Is the periprostatic anesthetic blockade advantageous in ultrasound-guided prostate biopsy?



Título del documento: Is the periprostatic anesthetic blockade advantageous in ultrasound-guided prostate biopsy?
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000296667
ISSN: 1677-5538
Autores: 1


Instituciones: 1Hospital Amaral Carvalho, División de Urología, Jau, Sao Paulo. Brasil
Año:
Periodo: Mar-Abr
Volumen: 30
Número: 2
Paginación: 114-118
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, analítico
Resumen en inglés OBJECTIVE: To assess the benefit of the periprostatic administration of lidocaine previously to ultrasound-guided prostate biopsy. MATERIALS AND METHODS: In the period from April to October 2002, forty patients underwent ultrasound-guided prostate biopsy due to increased PSA or abnormal digital rectal examination. A randomized double-blind study was performed, where the patients received an injection of lidocaine 2% or saline solution, in a total of 10 ml periprostatic. Immediately following the biopsy, the pain associated to the procedure was assessed, using a visual analogical scale from 0 to 10. The mean number of fragments collected per patient in the biopsies was 11.3. The statistical analysis used for assessment of pain was the Student's t, with p < 0.05 being significant. RESULTS: The groups were homogeneous concerning the anthropometrical data. In relation to pain, those patients in the groups that underwent biopsy with the use of lidocaine presented a maximum score of 6, while in the group that underwent biopsy with the use of saline solution, 4 patients presented score 7 ou 8. The mean score and standard deviation with lidocaine were 2.55 ± 2.34 (CI 95% = 1.53 to 3.57) and with saline solution were 3.75 ± 2.52 (CI 95% = 2.66 ± 4.84) with no statistical significant difference between the groups. CONCLUSION: The lidocaine injection did not show statistical difference when compared with saline solution in the periprostatic blockade during echo-guided prostate biopsy
Disciplinas: Medicina
Palabras clave: Cirugía,
Diagnóstico,
Oncología,
Neoplasias,
Próstata,
Ultrasonografía,
Biopsia,
Anestesia local
Keyword: Medicine,
Diagnosis,
Oncology,
Surgery,
Neoplasms,
Prostate,
Ultrasonography,
Biopsy,
Local anesthesia
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