Periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy

Management of pain plays an important role during prostate biopsy. Various types of management of pain plays an important role during prostate biopsy. Various types of anaesthetic methods have been used. The present study aimed to compare the efficacy and complication rate between periprostatic lido...

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Main Authors:	Christopher CKH, Goh EH, Praveen S, Zulkifli MZ
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2011
Online Access:	http://journalarticle.ukm.my/809/ http://journalarticle.ukm.my/809/ http://journalarticle.ukm.my/809/1/40-44.pdf

id	ukm-809
recordtype	eprints
spelling	ukm-8092016-12-14T06:28:14Z http://journalarticle.ukm.my/809/ Periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy Christopher CKH, Goh EH, Praveen S, Zulkifli MZ, Management of pain plays an important role during prostate biopsy. Various types of management of pain plays an important role during prostate biopsy. Various types of anaesthetic methods have been used. The present study aimed to compare the efficacy and complication rate between periprostatic lidocaine infiltration and transrectal lidocaine gel in transrectal ultrasound guided prostate biopsy. All prostate biopsy patients were included except those with lidocaine, allergy, haemorrhagic diathesis, anticoagulation therapy, the inability to rate a visual analogue scale and inability to obtain consent. They were randomized into two groups. Group 1 received 20ml 2% transrectal lidocaine gel. Group 2 received 5ml 1% lidocaine infiltration for each periprostatic nerve block with 23-gauge spinal needle. After three minutes, prostate biopsy was performed with an 18 gauge 7-inch spring-loaded biopsy gun. Six biopsies were taken for each lobe. Pain during probe insertion, biopsy and immediately after the procedure was assessed using the Visual Analogue Scale. Any complication immediately after procedure, one day or after one week, was recorded. Mean pain score was lower after periprostatic lidocaine infiltration compared to transrectal lidocaine gel (3.1 + 1.9 versus 4.9 + 2.4, p = 0.027). There was no statistically significant difference in the complication rate. Transrectal ultrasound prostate biopsy using periprostatic lidocaine infiltration provides better anaesthesia as compared to the transrectal lidocaine gel application with no significant difference in complication. Thus, the use of periprostatic lidocaine infiltration in TRUS guided prostate biopsy is recommended. Department of Surgery, UKM Medical Centre 2011-04-04 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/809/1/40-44.pdf Christopher CKH, and Goh EH, and Praveen S, and Zulkifli MZ, (2011) Periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy. Journal of Surgical Academia, 1 (1). pp. 40-44. ISSN 2231-7481 http://jsurgacad.com/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Management of pain plays an important role during prostate biopsy. Various types of management of pain plays an important role during prostate biopsy. Various types of anaesthetic methods have been used. The present study aimed to compare the efficacy and complication rate between periprostatic lidocaine infiltration and transrectal lidocaine gel in transrectal ultrasound guided prostate biopsy. All prostate biopsy patients were included except those with lidocaine, allergy, haemorrhagic diathesis, anticoagulation therapy, the inability to rate a visual analogue scale and inability to obtain consent. They were randomized into two groups. Group 1 received 20ml 2% transrectal lidocaine gel. Group 2 received 5ml 1% lidocaine infiltration for each periprostatic nerve block with 23-gauge spinal needle. After three minutes, prostate biopsy was performed with an 18 gauge 7-inch spring-loaded biopsy gun. Six biopsies were taken for each lobe. Pain during probe insertion, biopsy and immediately after the procedure was assessed using the Visual Analogue Scale. Any complication immediately after procedure, one day or after one week, was recorded. Mean pain score was lower after periprostatic lidocaine infiltration compared to transrectal lidocaine gel (3.1 + 1.9 versus 4.9 + 2.4, p = 0.027). There was no statistically significant difference in the complication rate. Transrectal ultrasound prostate biopsy using periprostatic lidocaine infiltration provides better anaesthesia as compared to the transrectal lidocaine gel application with no significant difference in complication. Thus, the use of periprostatic lidocaine infiltration in TRUS guided prostate biopsy is recommended.
format	Article
author	Christopher CKH, Goh EH, Praveen S, Zulkifli MZ,
spellingShingle	Christopher CKH, Goh EH, Praveen S, Zulkifli MZ, Periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy
author_facet	Christopher CKH, Goh EH, Praveen S, Zulkifli MZ,
author_sort	Christopher CKH,
title	Periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy
title_short	Periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy
title_full	Periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy
title_fullStr	Periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy
title_full_unstemmed	Periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy
title_sort	periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy
publisher	Department of Surgery, UKM Medical Centre
publishDate	2011
url	http://journalarticle.ukm.my/809/ http://journalarticle.ukm.my/809/ http://journalarticle.ukm.my/809/1/40-44.pdf
first_indexed	2023-09-18T19:31:49Z
last_indexed	2023-09-18T19:31:49Z
_version_	1777405012021870592

Periprostatic lidocaine infiltration versus transrectal lidocaine gel for local anaesthesia in transrectal ultrasound guided prostate biopsy

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