PURPOSE: There is growing interest among urologists on the need for decreasing pain during transrectal ultrasound (TRUS) guided prostate biopsy. MATERIALS AND METHODS: We performed a systematic MEDLINE search of clinical trials of any kind of anesthesia, analgesia or sedation during TRUS guided prostate biopsy published since 2000. We critically analyzed the impact of pain and discomfort associated with the procedure, the described methods for evaluating it and the different techniques that have been described. RESULTS: There is strong evidence in the current literature that patient tolerance and comfort during TRUS guided prostate biopsy can be improved by anesthesia/analgesia. What remains is the need to urge all urologists to introduce it in clinical practice as a routine part of the procedure, whatever the biopsy scheme. CONCLUSIONS: Of the various options periprostatic anesthetic infiltration has been shown to be safe, easy to perform and highly effective. It should be considered the gold standard at the moment, even if the optimal technique remains to be established. Further studies addressing this issue are warranted.
PURPOSE: There is growing interest among urologists on the need for decreasing pain during transrectal ultrasound (TRUS) guided prostate biopsy. MATERIALS AND METHODS: We performed a systematic MEDLINE search of clinical trials of any kind of anesthesia, analgesia or sedation during TRUS guided prostate biopsy published since 2000. We critically analyzed the impact of pain and discomfort associated with the procedure, the described methods for evaluating it and the different techniques that have been described. RESULTS: There is strong evidence in the current literature that patient tolerance and comfort during TRUS guided prostate biopsy can be improved by anesthesia/analgesia. What remains is the need to urge all urologists to introduce it in clinical practice as a routine part of the procedure, whatever the biopsy scheme. CONCLUSIONS: Of the various options periprostatic anesthetic infiltration has been shown to be safe, easy to perform and highly effective. It should be considered the gold standard at the moment, even if the optimal technique remains to be established. Further studies addressing this issue are warranted.
Authors: Sung Gu Kang; Bum Sik Tae; Sam Hong Min; Young Hwii Ko; Seok Ho Kang; Jeong Gu Lee; Je Jong Kim; Jun Cheon Journal: Asian J Androl Date: 2011-05-30 Impact factor: 3.285
Authors: Sung Jin Kim; Jongpill Lee; Dong Hyeon An; Chang-Hoo Park; Ju Hyun Lim; Han Gwun Kim; Jong Yeon Park Journal: World J Urol Date: 2019-03-12 Impact factor: 4.226
Authors: Fábio Hissachi Tsuji; Renato Caretta Chambó; Aparecido Donizeti Agostinho; José Carlos Souza Trindade Filho; Carlos Márcio Nóbrega de Jesus Journal: Korean J Urol Date: 2014-02-14