Literature DB >> 27648052

Advantages of caudal block over intrarectal local anesthesia plus periprostatic nerve block for transrectal ultrasound guided prostate biopsy.

Na Wang1, Yaowen Fu2, Haichun Ma3, Jinguo Wang4, Yang Gao5.   

Abstract

OBJECTIVE: To compare caudal block with intrarectal local anesthesia plus periprostatic nerve block for transrectal ultrasound guided prostate biopsy.
METHODS: One hundred and ninety patients scheduled for transrectal ultrasound guided prostate biopsy were randomized equally into Group-A who received caudal block (20 ml 1.2% lidocaine) and Group-B who received intrarectal local anesthesia (0.3% oxybuprocaine cream) plus periprostatic nerve block (10 ml 1% lidocaine plus 0.5% ropivacaine) before biopsy. During and after the procedure, the patients rated the level of pain/discomfort at various time points. Complications during the whole study period and the patient overall satisfaction were also evaluated.
RESULTS: More pain and discomfort was detected during periprostatic nerve block than during caudal block. Pain and discomfort was significantly lower during prostate biopsy and during the manipulation of the probe in the rectum in Group-A than in Group-B. No significant differences were detected in the pain intensity after biopsy and side effects between the two groups.
CONCLUSIONS: Caudal block provides better anesthesia than periprostatic nerve block plus intrarectal local anesthesia for TRUS guided prostate biopsy without an increase of side effects.

Entities:  

Keywords:  Biopsy; Caudal block; Periprostatic nerve block; Prostate; Transrectal; Ultrasound

Year:  2016        PMID： 27648052      PMCID： PMC5017115          DOI： 10.12669/pjms.324.9823

Source DB:  PubMed          Journal:  Pak J Med Sci        ISSN： 1681-715X            Impact factor:   1.088


  14 in total

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2.  Caudal anaesthesia in the clinical assessment of painful anal lesions.

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3.  Patients' tolerance of transrectal ultrasound-guided prostatic biopsy: an audit of 104 cases.

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3.  Efficacy and feasibility of day surgery using transurethral seminal vesiculoscopy under caudal block anesthesia for intractable hemospermia.

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