A randomized controlled comparison between periprostatic nerve block and pelvic plexus block at the base and apex of 14-core prostate biopsies
| Autor: | Dong Hyeon An, Jong Yeon Park, Ju Hyun Lim, Sung Jin Kim, Chang-Hoo Park, Jongpill Lee, Han Gwun Kim |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Prostate biopsy Lidocaine medicine.drug_class Urology medicine.medical_treatment 030232 urology & nephrology medicine.nerve 03 medical and health sciences 0302 clinical medicine Periprostatic Biopsy medicine Humans Pain Management Local anesthesia Single-Blind Method Aged Hypogastric Plexus medicine.diagnostic_test business.industry Local anesthetic Pelvic plexus Prostate Prostatic Neoplasms Nerve Block Middle Aged 030220 oncology & carcinogenesis Nerve block Biopsy Large-Core Needle business medicine.drug |
| Zdroj: | World journal of urology. 37(12) |
| ISSN: | 1433-8726 |
| Popis: | To compare the pain control efficacies of the pelvic plexus block (PPB), periprostatic nerve block (PNB), and controls during a 14-core basal and apical core prostate biopsy. This randomized controlled study, performed between January 2015 and January 2016, included patients with an abnormal serum prostate-specific antigen (PSA > 3 ng/mL) level or a palpable nodule on digital rectal examination. The enrolled patients were randomized into three groups: Group 1, intrarectal local anesthesia (IRLA, 10 mL of 2% lidocaine jelly) and PPB with 3.0 mL of 2% lidocaine injected at the bilateral pelvic plexus; Group 2, IRLA and PNB with 3.0 mL of 2% lidocaine injected at both periprostatic nerves; and Group 3, only IRLA. Patients answered the visual analog scale (VAS) questionnaire at 6 time points. This study consisted of 163 patients (Group 1 = 55, Group 2 = 55, and Group 3 = 53). Pain at the apical biopsy location was less in Groups 1 and 2 than in Group 3 (p |
| Databáze: | OpenAIRE |
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