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Saturation prostate biopsy with periprostatic block can be performed in office
J Stephen Jones1, Mehmet Oder, Craig D Zippe
1Urological Institute, Cleveland Clinic Foundation, Ohio, USA.
The Journal of Urology
|October 24, 2002
Summary
Office-based saturation prostate biopsies using local anesthesia are as successful and well-tolerated as operating room procedures. This approach avoids the extra risk, time, and cost associated with anesthesia.
Area of Science:
- Urology
- Oncology
- Surgical Procedures
Background:
- Saturation prostate biopsy in an operating room setting under anesthesia has shown higher cancer detection rates compared to office-based biopsies.
- Previous studies suggest potential benefits of saturation biopsy for improved cancer detection.
Purpose of the Study:
- To evaluate the success and tolerability of saturation prostate biopsy performed in an office setting under local anesthesia.
- To compare office-based saturation biopsy outcomes with those of operating room procedures.
Main Methods:
- 15 patients underwent a 24-core saturation prostate biopsy.
- Periprostatic local anesthesia was administered using 2% lidocaine, with 20 cc injected bilaterally under ultrasound guidance.
- Pain was assessed using a visual analog scale (VAS).
Main Results:
- All 15 patients tolerated the 24-core saturation biopsy successfully.
- Cancer was detected in 5 patients (33%), all clinical stage T1C.
- The mean VAS pain score was 0.7, with minor hematuria in 3 cases as the only complication.
Conclusions:
- Saturation prostate biopsy can be safely and effectively performed in an office setting using local anesthesia.
- This outpatient approach avoids the increased risks, time, and costs associated with operating room procedures under general anesthesia.