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- Title
Apical block versus basolateral prostatic plexus block in transrectal ultrasound guided prostatic biopsy: A prospective randomized study.
- Authors
Khurana, N.; Lavania, P.; Goyal, R.; Agrawal, S.; Dubey, D.; Mandhani, A.; Srivastava, A.; Kapoor, R.; Kumar, A.
- Abstract
OBJECTIVES: We prospectively analyzed the efficacy and safety of apical block, bilateral (B/L) basolateral prostatic plexus block and unilateral (U/L) basolateral prostatic plexus block in patients undergoing transrectal ultrasound (TRUS)- guided prostatic biopsies. MATERIALS AND METHODS: From July 2003 to July 2004, 60 patients of median age 63 yrs and median PSA of 15.8 ng/ml, underwent TRUS- guided prostatic biopsies. These biopsies were performed in the left lateral position, after cleansing enema and single dose of antibiotic. Patients were randomized into 3 groups. Under TRUS guidance, group 1 (n=20) received 10 ml of 1% lignocaine at the apical area of the prostate, group 2 (n=20) received 5 ml of 1% lignocaine in the basolateral prostatic plexus bilaterally and group 3 (n=20) received 10 ml of 1% lignocaine at basolateral prostatic plexus unilaterally, using an 18 F needle. Five minutes after the injection, a series of 10 prostatic biopsies were performed. Pain during biopsy was assessed using visual analogue pain score. RESULTS: Patients with apical prostatic block had significantly lower pain scores (1.5 ± 0.9) than those with B/L (2.6 ± 1.2) and U/L basolateral prostatic plexus block (2.8 ± 1.4). The three groups were similar in regard to age, prostatic volume and number of cores. CONCLUSIONS: Apical prostatic plexus block was the most effective technique and could be a useful alternative to basolateral prostatic plexus block.
- Subjects
BIOPSY; ULTRASONIC imaging; HEART block; MEDICAL imaging systems; ENEMA; CLINICAL pathology
- Publication
Indian Journal of Urology, 2006, Vol 22, Issue 2, p118
- ISSN
0970-1591
- Publication type
Article
- DOI
10.4103/0970-1591.26564