Abstract
Objectives To analyze the efficacy of intrarectal ice application as an anesthetic method prior to transrectal ultrasound (TRUS) guided prostate biopsy.Materials and Methods A total of 120 consecutive men were included into the study prospectively. Patients were equally randomized as group 1 and 2 with 60 patients each. Ice was applied as an anesthetic method 5 minutes before procedure to the patients in group 1. Patients in group 2 were applied 10 ml of 2% lidocaine gel 10 minutes before procedure. Twelve core biopsy procedure was performed for all patients. The pain level was evaluated using a visual analogue scale (VAS).Results Median pain score was 3.5 (1-8) in group 1 and 5 (1-8) in group 2. There is significantly difference between groups regarding the mean sense of pain level during the procedure. (p=0.007) There was also no difference in complications between two groups about presence and duration of macroscopic hematuria and rectal bleeding.Conclusions Intrarectal ice application prior to TRUS prostate biopsy has an effect on reducing pain. Development of new techniques about cold effect or ice can make this method more useful and decrease complication rates.
Highlights
Several studies have shown that 80-96% of patients undergoing transrectal ultrasound (TRUS) guided prostate biopsy reported that they suffered a disturbing pain from this procedure [1, 2]
120 patients were included into the study (Figure-2). Both groups were similar in terms of abnormal digital rectal examination (DRE) numbers, age of patients, serum total PSA levels, mean prostate volume, Figure 1 - Ice mould
No difference was detected between two groups about feeling pain during the placement of probe. These results indicate that intrarectal ice application prior to TRUS prostate biopsy may have an effect on reducing pain during the procedure
Summary
Several studies have shown that 80-96% of patients undergoing transrectal ultrasound (TRUS) guided prostate biopsy reported that they suffered a disturbing pain from this procedure [1, 2]. Any anesthetic method is considered to be required prior to TRUS prostate biopsy. Various anesthetic methods including intrarectal lidocaine gel and periprostatic anesthetic material application have been tried. A method which is -applicable, painless and not leading to any additional complication should be chosen as an anesthetic agent prior to TRUS prostate biopsy. Intrarectal lidocaine gel is an -applicable method among others. Periprostatic injection provides an efficient pain control, it has disadvantages including painful application and more frequent complication rates due to additional injections. It has currently been reported as a safe, -applicable and quite efficient method among all other methods [3]
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Schedule a callMore From: International braz j urol : official journal of the Brazilian Society of Urology
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