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Periprostatic local anesthesia before ultrasound guided prostate biopsy
1Department of Urology, University of Miami School of Medicine, Florida, USA.
The Journal of Urology
|December 22, 1999
Summary
Periprostatic local anesthesia significantly reduces pain during prostate biopsies. This simple nerve block procedure is safe and highly recommended for all urologists to improve patient comfort during biopsies.
Area of Science:
- Urology
- Anesthesiology
- Oncology
Background:
- Transrectal ultrasound-guided prostate biopsy is a common procedure.
- Patient discomfort and pain are frequently reported during prostate biopsies.
- Current practices often lack adequate pain management strategies for this procedure.
Purpose of the Study:
- To evaluate the safety and effectiveness of periprostatic local anesthesia before prostate biopsy.
- To assess the impact of local anesthesia on patient morbidity and discomfort during the procedure.
Main Methods:
- A prospective study involving 50 consecutive patients undergoing prostate biopsy.
- Administration of local anesthesia into the periprostatic neurovascular plexus prior to biopsy.
- Transrectal ultrasound guidance was used for both anesthesia delivery and biopsy.
Main Results:
- No morbidity was observed following the administration of periprostatic local anesthesia.
- Only one patient reported discomfort during the biopsy procedure after anesthesia.
- Patients who had previously undergone biopsies without anesthesia reported a significant improvement in comfort.
Conclusions:
- Periprostatic local anesthesia is a safe and effective method to reduce pain during prostate biopsies.
- The procedure dramatically decreases patient discomfort, with high patient satisfaction.
- Urologists are encouraged to adopt periprostatic nerve blocks as a standard practice for prostate biopsies.