Urology/laser

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Question
dr leslie,im 80 years old and have enlarged prostate,atrial fib and high blood pressure.ny cardiologist is nervous about putting me out with general antiestic.since im the patient cant I insist on shot near spine to block out pain.isnt this less stressfull then having general anthesia.iis there a lot of pain before and after the operation.my  my doctor said I could insist on epdural and be awake.my wife said epidurmal is dangerous if they hit wrong spot on spine you can be  be parylized

Answer
Howard:

All anesthesia carries some risk.  So does crossing the street.  An epidural or spinal anesthetic is a good choice for a high risk patient.  There is the theoretical chance of a spinal problem, but in over 30 years of practice I've never seen or heard of a patient developing paralysis from a spinal anesthetic.  Still, it's theoretically possible.  The best thing for you to do now is talk to an anesthesiologist in the hospital you will be going to and discuss with him the pros and cons of the various anesthesia types so you can do this without the pressure of the need for an immediate decision.

Urology

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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