کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3878497 1599007 2007 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Does the Intrarectal Instillation of Lidocaine Gel Before Periprostatic Neurovascular Bundle Block During Transrectal Ultrasound Guided Prostate Biopsies Improve Analgesic Efficacy? A Prospective, Randomized Trial
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های کلیوی
پیش نمایش صفحه اول مقاله
Does the Intrarectal Instillation of Lidocaine Gel Before Periprostatic Neurovascular Bundle Block During Transrectal Ultrasound Guided Prostate Biopsies Improve Analgesic Efficacy? A Prospective, Randomized Trial
چکیده انگلیسی

PurposeWe assessed the analgesic effect of additional intrarectal lidocaine gel instillation during transrectal ultrasound guided prostate biopsy and identified the procedural steps that benefit from lidocaine gel instillation.Materials and MethodsA total of 250 consecutive patients scheduled for prostate biopsy were randomized into 2 groups. In the 125 group 1 patients lidocaine gel was instilled intrarectally before periprostatic neurovascular bundle block. The 125 patients in group 2 underwent only periprostatic neurovascular bundle block without lidocaine gel instillation. Of the 250 patients 90 in group 1 and 113 in group 2, in whom 12 systematic cores were obtained, were enrolled for data analysis. Pain was assessed using a visual analog scale during periprostatic neurovascular bundle block (visual analog scale 1), during biopsy (visual analog scale 2) and 20 minutes after biopsy (visual analog scale 3). Differences between the visual analog scale scores of the 2 groups at each procedural step were evaluated using the unpaired t test with p <0.05 considered significant.ResultsIn terms of pain experienced during the 3 procedural steps scores were significantly different during biopsy (p <0.01). Visual analog scale scores of patients in group 1 showed a tendency to be lower than the scores of patients in group 2 during periprostatic neurovascular bundle block and 20 minutes after biopsy (p = 0.11 and 0.20, respectively).ConclusionsIntrarectal lidocaine gel instillation before periprostatic neurovascular bundle block produces a significant additional analgesic effect during biopsy. The procedure is simple, safe and rapid, and it should be considered in all patients undergoing transrectal ultrasound guided prostate biopsy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Urology - Volume 178, Issue 1, July 2007, Pages 103–106
نویسندگان
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