A prospective analytical study of pain control during transrectal ultrasound guided prostate biopsy: Combined periprostatic nerve block with lignocaine gel and only intrarectal lignocaine gel.
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 2
Abstract
To evaluate the efficacy of two different analgesic techniques during transrectal ultrasound (TRUS) guided prostate biopsy. It may help in highlighting the importance of implementing an analgesic protocol. In this prospective analytical study 104 patients underwent TRUS guided prostate biopsy were included in two groups. Prostatic biopsy was performed using combined periprostatic nerve block with intra rectal lignocaine gel in Group 1 and using intra rectal lignocaine gel in Group 2. Visual analogue scale (VAS) pain scores were compared using Mann-Whitney U test. In results one hundred and four patients were analyzed. The mean age was 65.6(±10.8) years. The age, digital rectal examination (DRE) findings and mean serum PSA values were comparable among these two groups. The mean VAS pain score during was significantly less in Group1 compared to Group2 with p value <0.001. The conclusion in this study it was shown that combined periprostatic nerve block with intra rectal lignocaine gel helps in reducing pain significantly during prostatic biopsy. Periprostatic nerve block is safe, minimally invasive procedure and should be employed during the procedure. Keywords: Transrectal ultrasound, prostate, biopsy, Peripostatic nerve block, Lignocaine
Authors and Affiliations
Dilip Kumar Pal, Rajendra Prasad Ray, Anup Kumar Kundu
Keywords
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