Three different techniques for administering analgesia during transrectal ultrasound-guided prostate biopsy: a comparative study

İzol, Volkan; Soyupak, Bülent; Seydaoğlu, Gülşah; Aridogan, Ibrahim Atilla; Tansug, Zuhtu

doi:10.1590/s1677-55382012000100017

Cited by 18 publications

(22 citation statements)

References 28 publications

(33 reference statements)

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“…1). After screening 46 RCTs15678910111213141516171819202122232425262728293031323334353637383940414243444546474849 met our study criteria and were included in our meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

Local anesthesia for transrectal ultrasound-guided biopsy of the prostate: A meta-analysis

Wang

et al. 2017

Sci Rep

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A meta-analysis was performed to evaluate the efficacy of local anesthesia in alleviating pain during prostate biopsy. We searched relevant articles in PubMed and Embase. The included studies should be randomized controlled trials (RCT) using local anesthesia to alleviate pain during biopsy, which was recorded by a pain scale. Analgesic efficacy of different local anesthesia techniques were analyzed, including intrarectal local anesthesia (IRLA), periprostatic nerve block (PNB), pelvic plexus block (PPB) and intraprostatic local anesthesia (IPLA). We included 46 RCTs. PNB significantly reduced pain score compared with placebo (−1.27 [95% confidence interval [95% CI] −1.72, −0.82]) or no injection (−1.01 [95% CI −1.2, −0.82]). IRLA with prilocaine-lidocaine cream could also reduced pain (−0.45 [95% CI −0.76, −0.15]), while the IRLA with lidocaine gel was not effective (−0.1 [95% CI −0.24, 0.04]). PNB lateral to the neurovascular bundle had better analgesic effect than at prostate apex (P = 0.02). Combination use of PPB and IRLA considerably alleviated pain of patients compared with the combination of PNB and IRLA (−1.32 [95% CI −1.59, −1.06]). In conclusion, local anesthesia could alleviate patients’ pain during the prostate biopsy. PNB was not so effective as PPB.

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“…1). After screening 46 RCTs15678910111213141516171819202122232425262728293031323334353637383940414243444546474849 met our study criteria and were included in our meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

Local anesthesia for transrectal ultrasound-guided biopsy of the prostate: A meta-analysis

Wang

et al. 2017

Sci Rep

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“…Recently, Izol et al [29] published a study that evaluated three different analgesia techniques on prostate biopsy. Pain intensity was assessed by VAS graded in three stages: during biopsy (VAS 1), immediately after the procedure (VAS 2), and 1 hour later (VAS 3).…”

Section: Discussionmentioning

confidence: 99%

Sedoanalgesia With Midazolam and Fentanyl Citrate Controls Probe Pain During Prostate Biopsy by Transrectal Ultrasound

et al. 2014

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PurposeTo assess the pain intensity of patients administered midazolam and fentanyl citrate before undergoing transrectal ultrasound-guided prostate biopsy.Materials and MethodsThis was a study in patients with different indications for prostate biopsy in whom 5 mg of midazolam and 50 µg of fentanyl citrate was administered intravenously 3 minutes before the procedure. After biopsy, pain was assessed by use of a visual analogue scale (VAS) in three stages: VAS 1, during probe introduction; VAS 2, during needle penetration into prostate tissue; and VAS 3, in the weeks following the exam. Pain intensity at these different times was tested with stratification by age, race, education, prostate volume, rebiopsy, and anxiety before biopsy. Pain was ranked according to the following scores: 0 (no pain), 1-3 (mild pain), 4-7 (moderate pain), and 8-10 (severe pain). Statistical analysis was performed by using Kruskal-Wallis and Wilcoxon two-tailed tests with a significance of 5%.ResultsPain intensity was not influenced by any risk factors. The mean VAS 1 score was 1.95±1.98, the mean VAS 2 score was 2.73±2.55, and the mean VAS 3 score was 0.3±0.9, showing greater pain at the time of needle penetration than in other situations (VAS 2>VAS 1>VAS 3, p=0.0013, p=0.0001, respectively). Seventy-five percent of patients reported a VAS pain scale of less than 3.1 or mild pain.ConclusionsIntravenous sedation and analgesia with midazolam and fentanyl citrate is a good method for reducing pain caused by prostate biopsy, even during probe insertion.

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“…Sedation with nitrous oxide, nitrous oxide mixed with oxygen, midazolam and propofol has also been tried. 1,[4][5][6][13][14][15] Significant controversy exists in the literature regarding the choice of analgesia for TRUS biopsy of the prostate. PPNB is now emerging as the gold standard modality for pain control during TRUS biopsy.…”

Section: Discussionmentioning

confidence: 99%

“…It is usually performed as an office procedure under ultrasonography guidance using a transrectal probe. 1 As this procedure is associated with pain, it is a cause of significant anxiety for the patient. 2,3 Various methods for pain reduction have been described, ranging from simple application of anaesthetic gels to complex nerve blocks.…”

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confidence: 99%

Evaluation of the efficacy of a combination of diltiazem and periprostatic nerve block in pain control during transrectal ultrasonography-guided biopsy of the prostate

Jindal

Mandal

Biswas

et al. 2013

annals

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Three different techniques for administering analgesia during transrectal ultrasound-guided prostate biopsy: a comparative study

Abstract: ARTICLE INFO___________________________________________ _

Cited by 18 publications

References 28 publications

Local anesthesia for transrectal ultrasound-guided biopsy of the prostate: A meta-analysis

Local anesthesia for transrectal ultrasound-guided biopsy of the prostate: A meta-analysis

Sedoanalgesia With Midazolam and Fentanyl Citrate Controls Probe Pain During Prostate Biopsy by Transrectal Ultrasound

Evaluation of the efficacy of a combination of diltiazem and periprostatic nerve block in pain control during transrectal ultrasonography-guided biopsy of the prostate

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Three different techniques for administering analgesia during transrectal ultrasound-guided prostate biopsy: a comparative study

Abstract: ARTICLE INFO_______________________________________________________________ _____________________

Cited by 18 publications

References 28 publications

Local anesthesia for transrectal ultrasound-guided biopsy of the prostate: A meta-analysis

Local anesthesia for transrectal ultrasound-guided biopsy of the prostate: A meta-analysis

Sedoanalgesia With Midazolam and Fentanyl Citrate Controls Probe Pain During Prostate Biopsy by Transrectal Ultrasound

Evaluation of the efficacy of a combination of diltiazem and periprostatic nerve block in pain control during transrectal ultrasonography-guided biopsy of the prostate

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Abstract: ARTICLE INFO___________________________________________ _