Subject(s)
Microaneurysm/diagnosis , Optic Atrophy, Hereditary, Leber/diagnosis , Fluorescein Angiography , Humans , Male , Microaneurysm/etiology , Microaneurysm/pathology , Morocco , Optic Atrophy, Hereditary, Leber/complications , Retinal Telangiectasis/diagnosis , Retinal Telangiectasis/etiology , Retinal Vessels/pathology , Tomography, Optical Coherence , Young AdultSubject(s)
Melanoma/diagnosis , Optic Disk/pathology , Optic Nerve Neoplasms/diagnosis , Vitreous Body/pathology , Eye Neoplasms/complications , Eye Neoplasms/diagnosis , Female , Fluorescein Angiography , Humans , Melanocytes/pathology , Melanoma/complications , Middle Aged , Morocco , Optic Disk/diagnostic imaging , Optic Nerve Neoplasms/complications , Photography , Ultrasonography , Vision Disorders/diagnosis , Vision Disorders/etiology , Vitreous Body/diagnostic imagingSubject(s)
Apitherapy/adverse effects , Bees/physiology , Eye Diseases/etiology , Insect Bites and Stings , Pterygium/therapy , Animals , Apitherapy/methods , Eye Diseases/pathology , Humans , Male , Middle Aged , Morocco , Punctures/adverse effects , Vision Disorders/etiology , Vision Disorders/pathologyABSTRACT
INTRODUCTION: The realization of the prostatic biopsies is a painful act. The objective of our work was to compare the analgesic efficiency of the injection of the lidocaine at the level of periprostatics laterals and apical areas compared with the use of gel of lidocaine intrarectal associated with the taking of oral tramadol. PATIENTS AND METHODS: Between November 2007 and December 2009, 60 patients admitted in the service of urology of the university hospital Mohammed VI of Marrakesh for prostatic biopsies were randomized in two groups. The group 1 (30 patients) received two tablets from tramadol 50mg with 10 mL of gel of lidocaine 2% intrarectal while 30 patients of the group 2 received 10 mL from lidocaine 2% injected at the level of periprostatics laterals and apicales. The pain was estimated by a visual analog scale (AVS) at the introduction of the probe of echography (AVS 1), at the time of the biopsy (AVS 2) and 20 minutes later (AVS 3). RESULTS: There was no significant difference between both groups concerning AVS 1 means. The average score of the pain was significantly lower in the group 2 for the AVS 2 and AVS 3. CONCLUSION: The periprostatics anesthesia assured a better control of the pain at the time of the prostatic biopsy and 20 minutes later, without increase of the complications. We recommend it to decrease the pain and the discomfort related to this technique.
