Pain Scores and Early Complications of Transrectal Ultrasonography-Guided Prostate Biopsy: Effect of Patient Position
| Autor: | Cenk Kilic, Mete Kilciler, Ahmet Fuat Peker, Erkan Demir, Selahattin Bedir, Koray Erten |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Prostate biopsy Urology Posture Pain urologic and male genital diseases Risk Assessment Prostate cancer Reference Values medicine Humans Prospective Studies Ultrasound High-Intensity Focused Transrectal Aged Hematuria Pain Measurement Probability Ultrasonography Pain score medicine.diagnostic_test business.industry Biopsy Needle Prostatic Neoplasms Middle Aged medicine.disease Lithotomy position Position (obstetrics) Transrectal ultrasonography Radiology business Follow-Up Studies |
| Zdroj: | Urologia Internationalis. 79:361-363 |
| ISSN: | 1423-0399 0042-1138 |
| DOI: | 10.1159/000109724 |
| Popis: | Background: The aim of the study was to evaluate the pain scores and complications of transrectal ultrasonography (TRUS)-guided prostate biopsy and to compare lithotomy position (LP) versus left lateral decubitis position (LLDP). Methods: A total of 340 patients were referred for TRUS-guided biopsy. In group 1 (n = 170), biopsies were performed in LP (n = 170), and in group 2 (n = 170) biopsies were performed in LLDP (n = 170). In 68 patients, biopsies were repeated. We constituted two additional groups: in group 3 (n = 33) patients underwent biopsies in LP and LLDP, respectively, and in group 4 (n = 35) patients underwent biopsies in LLDP and LP, respectively. Pain score, infection rates, hematospermia, hematuria, rectal bleeding, and serious complications were compared between group 1 and group 2. Pain scores were compared between the four groups. Results: There were no differences between group 1 and group 2 for age, prostate volume, prostate-specific antigen level, biopsy time, hematuria, infection, hematospermia, and rectal bleeding. Pain scores were lower in group 2 than in group 1. Also, for LLDP, pain scores were lower in group 3 and group 4. Conclusion: The effect of position on pain scores in TRUS biopsy patients has not been previously described. Our study indicates that pain scale values are lower in LLDP than in LP. |
| Databáze: | OpenAIRE |
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