Comparison of the Efficacy of Local Anesthesia Methods and Caudal Regional Anesthesia in Prostate Biopsy Applied Under Transrectal Ultrasonography: A Randomized Controlled Study.

Özden, Cüneyt; Kızılkan, Yalçın; Camgöz, Süleyman; Başkan, Semih; Gökkaya, Cevdet Serkan; PAŞALI, Şahin

doi:10.22037/uj.v16i7.5503

Comparison of the Efficacy of Local Anesthesia Methods and Caudal Regional Anesthesia in Prostate Biopsy Applied Under Transrectal Ultrasonography: A Randomized Controlled Study.

Yazarlar
Cüneyt Özden Türkiye
Yalçın Kızılkan Türkiye
Süleyman Camgöz Türkiye
Semih Başkan Türkiye
Cevdet Serkan Gökkaya Türkiye
Dr. Öğr. Üyesi Şahin PAŞALI Kurum Bilgileri Tıp Fakültesi Cerrahi Tıp Bilimleri Üroloji Özgeçmiş Sayfası İletişim Bilgileri: Kastamonu Üniversitesi, Türkiye

Özet

To evaluate the efficacy of caudal regional anesthesia and local anesthesia methods in prostate biopsy applied under transrectal ultrasonography. Matherials and Methods: This prospective study included a total of 160 patients randomly separated into 4 equal groups as intrarectal local anesthesia (IRLA), periprostatic local anesthesia (PPLA), combined local anesthesia (IRLA+PPLA), and caudal regional anesthesia (CRA). The patients were evaluated using the pain scores on a visual analog scale. The pain score during anesthesia induction was significantly higher in the CRA group than in the IRLA and IRLA+PPLA groups (p<0.001). The pain score during entry of the probe to the rectum and movement was significantly lower in the CRA group than the IRLA groups (p=0.014). The pain score on penetration of the needle to the prostate and at 30 mins after the biopsy was significantly higher in the IRLA group (p<0.001). At 2 hours after the biopsy, the pain score in the CRA group was significantly lower than IRLA groups (p=0.015). The PPLA alone can be applied more quickly than CRA, causes less pain during the application, and has similar efficacy in reducing pain during and after the prostate biopsy procedure.

Anahtar Kelimeler

caudal regional anesthesia | pain | prostate biopsy | prostate cancer | periprostatic local anesthesia

Makale Türü	Özgün Makale
Makale Alt Türü	SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı	UROLOGY JOURNAL
Dergi ISSN	1735-1308
Dergi Tarandığı Indeksler	SCI-Expanded
Makale Dili	Türkçe
Basım Tarihi	11-2020
Cilt No	17
Sayı	6
Sayfalar	597 / 601
Doi Numarası	10.22037/uj.v16i7.5503
Makale Linki	https://journals.sbmu.ac.ir/urolj/index.php/uj/article/view/5503/1776

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Atıf Sayıları
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Comparison of the Efficacy of Local Anesthesia Methods and Caudal Regional Anesthesia in Prostate Biopsy Applied Under Transrectal Ultrasonography: A Randomized Controlled Study.

Akademisyenler > Şahin PAŞALI > Yayın Detayı

Comparison of the Efficacy of Local Anesthesia Methods and Caudal Regional Anesthesia in Prostate Biopsy Applied Under Transrectal Ultrasonography: A Randomized Controlled Study.

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