Expert: Dr Ian Jackson - please note UK based - 10/4/2009

Question
QUESTION: i have got a bph related problems and my doctor says surgery is must. but the high blood creatinine level(5.0-7.0) bothered me to take anesthesia during my surgery. what is the relationship between taking anesthesia and high blood creatinine level? thank you.

ANSWER: Hi there
A high creatinine is a sign of a lack of kidney clearance of this by-product of metabolism. This can be caused by many things including dehydration and kidney problems. Anaesthesia in itself is not really an issue for this as long as the anaesthetist is aware of the problem. They will probably ensure you have plenty of fluid and avoid drugs like non steroidal anti-inflammatory drugs (e.g. diclofenac and ibuprofen) which can make your kidneys function less well.
Hope this helps
Dr Ian Jackson

---------- FOLLOW-UP ----------

QUESTION: what preconditions are required before taking anesthesia for bph surgery case? thanks a lot

Answer
Hi there
Nothing special. Certain drugs need reviewing if you are on them e.g. warfarin, aspirin and clopidogrel. Then there is nothing really special for this surgery - preparation is as for other ops. If you smoke it is always worthwhile trying to give up at least 2 weeks before your operation.
Best of luck.
Dr Ian Jackson