scholarly journals Comparison of two different anesthetic methods on pain perception in prostate biopsy

2019 ◽  
Author(s):  
Engin Kolukcu
Keyword(s):  
Prostate Biopsy ◽  
Pain Perception

scholarly journals Effective Concentration of Lidocaine Plus Fentanyl for Caudal Block in Patients Undergoing Transrectal Ultrasound Guided Prostate Biopsy

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Jinguo Wang ◽  
Honglan Zhou ◽  
Wei An ◽  
Na Wang ◽  
Yang Gao
Keyword(s):  
Side Effects ◽  
Prostate Biopsy ◽  
Pain Perception ◽  
Transrectal Ultrasound ◽  
Effective Concentration ◽  
Mixed Solution ◽  
Caudal Block ◽  
Ultrasound Guided ◽  
Step Size ◽  
Male Patients

Objective. This study determined the effective concentration (EC) of lidocaine plus 75 μg fentanyl for caudal block in patients undergoing transrectal ultrasound (TRUS) guided prostate biopsy. Methods. Consecutive male patients scheduled for TRUS guided prostate biopsy were enrolled. The mixed solution for caudal block contained lidocaine and 75 μg fentanyl, in total 20 mL. The concentration of lidocaine was determined using the up-and-down method, starting at 0.8% (a step size of 0.1%). A successful caudal block was defined by no pain perception during biopsy. The EC50 of lidocaine for successful caudal block was calculated and side effects were evaluated. Results. A total of 23 patients were recruited. The EC50 of lidocaine for successful caudal block was 0.53%. Conclusions. Lidocaine of 0.53% combined with 75 μg fentanyl resulted in excellent caudal block in 50% of male patients undergoing transrectal ultrasound guided prostate biopsy.

The Effect of Noise-cancelling Headphones or Music on Pain Perception and Anxiety in Men Undergoing Transrectal Prostate Biopsy

Urology ◽  
2012 ◽  
Vol 79 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Matvey Tsivian ◽  
Peter Qi ◽  
Masaki Kimura ◽  
Valerie H. Chen ◽  
Stephanie H. Chen ◽  
...  
Keyword(s):  
Prostate Biopsy ◽  
Pain Perception ◽  
Noise Cancelling ◽  
Transrectal Prostate Biopsy

scholarly journals COMPARISON BETWEEN TRANSRECTAL ULTRASONOGRAPHY GUIDED TRANSRECTAL PROSTATE BIOPSY AND TRANSRECTAL ULTRASONOGRAPHY GUIDED TRANSPERINEAL PROSTATE BIOPSY

2019 ◽  
Vol 26 (2) ◽  
Author(s):  
Randa Halfian ◽  
Doddy M Soebadi ◽  
Fikri Rizaldi
Keyword(s):  
Prostate Cancer ◽  
Rectal Bleeding ◽  
Prostate Biopsy ◽  
Pain Perception ◽  
Prostate Tissue ◽  
Transrectal Ultrasonography ◽  
P Value ◽  
Transperineal Prostate Biopsy ◽  
Significant Difference ◽  
Transrectal Prostate Biopsy

Objective: Prostate cancer is the fourth most common malignancy in men. TRUS guided transperineal prostate biopsy and TRUS guided transrectal prostate biopsy are two main approach to take prostate tissue as diagnostic of prostate cancer. To compare prostate biopsy approach between TRUS guided transrectal and TRUS guided transperineal toward duration of examination, pain perception, and complications. Material & Method: This study was an experimental study with prospective approach. There were two groups, group one was performed TRUS guided transrectal prostate biopsy (TRB) and group two was performed TRUS guided transperineal prostate biopsy (TPB). Evaluation was based on the duration of examination, pain perception, and complication. Data was analyzed using independent T test for duration of examination and Mann-Whitney test for pain perception. Data was performed using SPSS 21.0 version. The statistical significant difference was consider if p value <0.05. Results: There were 20 samples in this study. There was a significant difference in the duration of examination, the average duration of TPB examination (17.40 ± 2.50) was longer than the duration of TRB examination (14.1 ± 2.77). There was no significant statistical difference between TPB group and TRB group in pain perception when USG probe into the anal (p=0.65), anesthesia process (p=0.28), prostate tissue sampling (p=1.00), and post biopsy (p=0.34). Rectal bleeding was found mostly in TRB group (40%) compared to TPB group (0%). Hematuria was experienced by three patients (30%) in TRB group and two patients (20%) in TPB group. Conclusion: TRB was more effective in duration of biopsy than TPB. The complications of rectal bleeding and hematuria were more in TRB group than TPB. The pain perception were the same between both groups. There were no fever, sepsis, hematospermia and vasovagal event in two groups.

