2008, Number 3
<< Back Next >>
Rev Mex Urol 2008; 68 (3)
Pain, complication and side effect comparison between two anesthetic techniques in transrectal prostate biopsy
Cruz-Nuricumbo E, Gutiérrez-Ochoa A, García-Ramírez A, Gutiérrez-Godínez A
Language: Spanish
References: 20
Page: 174-182
PDF size: 323.69 Kb.
ABSTRACT
General Objective: To identify the best anesthetic method for reducing pain and discomfort during prostate biopsy.
Specific Objective: To identify the different complications and side effects in each group, prostate size and prostate specific antigen (PSA) as causal factors in pain intensity.
Materials and Methods: Biopsies were carried out on 75 patients divided into 3 groups: Group 1, biopsy without anesthesia; Group 2, biopsy with 10 mL intrarectal gel with 2% lidocaine; and Group 3, nerve trunk blockade with 5 mL lidocaine at 2%.
Results: In relation to pain perception there were no statistically significant differences between groups 2 and 3. There was significant difference between groups 1 and 2 with p = 0.011 and between groups 1 and 3 with p = 0.001. There were no significant differences among the study groups in relation to immediate or late side effects or complications.
Conclusions: There were no statistically significant differences between the two anesthetic methods used. Side effects and complications were the same for both anesthetic methods.
REFERENCES
Alejandro Mohar, Mauricio Frías-Mendivil, Laura Suchil-Bernal, Teresa Mora-Macías, Jaime G. de la Garza. Epidemiología descriptiva de cáncer en el Instituto Nacional de Cancerología de México. Salud Pública Mex 1997;39:253-258.
Cruz-Nuricumbo Eduardo, Gutiérrez Ochoa A, Romero Arriola H, Gaytán Paz G, Nerubay Toiber R, Gutiérrez Godínez A. Prevalencia de cáncer prostático en pacientes con sospecha clínica. Rev Mex Urol 2005;65(5):295-302.
Dirección General de Epidemiología; SSA; Sistema Epidemiológico y Estadístico de las Defunciones, 2001 (Base de datos preliminar).
Dirección General de Epidemiología; SSA; Compendio de Cáncer 2000.
Programa de acción contra el cáncer de próstata, SSA. 1a. ed. 2001.
Hodge KK, McNeal JE, Terris MK and Stamey TA. Random systematic versus directed ultrasound guided transrectal core biopsies of the prostate. J Urol 1989;142:71.
Levine MA, Ittman M, Melamed J and Lepor H. Two consecutive sets of transrectal ultrasound guided sextant biopsies of the prostate for the detection of prostate cancer. J Urol 1998;159:471-5.
Clements R, Aideyan OU, Griffiths GJ and Peeling WB. Side effects and patient acceptability of transrectal biopsy of the prostate. Clin Rad 1993;47:125.
Collins GN, Lloyd SN, Hehir M and McKelvie GB. Multiple transrectal ultrasound -guided prostatic biopsies- true morbidity and patient acceptance. Brit J Urol 1993;71:460.
Nash PA, Bruce J E, Indudhara R and Shinohara K. Transrectal ultrasound guided prostatic nerve blockade eases systemic needle biopsy of the prostate. J Urol 1996;155:607.
Soloway MS and Öbek, C. Periprostatic local anesthesia before ultrasound guided prostate biopsy. J Urol 2000;163:172.
Issa MM, Bux S, ChunT, Petros JA, Labadia AJ, Anastasia K et al. A randomized prospective trial of intrarectal lidocaine for pain control during transrectal prostate biopsy: the Emory University experience. J Urol 2000;164:397.
Mutaguchi K, Shinohara K, Matsubara A, Yasumoto H, Mita K, Usui T. Local anesthesia during 10 core biopsy of the prostate: comparison of 2 methods. J Urol 2005;173:742.
James D. Brooks. Anatomía del tracto urinario inferior y los genitales masculinos. Campbell´s Urología, Patrick C. Walsh, 2004:64-69.
Benoit G, Merlaund L, Meduri G, Moukarzel M, Quillard J, Ledroux, M et al. Anatomy of the prostatic nerves. Surg Radiol Anat 1994;16:23.
Hollabaugh RS Jr., Dmochowski RR and Steiner MS: Neuroanatomy of the male rhabdosphincter. Urology 1997;49:426.
Schostak M, Christoph F, Muller M, Heicappell R, Goessl G, Staehler M et al. Optimizing local anesthesia during 10-core biopsy of the prostate. Urology 2002;60:253.
Schostak M, Panick M, Goessl C, Christoph F and Miller K. Optimizing local anesthesia for systemic tenfold prostatic biopsy. J Urol 2001;165:311.
Jones JS And Zippe CD. Rectal sensation test helps avoid pain of apical prostate biopsy. J Urol 2003; 170:2316.
Ali S. Alavi, Mark S. Soloway, Anil Vaidya, Charles M Lynne and Edward L. Gheiler: local anesthesia for ultrasound guided prostate biopsy: a prospective randomized trial comparing 2 methods. J Urol 2001; 166:1343.