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- Title
Comparison of the Efficacy of Local Anesthesia Methods and Caudal Regional Anesthesia in Prostate Biopsy Applied Under Transrectal Ultrasonography: A Randomized Controlled Study.
- Authors
Pasali, Sahin; Ozden, Cuneyt; Kizilkan, Yalcin; Camgoz, Suleyman; Baskan, Semih; Senel, Samet; Demirel, Doruk; Gokkaya, Cevdet Serkan
- Abstract
Purpose: To evaluate the efficacy of caudal regional anesthesia and local anesthesia methods in prostate biopsy applied under transrectal ultrasonography. Matherials and Methods: This prospective study included a total of 160 patients randomly separated into 4 equal groups as intrarectal local anesthesia (IRLA), periprostatic local anesthesia (PPLA), combined local anesthesia (IRLA+PPLA), and caudal regional anesthesia (CRA). The patients were evaluated using the pain scores on a visual analog scale. Results: The pain score during anesthesia induction was significantly higher in the CRA group than in the IRLA and IRLA+PPLA groups (P < 0.001). The pain score during entry of the probe to the rectum and movement was significantly lower in the CRA group than the IRLA groups (P = 0.014). The pain score on penetration of the needle to the prostate and at 30 mins after the biopsy was significantly higher in the IRLA group (P < 0.001). At 2 hours after the biopsy, the pain score in the CRA group was significantly lower than IRLA groups (P = 0.015). Conclusion: The PPLA alone can be applied more quickly than CRA, causes less pain during the application, and has similar efficacy in reducing pain during and after the prostate biopsy procedure.
- Subjects
LOCAL anesthesia; PROSTATE biopsy; CONDUCTION anesthesia; ULTRASONIC imaging; VISUAL analog scale; CASTRATION-resistant prostate cancer; RECTAL cancer
- Publication
Urology Journal, 2020, Vol 17, Issue 6, p597
- ISSN
1735-1308
- Publication type
Article
- DOI
10.22037/uj.v16i7.5503