study is to assess the effects of different routes of local anesthetic administration in epidural anesthesia applied to patients undergoing transurethral resection of the prostate (TUR-P). ASA I-III 60 patients were enrolled in the study. Patients were randomized into the following three groups: in Group N (needle), total dose of local anesthetic was administered through the Tuohy needle (n=20), in Group C (catheter), local anesthetic was administered through the epidural catheter (n=20) and in Group N/C (needle/catheter), local anestetic was administered half volume through the needle and half through the catheter (n=20). Hemodynamics, times to reach sensory block T10 (block levels), side effects, patient and surgeon satisfaction were evaluated.

Read the detailed description

In urological procedures, the preferred anaesthetic modalities may be topical, regional or general. The decision is made by the anaesthesiologists based on patient age, sex, general condition and the surgical procedure to be performed. Transurethral procedures are frequently applied to geriatric patients, who are more likely to have comorbidities. In such cases, epidural anaesthesia may be preferred for geriatric patients.

In this study, we utilised various routes for the administration of local anaesthetics to induce epidural anaesthesia in patients scheduled for transurethral resection of the prostate (TUR-P) due to benign prostatic hyperplasia. The study encompassed the evaluation of haemodynamic stability, the time to reach sensory block T10, the occurrence of side effects, and the levels of patient and surgeon satisfaction.

Following the approval of the hospital ethics committee, 60 male patients aged 40-75, ASA class I-III, scheduled for elective TUR-P surgery were enrolled in the study.According to the method of local anaesthetic administration, patients were randomly divided into three groups:

Group N (needle); total local anaesthetic administered through the Tuohy needle,Group C (catheter); local anaesthetic administered through the epidural catheter,Group NC (needle/catheter); 50% of local anaesthetic administered through the needle and 50% through the catheter.Patients underwent standard monitorisation in the operating theatre. Each patient received 0.03 mg/kg of midazolam intravenously following catheterisation with a 20-gauge intravenous cannula.Prior to the commencement of epidural block, patients were preloaded with 10 ml/kg of 0.9% isotonic saline infused over a 30-minute period. The hemodynamic parameters were then recorded before and after the premedication, following the epidural block, and every 5 minutes until the patient's sensory block level regressed to L1 dermatome.The epidural anaesthesia was then attempted with an 18-gauge Tuohy needle at the L3-4 interspinal level using the loss of resistance technique following infiltration with 2% lidocaine. Patients in Group N received a mixture of 8ml 2% prilocaine, 7ml 0.5% levobupivacaine and 50μg fentanyl through the epidural space using a Tuohy needle. Patients in Group C received the same drug combination through the epidural catheter. Patients in Group NC received half of the same drug combination through the needle and half through the epidural catheter. Patients were positioned in the right lateral decubitus position with thighs flexed up and neck flexed forward (fetal position), and then placed supine following drug administration.In all groups, time "0" was considered as the time that drug administration was started.

The sensory and motor block levels, heart rates and mean arterial blood pressure values, times to reach sensory block level T10, and side effects were recorded for all patients. Patient and surgeon satisfaction levels were evaluated using a 3-point satisfaction scale by an observer unaware of the study's objectives.Surgeon satisfaction was evaluated during the operation, and patient satisfaction was assessed in the recovery room before patients were transferred to their service bed.

Post-operatively, patients were admitted to the recovery room, the epidural catheter was removed following regression of sensory block to T10 dermatome, and patients were transferred to the service.

Being tested
Epidural injection via Tuohy needle, Epidural injection via catheter, Combined epidural injection (needle and catheter)
Keywords
Transurethral resection of the prostate, epidural anesthesia
Medical subject headings
Urologic Diseases, Agnosia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Epidural injection via Tuohy needleProcedure or surgery

    Also called Epidural anesthesia - needle route

    Local anesthetic was administered entirely through the Tuohy needle.

  • Epidural injection via catheterProcedure or surgery

    Also called Epidural anesthesia - catheter route

    Local anesthetic was administered entirely through the epidural catheter.

  • Combined epidural injection (needle and catheter)Procedure or surgery

    Also called Epidural anesthesia - combined route

    Half of the total local anesthetic dose was administered through the needle and half through the catheter.

Study groups in NCT06893809
Study groupRoleWhat they receive
Group NActive comparatorGroup N (Needle)
Receives: Procedure: Epidural injection via catheter; Procedure: Combined epidural injection (needle and catheter)
Group CActive comparatorGroup C (Catheter)
Receives: Procedure: Epidural injection via Tuohy needle; Procedure: Combined epidural injection (needle and catheter)
Group N/CActive comparatorGroup N/C (Needle/Catheter)
Receives: Procedure: Epidural injection via Tuohy needle; Procedure: Epidural injection via catheter

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to Reach Sensory Block at T10

    Times to reach sensory block T10 (block levels)

    Measured: Within 20 minutes after anesthetic administration

Secondary outcomes (4)
  1. Change in Systolic Blood Pressure (SBP)

    Change in Systolic Blood Pressure from Sedation to 20 Minutes Post-Epidural Block

    Measured: From 5 minutes after sedation to 20 minutes after epidural block

  2. Maximum Sensory Block Level at the 20th Minute Post-Epidural Block

    Dermatomes were converted to numerical scores for statistical analysis:

    L1 = 1, T12 = 2, T10 = 3, T8 = 4, T6 = 5. Maximum sensory block level was assessed by converting dermatomal levels to numerical scores: L1 = 1, T12 = 2, T10 = 3, T8 = 4, T6 = 5. Higher scores indicate higher (more cephalad) dermatomal levels, which are considered better outcomes in terms of anesthetic spread.