S001: Which factors effect pain perception during prostate biopsy under local anaesthesia?

2014 ◽  
Vol 13 (7) ◽  
pp. e1407-e1407a
Author(s):  
O. Yilmaz ◽  
S. Okcelik ◽  
F. Ates ◽  
H. Soydan ◽  
E. Malkoc ◽  
...  
Keyword(s):  
Prostate Biopsy ◽  
Local Anaesthesia ◽  
Pain Perception

Age: “A Natural Anesthetic” in Pain Perception during the Transrectal Ultrasound-Guided Prostate Biopsy Procedure

2011 ◽  
Vol 78 (4) ◽  
pp. 257-261 ◽  
Author(s):  
Lucio Dell'atti ◽  
Pier Andrea Borea ◽  
Gian Rosario Russo
Keyword(s):  
Prostate Biopsy ◽  
Pain Perception ◽  
Transrectal Ultrasound ◽  
Ultrasound Guided ◽  
Biopsy Procedure

scholarly journals May ultrasound probe size influence pain perception of needle piercing during transrectal prostate biopsy? A prospective evaluation

2016 ◽  
Vol 88 (3) ◽  
pp. 223 ◽  
Author(s):  
Andrea Fabiani ◽  
Lucilla Servi ◽  
Alessandra Filosa ◽  
Fabrizio Fioretti ◽  
Valentina Maurelli ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Prostate Biopsy ◽  
Pain Perception ◽  
Prostate Volume ◽  
Randomized Study ◽  
Digital Rectal Examination ◽  
Probe Size ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Introduction and Objective: Transrectal ultrasound guided prostate biopsy (TRUS-Bx) is the definitive step in the diagnosis of prostate cancer (CaP). Patients (pts) generally experience significant pain during the procedure at the point that biopsy should be accompanied by some form of anesthesia. Several different factors influence pain perception (PP) during TRUS-Bx. In our study we want to assess that the use of an ergonomic smaller sized probe reduces PP during the procedure independently from the administration of local anesthesia or pain relieving drugs. Materials and Methods: This was a prospective, randomized study in which 114 pts who underwent TRUS-Bx due to abnormal PSA and/or to digital rectal examination (DRE) suspicious findings were considered eligible. Pts were split in two TRUS-Bx groups into which we used two different sized ultrasound probes. In group 1, 61 pts underwent TRUS-Bx with ALOKA end fire probe (size 74 mm). In group 2, 53 pts underwent TRUS-Bx with B-K Type 8818 probe (size 58 mm). Both groups were treated with no local anesthesia or pain relieving drugs. Pain was evaluated three times using a 10-point visual analogue scale (VAS), during the DRE (VAS 1), during the insertion of the probe (VAS 2) and during the needle piercing (VAS 3). Results: Mean age of pts was 68.03 (SD 8.51); mean tPSA and mean prostate volume was 7.75 (SD 4.83) and 45.17cc (SD 17.7), respectively. The two groups were homogeneous respect to tPSA (p = 0.675) and to prostate volume (p = 0.296); age was significantly different (p = 0.04) between Group 1 (65.93) and Group 2 (70.43), whereas no statistically significant correlation between VAS 3 and age was observed (p = 0.179). Analyzing pain perception, we found no statistically significant difference between the two groups in DRE (VAS 1; p = 0.839); on the contrary, patients in Group 1 experienced on average more pain than other in Group 2 both during the insertion of the probe (VAS 2 3.49 vs 1.09; p &lt; 0.001) and during the needle piercing VAS 3 (2.8 vs 2.00; p &lt; 0.05). The discomfort during probe insertion and manipulation was perceived as very high (VAS 2 &gt; 5) in 42.6% of patients in Group 1 and in 9.4% in Group 2. Globally, the procedure was well tolerated (mean VAS score &lt; 3) in 77% of patients in Group 1 and in 90% in Group 2. The proportion of patients who experienced more than moderate pain (VAS &gt; 5) during needle piercing ranged 24.6 % in Group 1 to 18.9 % in Group 2. Conclusions: Patients who underwent a TRUS-Bx with the 58-mm circumference probe were found to experience lower degree of pain not only during the insertion of the probe through the anal sphincter, but also in the moment of needle piercing.

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