Q. Among spinal and epidural anesthesia, which is recommended for uterine polyp removal?

Answered by
Dr. Sukhdev Garg
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 25, 2019

Hello doctor,

My gynecologist removed most of a polyp in her office with a local anesthetic and NSAID shot. However bits are still attached to the uterine wall because she was afraid of puncturing wall if I move. I had a colonoscopy with Propofol and had only had a bit of dizziness when I stood up, but it gone within a minute or two (I actually could have driven myself home). I had wanted to do without anesthetic, but the doctor said there was no way to get a local that far up. However, my gynecologist is afraid I could still move under Propofol and wants a general anesthetic. I only get to talk to an anesthesiologist at the hospital where once I schedule a surgery so I want to find out about perhaps using an epidural or spinal anesthetic. Basically, I want the least amount of anesthetic that will allow me to stay awake but keep my legs from moving. I have a high tolerance for pain. So, can I get some thoughts on this.

I am currently taking Levothyroxine sodium 50 mcg and some vitamin supplements.

 

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Dr. Sukhdev Garg

Anesthesiology General Practitioner
#

Hello,

Welcome to icliniq.com.

Regarding your query, your surgery can be done under spinal or epidural anesthesia. It is a much safer option than general anesthesia. You will be pain-free for hours after surgery. You will be absolutely awake during surgery and will not be able to move your legs even a bit. The only thing is you will not be discharged on the same day of surgery which is not a big issue. So in my opinion, unless spinal anesthesia is contraindicated for you, ask your anesthetist if spinal anesthesia is feasible. Do not worry everything will be fine.


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