Efficacy of intrarectal lidocaine hydrochloride gel for pain control in patients undergoing transrectal prostate biopsy



Document title: Efficacy of intrarectal lidocaine hydrochloride gel for pain control in patients undergoing transrectal prostate biopsy
Journal: International braz j urol
Database: PERIÓDICA
System number: 000296554
ISSN: 1677-5538
Authors: 1


Institutions: 1Hospital Getulio Vargas, Servico de Urologia, Recife, Pernambuco. Brasil
Year:
Season: Sep-Oct
Volumen: 30
Number: 5
Pages: 380-383
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico, analítico
English abstract OBJECTIVE: To determine the efficacy of intrarectal lidocaine hydrochloride gel in reducing pain in patients undergoing transrectal prostate biopsy. MATERIALS AND METHODS: During the period from June to Noviber 2002, 72 patients undergoing transrectal prostate biopsy at an outpatient service were prospectively randomized. Patients were divided into 2 groups. In group 1, 20 mL of 2% lidocaine gel were administered by intrarectal route 15 minutes before biopsy. In group 2 (placebo), 20 mL of ultrasound gel were administered under the same conditions. At the end of the procedure, patients were asked to classify the discomfort degree observed during the procedure through a verbal pain scale. Statistical analysis was performed through qui-square test. RESULTS: The majority of patients in both groups presented slight pain on the examination, and 26 patients (76.4%) from group 1, and 26 (68.3%) patients from group 2 reported slight pain or no pain at all (p > 0.05). Moderate or intense pain was felt by 23.4% of patients in group 1 and 31.5% of patients in group 2 (p > 0.05). CONCLUSIONS: We concluded that lidocaine probably exerts a minimal effect on patients’ tolerance to pain on transrectal prostate biopsy
Disciplines: Medicina
Keyword: Cirugía,
Terapéutica y rehabilitación,
Próstata,
Biopsia,
Anestesia local,
Gel,
Clorhidrato de Lidocaína
Keyword: Medicine,
Surgery,
Therapeutics and rehabilitation,
Prostate,
Biopsy,
Local anesthesia,
Gels,
Lidocaine hydrochloride
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