Transrectal ultrasound (TRUS) guided prostate biopsy: Three different types of local anesthesia

  • Giuseppina Anastasi Unit of Urology, Department of Human Pathology, University of Messina, Messina,, Italy.
  • Enrica Subba Unit of Urology, Department of Human Pathology, University of Messina, Messina,, Italy.
  • Rosa Pappalardo Unit of Urology, Department of Human Pathology, University of Messina, Messina,, Italy.
  • Luciano Macchione Unit of Urology, Department of Human Pathology, University of Messina, Messina,, Italy.
  • Gioacchino Ricotta Unit of Urology, Department of Human Pathology, University of Messina, Messina,, Italy.
  • Graziella Muscarà Unit of Urology, Department of Human Pathology, University of Messina, Messina,, Italy.
  • Francesco Lembo Unit of Urology, Department of Human Pathology, University of Messina, Messina,, Italy.
  • Carlo Magno | cmagno@unime.it Unit of Urology, Department of Human Pathology, University of Messina, Messina,, Italy.

Abstract

Transrectal Ultrasound (TRUS) guided prostate biopsy is regarded as the gold standard for prostate cancer diagnosis. The majority of patients perceive TRUS-guided prostate biopsy as a physically and psychologically traumatic experience. We aimed to compare in this paper the efficacy of three different anesthesia techniques to control the pain during the procedure. Materials and methods: 150 patients who underwent transrectal ultrasound (TRUS) guided prostate biopsy were randomly divided into three groups. Group A included 50 patients who received one hour before the procedure a mixture of 2.5% lidocaine and 2.5% prilocaine, Group B: 50 patients who received intrarectal local anesthetic administration (lidocaine 5 ml 10%) and lidocaine local spray 15 % and Group C included 50 patients who received periprostatic block anesthesia (lidocaine 10 ml 10%). Visual analogue scale (VAS) of patients in different groups was evaluated at the end of the biopsy and 30 minutes after the procedure. Results: The VAS of patients in Group A was 1.32 ± 0.65 (VAS I) and 2.47 ± 0.80 (VAS II). In group B the VAS of patients was 1.09 ± 0.47 (VAS I) and 1.65 ± 0.61 (VAS II). In group C the VAS of patients was 2.63 ± 0.78 (VAS I) and 1.70 ± 0.85 (VAS II). There was no statistically significant difference in term of VAS I between group A and B. A statistically significant difference was determined in terms of VAS II between group A and B. There was no statistically significant difference in term of VAS between group B and C. Conclusions: The most effective of the three methods for pain control we used was intrarectal local anesthetic administration and lidocaine local spray 15% that enables an ideal patient comfort.

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Published
2016-12-30
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Section
SIEUN Congress: Original Articles
Keywords:
Biopsy, Local anesthesia, Pain control, Prostate
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How to Cite
Anastasi, G., Subba, E., Pappalardo, R., Macchione, L., Ricotta, G., Muscarà, G., Lembo, F., & Magno, C. (2016). Transrectal ultrasound (TRUS) guided prostate biopsy: Three different types of local anesthesia. Archivio Italiano Di Urologia E Andrologia, 88(4), 308-310. https://doi.org/10.4081/aiua.2016.4.308