Local anesthesia during transrectal ultrasonography-guided prostate biopsy: does it have any effect on sexual...

Area of Science:

• Urology
• Oncology
• Sexual Medicine

Background:

• Trans Rectal Ultra Sonographic (TRUS)-guided prostate biopsy is standard for prostate cancer diagnosis.
• This procedure can cause pain, anxiety, and temporary sexual dysfunction.
• Investigating methods to mitigate these side effects is crucial for patient well-being.

Purpose of the Study:

• To assess the effect of local anesthesia on sexual behavior after TRUS-guided prostate biopsies.
• To compare periprostatic lidocaine infiltration with standard sonographic gel application.

Main Methods:

• A randomized prospective trial involving 62 patients undergoing TRUS-guided prostate biopsy.
• Patients were divided into two groups: control (gel only) and lidocaine infiltration.
• Sexual status was assessed before, during, and after the biopsy via interviews.

Main Results:

• No significant difference in sexual dysfunction was observed between the lidocaine and control groups.
• A small percentage of patients (around 6%) experienced temporary dysfunction related to biopsy anticipation.
• Post-biopsy sexual dysfunction was minimal and resolved in most patients.

Conclusions:

• Periprostatic lidocaine infiltration does not appear to cause or prevent sexual dysfunction following prostate biopsies.
• Psychological factors play a significant role in patient sexual behavior.
• Urologists should provide clear information and reassurance to patients and their families.