Caudal Block for Digital-guided Transrectal Prostate Biopsy
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 17, Issue 7
Abstract
Objective: To assess the effectiveness and safety of caudal block on the pain associated with digital guided transrectal Tru-Cut biopsy of the prostate. Subjects and Methods: Over a two year period, from July 2013 to June 2015, a cross-section of one hundred and forty men undergoing digital guided transrectal prostate biopsy under caudal block were recruited into the study. 15 ml 1% lignocaine was injected for caudal block. Pain scores, anal sphincter tone and patient satisfaction were assessed and complications recorded. Results: The mean ± SD (min-max) biopsy time was 12.1 (8-16) minutes. The mean ± SD (min-max) pain score on visual analogue scale (VAS) was 1.2±1.6 and 85% of patients reported excellent satisfaction. There was no statistical significance between pain score and age (P= 0.185) or the number of biopsies taken (P= 0.164). Malignancy was found in 37.1% of patients. Conclusion: Caudal block is an effective and safe method of anesthesia for digital guided transrectal prostate biopsy.
Authors and Affiliations
P. O. Areo, J. M. Afolayan, P. T. Adegun, S. A. Dada, T. V. Asowo
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