Affect of the anesthesia method on re-biopsy decision performed during prostate biopsy
Journal Title: Ege Tıp Dergisi - Year 2015, Vol 54, Issue 3
Abstract
Aim: The Affect Of The Anesthesia Method, which is used for prostate biopsy guided by transrectal ultrasonography (TRUSBX), on re-biopsy decision was evaluated. Materials and Methods: Study included 793 patients who had TRUSBX between June 2010 and June 2014. Local anesthesic gel was used in 405 patients (51%) (Group 1) and local anesthesic gel plus periprostatic blockage was used in 388 patients (49%) (Group 2) and groups were evaluated for pain level with visual analog scale (VAS) and asked if they undergo re-biopsy procedure when necessary. VAS levels and re-biopsy decisions of the groups were compared. Results: Average VAS level was 3.1 for Group 1 patients and 1.6 for Group 2 patients and the difference was statistically significant (p<0.05). Re-biopsy decision rate was 83.2% in Group 1 and 94.0% in Group 2 and this difference was also significant (p<0.05). Conclusion: It was found that periprostatic blockage and local anesthesic gel was significantly advantageous than only local anesthesic gel method on VAS level and re-biopsy decision.
Authors and Affiliations
Sıtkı ÜN, Gökhan KOÇ, Hakan TÜRK, Osman KOCA, Yüksel YILMAZ, Fırat AKDENİZ
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