Revista: | International braz j urol |
Base de datos: | PERIÓDICA |
Número de sistema: | 000296667 |
ISSN: | 1677-5538 |
Autores: | Vanni, Andre P1 Schaal, Carlos H Costa, Renato P Sala, Fernando C |
Instituciones: | 1Hospital Amaral Carvalho, División de Urología, Jau, Sao Paulo. Brasil |
Año: | 2004 |
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 |
Texto completo: | Texto completo (Ver HTML) |