Abstract :
The need of anaesthesia for urological procedures in paraplegic patients has generated a hefty debate in
the past. The risk of autonomic dysreflexia(AD) has been a valid concern with Paraplegic patients. We
present our experience of 4 cases where urological procedures have been successfully completed without
anaesthesia in paraplegic patients under stringent intraoperative monitoring. One patient had sudden
intraoperative hypertension which was managed with labetalol injection. All procedures were completed
with no obvious complications. We suggest that under vigilant intraoperative monitoring, short urological
procedures can be attempted in paraplegic patients when General or regional anaesthesia is not feasible.