    Measured: 20 minutes after epidural administration

  3. Motor Block Intensity Based on Bromage Score at 20 Minutes

    Motor block was assessed using the modified Bromage scale:

    0 = No motor block

    1. = Partial block (able to move knees and feet)
    2. = Moderate block (unable to flex knees, able to move feet)
    3. = Complete block (unable to move feet or legs). Scores range from 0 (best outcome, least block) to 3 (worst outcome, complete motor block). Lower scores indicate better functional recovery.

    Measured: 20 minutes after epidural block administration

  4. Degree of Sensory Block Regression at 60 Minutes Post-Epidural Block

    Sensory block regression at 60 minutes post-epidural block was assessed by converting dermatomal levels into numerical scores: L1 = 1, T12 = 2, T10 = 3. This scoring reflects the highest remaining level of sensory block at 60 minutes. Lower scores indicate greater regression of the block, meaning faster recovery. The minimum score is 1 and the maximum is 3.

    Measured: 60 minutes after epidural block administration

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Mar 2025
  2. Study start2 Jan 2010
  3. Primary completion30 Nov 2010
  4. Study completion30 Dec 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06893809
Sponsor's protocol ID
ANEAH2010
Other IDs
Corresponding Author
Status last verified
Jul 2025
First submitted
9 Mar 2025
Last updated
25 Jul 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: All results

Publications

  • Barbosa FT, Castro AA. Neuraxial anesthesia versus general anesthesia for urological surgery: systematic review. Sao Paulo Med J. 2013;131(3):179-86. doi: 10.1590/1516-3180.2013.1313535.

    PubMed 23903267
  • Kim JH, Lee JS, Kim DY. Direction of catheter insertion and the incidence of paresthesia during continuous epidural anesthesia in the elderly patients. Korean J Anesthesiol. 2013 May;64(5):443-7. doi: 10.4097/kjae.2013.64.5.443. Epub 2013 May 24.

    PubMed 23741568
  • Horlocker TT, Abel MD, Messick JM Jr, Schroeder DR. Small risk of serious neurologic complications related to lumbar epidural catheter placement in anesthetized patients. Anesth Analg. 2003 Jun;96(6):1547-1552. doi: 10.1213/01.ANE.0000057600.31380.75.

    PubMed 12760972
  • Yun MJ, Kim YC, Lim YJ, Choi GH, Ha M, Lee JY, Ham BM. The differential flow of epidural local anaesthetic via needle or catheter: a prospective randomized double-blind study. Anaesth Intensive Care. 2004 Jun;32(3):377-82. doi: 10.1177/0310057X0403200313.

    PubMed 15264734
  • Omote K, Namiki A, Iwasaki H. Epidural administration and analgesic spread: comparison of injection with catheters and needles. J Anesth. 1992 Jul;6(3):289-93. doi: 10.1007/s0054020060289.

    PubMed 15278539
  • Crochetiere CT, Trepanier CA, Cote JJ. Epidural anaesthesia for caesarean section: comparison of two injection techniques. Can J Anaesth. 1989 Mar;36(2):133-6. doi: 10.1007/BF03011434.

    PubMed 2650896
  • Visser WA, Lee RA, Gielen MJ. Factors affecting the distribution of neural blockade by local anesthetics in epidural anesthesia and a comparison of lumbar versus thoracic epidural anesthesia. Anesth Analg. 2008 Aug;107(2):708-21. doi: 10.1213/ane.0b013e31817e7065.

    PubMed 18633056
  • Cesur M, Alici HA, Erdem AF, Silbir F, Yuksek MS. Administration of local anesthetic through the epidural needle before catheter insertion improves the quality of anesthesia and reduces catheter-related complications. Anesth Analg. 2005 Nov;101(5):1501-1505. doi: 10.1213/01.ANE.0000181005.50958.1E.

    PubMed 16244020
  • Ulker B, Erbay RH, Serin S, Sungurtekin H. Comparison of spinal, low-dose spinal and epidural anesthesia with ropivacaine plus fentanyl for transurethral surgical procedures. Kaohsiung J Med Sci. 2010 Apr;26(4):167-74. doi: 10.1016/S1607-551X(10)70025-5.

    PubMed 20434097
  • Sorenson RM, Pace NL. Anesthetic techniques during surgical repair of femoral neck fractures. A meta-analysis. Anesthesiology. 1992 Dec;77(6):1095-104. doi: 10.1097/00000542-199212000-00009.

    PubMed 1466461
  • Bernstein S, Malhotra V. Regional anesthesia for genitourinary surgery. In Malhotra V (ed): Anesthesia for Renal And Genitourinary

  • Blake DW. The general versus regional anaesthesia debate: time to re-examine the goals. Aust N Z J Surg. 1995 Jan;65(1):51-6. doi: 10.1111/j.1445-2197.1995.tb01748.x.

    PubMed 7818424
  • Morgan GE, Mikhail MS, Murray MJ, Larson CP. Regional Anesthesia &Pain Management, Clinical Anesthesiology. 3rd edition. Los Angeles:

  • Tsui BC, Wagner A, Finucane B. Regional anaesthesia in the elderly: a clinical guide. Drugs Aging. 2004;21(14):895-910. doi: 10.2165/00002512-200421140-00001.

    PubMed 15554749

Questions about this trial

What is this clinical trial studying?

A study testing Epidural injection via Tuohy needle, Epidural injection via catheter and Combined epidural injection (needle and catheter) in people with Epidural Catheter and Epidural Analgesia, run by Başakşehir Çam & Sakura City Hospital at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Jul 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to Reach Sensory Block at T10 (time frame: Within 20 minutes after anesthetic administration). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06893809, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jul 2025.

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