Pain scores and local anesthesia for transrectal ultrasound-guided prostate biopsy in patients with anorectal pathologies
Journal of Endourology, cilt.21, sa.11, ss.1367-1369, 2007 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 11
- Basım Tarihi: 2007
- Doi Numarası: 10.1089/end.2006.0422
- Dergi Adı: Journal of Endourology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.1367-1369
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Purpose: The aim of the present randomized study was to evaluate the efficacy of lidocaine gel compared with dimethylsulfoxide (DMSO) with lidocaine for transrectal ultrasonography (TRUS)-guided prostate biopsy in patients with anorectal pathologies. Patients and Methods: Sixty-two patients were randomly divided into two equal groups. Group 1 was given 10 mL of 2% lidocaine gel intrarectally 10 minutes before the biopsy. Group 2 was given 10 mL of intrarectal 40% DMSO with an amount of lidocaine equal to that in the lidocaine gel 10 minutes before the procedure. The degree of pain was rated by patients using a 10-point visual analog scale. Results: The pain scores for probe insertion were significantly lower for group 2 (3.15 ± 1.41) than for group 1 (4.58 ± 160) (P = 0.01). No significant differences were found between the pain scores of the two groups for biopsy-needle insertion (P = 0.62). Conclusions: Dimethylsulfoxide with lidocaine instilled into the rectum is a simple, safe, rapid-acting, and effective method of anesthesia delivery before TRUS-guided prostate biopsy in patients with anorectal pathologies. © 2007 Mary Ann Liebert, Inc.