Local Anesthesia During Transrectal Ultrasonography-guided Prostate Biopsy: does it have any Effect on Sexual Function?

Abstract

Local infiltration with lidocaine does not seem to play a role in sexual dysfunction following prostate biopsies. Psychological factors influence patients and the urologist should be ready to inform and reassure both the patient and his family.

Transrectal ultrasound guided multi‐core prostate biopsy: Pain control: Results of 106 patients

“…Complications of the PPNB include pain due to puncture with the needle used for local anesthesia, symptoms associated with systemic lidocaine toxicity, urinary incontinence, degradation of the image resolution due to anesthetic injection, and increased vascularization within the periprostatic region 10. Stravodimos et al investigated the effect of PPNB during TRUS‐guided prostate biopsies on sexual behavior, and they concluded that local infiltration with lidocaine did not seem to play a role in sexual dysfunction following prostate biopsies 16. In our study group we encountered degradation of the image resolution in four patients (3.7%), but it had no influence on the biopsy procedure.…”

A Longitudinal Study of Predictors of Sexual Dysfunction in Men on Active Surveillance for Prostate Cancer

“…A retrospective study of men on AS found that increased biopsy number correlated with decreased SHIM scores, but age, prostate volume, and prostate‐specific antigen (PSA) had no relation to decline in SHIM scores [12]. The psychologic interplay of AS and sexual function is highlighted by the finding that 6% of men experience some degree of SD in anticipation of a PB [13]. There is evidence that that men diagnosed with PCa after PB experience a greater decline in erectile function compared with men with benign biopsy results, indicating a potential psychologic effect of the cancer diagnosis on erectile function [14].…”