Effect of patient position on pain scales during transrectal ultrasound-guided prostate biopsy
Korean Journal of Urology
;
: 449-454, 2015.
Article
in English
| WPRIM
| ID: wpr-95908
ABSTRACT
PURPOSE:
Transrectal ultrasound (TRUS)-guided prostate biopsy is the most useful technique for the diagnosis of prostate cancer; however, many patients describe the procedure as uncomfortable and painful. We investigated the effect of the patient's position on pain scales during TRUS-guided prostate biopsy. MATERIALS ANDMETHODS:
Between July 2012 and June 2013, a total of 128 consecutive patients who underwent TRUS-guided prostate biopsy were included in this study. Seventy patients underwent the procedure in the lithotomy position performed by a urologist and the other patients (n=58) underwent the procedure in the left lateral decubitus (LLD) position performed by a radiologist. Pain was assessed by using visual analogue scale (VAS) scores from 0 to 10. Using a linear regression model, we analyzed the correlation between pain scale score and clinical variables with a focus on patient position.RESULTS:
No significant differences related to age, body mass index, prostate volume, prostate-specific antigen (PSA), hematuria, pyuria, International Prostate Symptom Score, or the cancer detection rate were observed between the lithotomy and the LLD groups. In the correlation analysis, VAS score showed a significant correlation with diabetes mellitus, PSA level, and lithotomy position (p<0.05). In the multiple linear regression model, VAS score showed a significant correlation with lithotomy position (beta=-0.772, p=0.003) and diabetes mellitus (beta=-0.803, p=0.033).CONCLUSIONS:
We suggest that the lithotomy position may be the proper way to reduce pain during TRUS-guided prostate biopsy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pain
/
Posture
/
Prostatic Neoplasms
/
Biopsy, Needle
/
Pain Measurement
/
Retrospective Studies
/
Ultrasonography, Interventional
/
Patient Positioning
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Urology
Year:
2015
Type:
Article
Similar
MEDLINE
...
LILACS
LIS