Prospective multicenter study of transperineal prostatic block for transurethral needle ablation of the prostate

Issa, Muta M.; Stein, Barry S.; Benson, Ralph C.; Knoll, L. Dean; Fay, Raymond

doi:10.1016/s0090-4295(00)00836-0

Cited by 19 publications

(18 citation statements)

References 13 publications

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“…Also, incremental dose was increased to 30 mg in 4 patients in group I, but Transperineal periprostatic nerve blockade. Under guidance of the index finger in the rectum, a 22-gauge spinal needle is inserted through the perineum and into the plane between the prostate anteriorly and rectum posteriorly as described by Issa et al [15] . At this point, the surgeon assures that the tip of the needle is not in the prostatic bed by a 26-Fr Iglesias continuous-flow resectoscope and endocamera system (scrotum and endocamera system were not drawn).…”

Section: Resultsmentioning

confidence: 99%

“…Its duration of action is 4-12 h when injected for peripheral nerve blockade [10] . In the clinical setting, periprostatic injections of bupivacaine or lidocaine/bupivacaine combinations have been used to reduce pain related to transrectal prostate biopsy and transurethral needle ablation of the prostate, and it has been shown that bupivacaine alone or in combination reduces pain and patient discomfort associated with these procedures [13][14][15] . In the present study, bupivacaine injection was observed as being efficient for the relief of postoperative TURP-related pain, and decreased tramadol consumption and additional analgesic requirements in patients who had undergone TURP.…”

Section: Discussionmentioning

confidence: 99%

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Periprostatic Nerve Blockage Reduces Postoperative Analgesic Consumption and Pain Scores of Patients Undergoing Transurethral Prostate Resection

Görür¹,

İnanoğlu

Akkurt

et al. 2007

Urol Int

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Introduction: To evaluate the effects of periprostatic bupivacaine administration on pain control and analgesic consumption after transurethral prostate resection (TURP). Materials and Methods: The study included 40 male patients with benign prostatic hyperplasia who underwent TURP, and they were divided randomly into two groups. All patients were operated under general anesthesia. The study group patients (n = 20) received periprostatic bupivacaine (0.5% 20 ml) injection (group I), and the control patients (n = 20) received only saline (NaCl 0.9% 20 ml) injection (group II). All injections were performed bilaterally into the periprostatic areas immediately after the TURP procedure via the transperineal route. In the postoperative period, all patients (groups I and II) received tramadol using a patient-controlled analgesia device. Postoperative pain was assessed and recorded using the visual analog scale (VAS) at postoperative hours 1, 2, 3, 4, 5, 6, 7, 8, 12, 16, 20, 24, and 48. Total tramadol consumptions and additional analgesic requirements were also recorded and compared between groups. Results: There was no difference in demographic data between the two groups (p > 0.05). VAS scores of the patients at hours 1, 3, 4, 5, 7, 8, and 12 were found to be significantly lower in group I than in group II (p < 0.05). Total tramadol consumption and patient-controlled analgesia demands of groups I and II were 153.5 ± 52.4 vs. 465.0 ± 55.1 mg and 17.1 ± 7.7 vs. 77.8 ± 7.5 mg, respectively (p < 0.001). No side effect was observed regarding bupivacaine injections. Conclusions: Periprostatic bupivacaine administration was a useful and safe method for postoperative pain control and reduced analgesic consumption in patients undergoing TURP.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Periprostatic Nerve Blockage Reduces Postoperative Analgesic Consumption and Pain Scores of Patients Undergoing Transurethral Prostate Resection

Görür¹,

İnanoğlu

Akkurt

et al. 2007

Urol Int

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“…Different cadaver studies investigating the neuroanatomy of the prostate demonstrated that prostatic nerve supply originates from the inferior hypogastric plexus located at the tip of the seminal vesicles, and then passes along the plane between the prostate and rectum [15,16]. The transperineal approach provides the most direct and practical access to these nerves [17]. Issa et al [17] reported the results of prospective multicenter study of TPPB for transurethral needle ablation of the prostate, and found this method safe and satisfactory.…”

Section: Discussionmentioning

confidence: 99%

“…The transperineal approach provides the most direct and practical access to these nerves [17]. Issa et al [17] reported the results of prospective multicenter study of TPPB for transurethral needle ablation of the prostate, and found this method safe and satisfactory.…”

Section: Discussionmentioning

confidence: 99%

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A Novel Pain Alternative for Patients with Anorectal Pathologies: The Comparison of Transperineal Prostatic Blockage Technique with Periprostatic Nerve Blockage and Rectal Gel Technique in Initial Transrectal Ultrasound-Guided Prostate Biopsy - A Prospective, Randomized Trial

Bolat¹,

Değirmenci²,

Günlüsoy³

et al. 2016

Urol Int

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Introduction: The study aimed to compare the efficiency of periprostatic nerve blockage (PPNB) and intrarectal lidocaine gel (PPNB + gel) with a transperineal prostatic block (TPPB) technique during transrectal ultrasound-guided prostate biopsy (TRUS-PBx) in patients with anorectal pathologies. Materials and Methods: A total of 376 patients who underwent TRUS-PBx were randomized into 2 groups. Group-I (n = 198) received TPPB with 10 ml 2% prilocaine, and group-II (n = 178) received intrarectal administration of 10 ml 2% lidocaine gel followed by PPNB with 10 ml 2% prilocaine. A 10-point linear visual analogue scale (VAS) was used to assess the pain arising from probe insertion (VAS-1) and prostate sampling (VAS-2). Results: VAS-1 scores were significantly lower in group-I than group-II (1.7 ± 1.9 vs. 3.9 ± 1.5; p < 0.001). Combining local anesthesia produced superior pain control to TPPB during sampling (2.0 ± 1.2 vs. 2.5 ± 2.4; p = 0.015). Following subgroup analyses with reference to concomitant anorectal pathologies, VAS-1 scores were significantly lower in group-I than group-II (2.0 ± 1.8 vs. 5.5 ± 1.7; p < 0.001). VAS-2 scores were lower in group-II than group-I; however, the difference was not considered significant (2.4 ± 1.3 vs. 3.1 ± 2.8; p = 0.303). Conclusions: In all patients referred for TRUS-PBx, TPPB is a good alternative to PPNB + gel. TPPB can be particularly useful for patients with anorectal pathologies due to its improved pain reduction during probe insertion.

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Local Anesthesia for Minimally Invasive Treatment of the Prostate in the Office Setting

Rai

González

2018

Smith's Textbook of Endourology

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Prospective multicenter study of transperineal prostatic block for transurethral needle ablation of the prostate

Cited by 19 publications

References 13 publications

Periprostatic Nerve Blockage Reduces Postoperative Analgesic Consumption and Pain Scores of Patients Undergoing Transurethral Prostate Resection

Periprostatic Nerve Blockage Reduces Postoperative Analgesic Consumption and Pain Scores of Patients Undergoing Transurethral Prostate Resection

A Novel Pain Alternative for Patients with Anorectal Pathologies: The Comparison of Transperineal Prostatic Blockage Technique with Periprostatic Nerve Blockage and Rectal Gel Technique in Initial Transrectal Ultrasound-Guided Prostate Biopsy - A Prospective, Randomized Trial

Local Anesthesia for Minimally Invasive Treatment of the Prostate in the Office Setting

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