Related Experiment Video
Updated: May 3, 2026
05:35
Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
Published on: June 6, 2025
2.6K
[The local anesthesia for the prostatic biopsies echo-guided: forward-looking randomized study comparing two methods]
S M Moudouni1, M R Zahraoui1, L Adarmouch2
1Service d'urologie du CHU Mohammed VI, Marrakech, Maroc.
Summary
Periprostatic lidocaine injections effectively reduce pain during prostate biopsies compared to intrarectal gel and oral tramadol. This anesthesia method offers better pain control post-procedure without increased complications.
Area of Science:
- Urology
- Anesthesiology
- Pain Management
Background:
- Prostate biopsies are associated with significant patient discomfort and pain.
- Effective pain management strategies are crucial for improving patient experience during this procedure.
Purpose of the Study:
- To compare the analgesic efficacy of periprostatic lidocaine injections versus intrarectal lidocaine gel combined with oral tramadol for prostate biopsies.
Main Methods:
- A randomized study involving 60 patients undergoing prostate biopsies.
- Group 1 received oral tramadol and intrarectal lidocaine gel; Group 2 received periprostatic lidocaine injections.
- Pain was assessed using a Visual Analog Scale (VAS) at three time points.
Main Results:
- No significant difference in pain scores upon probe insertion (VAS 1) between groups.
- Significantly lower pain scores were observed in the periprostatic injection group (Group 2) at the time of biopsy (VAS 2) and 20 minutes later (VAS 3).
Conclusions:
- Periprostatic anesthesia provides superior pain control during and after prostate biopsies.
- This technique is recommended for reducing pain and discomfort associated with prostate biopsies, with no observed increase in complications.
