Can pain during digital rectal examination help us to decide the necessity and the method of anesthesia for transrectal ultrasound guided prostate needle biopsy?
Int. braz. j. urol
;
33(4): 470-476, July-Aug. 2007. tab
Artículo
en Inglés
| LILACS
| ID: lil-465782
ABSTRACT
OBJECTIVE:
Transrectal ultrasound (TRUS) guided prostate biopsy is well tolerated by patients but the lack of an effective marker to predict pain prevents us from determining pre-procedurally which patient group needs local anesthesia for biopsy and probe pain. Thus in this study, we investigated predictor factors for prostate biopsy and probe insertion pain. MATERIALS ANDMETHODS:
71 patients who were undergoing prostate biopsy without anesthesia were included in the study retrospectively. Pain had been assessed with visual analogue scale (VAS 0-10). Digital rectal examination (DRE) pain was analyzed for biopsy and probe insertion pain.RESULTS:
DRE pain was related to both probe pain and biopsy pain.CONCLUSION:
Although level of pain during DRE determines patients in need of local anesthesia, since the number of patients with moderate-severe pain is rather big, it seems efficient in determining the patients in need of additional anesthesia due to probe pain.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Dolor
/
Próstata
/
Neoplasias de la Próstata
/
Biopsia con Aguja
/
Tacto Rectal
/
Anestesia Local
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Anciano
/
Aged80
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Int. braz. j. urol
Asunto de la revista:
Urología
Año:
2007
Tipo del documento:
Artículo
País de afiliación:
Turquía
Institución/País de afiliación:
Ankara Numune Education and Research Hospital/TR
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