Journal: | International braz j urol |
Database: | PERIÓDICA |
System number: | 000296554 |
ISSN: | 1677-5538 |
Authors: | Antunes, Alberto A1 Calado, Adriano A Lima, Marcelo C Falcao, Evandro |
Institutions: | 1Hospital Getulio Vargas, Servico de Urologia, Recife, Pernambuco. Brasil |
Year: | 2004 |
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 |
Full text: | Texto completo (Ver HTML) |