Article ; Online: Pain related and overall morbidity with TRUS guided prostate biopsy--a prospective study.
International braz j urol : official journal of the Brazilian Society of Urology
2013 Volume 39, Issue 5, Page(s) 671–674
Abstract: Objective: To assess analgesia requirement after trans-rectal ultrasound guided prostate biopsy(TRUSBx) for appropriate counselling.: Materials and methods: Prospectively, successive patients undergoing TRUSBx between July 2009 and November 2011 were ...
| Abstract | Objective: To assess analgesia requirement after trans-rectal ultrasound guided prostate biopsy(TRUSBx) for appropriate counselling. Materials and methods: Prospectively, successive patients undergoing TRUSBx between July 2009 and November 2011 were given questionnaires prior to procedure. Standard 12-core TRUSBx under peri-prostatic block (10 mL of 1% lidocaine) and antibiotic prophylaxis (oral ciprofloxacin, intravenous gentamicin and metronidazole suppository) were performed. Pain perception was assessed using a Visual Analogue Score (VAS). Results: Mean (range) age of the 405 patients was 67.3 years (48-88). Mean VAS during the procedure was 2.93 and 2.20 on reaching home. Mean maximum VAS for the cohort on day 1 and day 2 were 1.27 and 0.7 respectively. 140 (35%) were independent with some or minimal discomfort. 14 patients required assistance for some of their basic daily needs. 9 patients (2.2%) were hospitalised due to sepsis. 131 patients (32.4%) required additional oral analgesia following TRUSBx on days 0, 1 and 2. These patients were generally younger with a mean age for this group of 63.6 years (46-88). The difference in the mean age between those self-medicating and not was not statistically significant (p > 0.005). This group had mean VAS during the procedure of 4 and when patients reached home was 3.5. Mean maximum VAS on day 1 and 2 was 2.1 and 1.3 respectively. 11 patients required assistance from another adult. Conclusion: A third of patients required self-medicated analgesia post-procedure. Age alone cannot be used as a criterion to identify patients who will subsequently require analgesia post-procedure, but a higher VAS during the procedure may be indicative. These patients must be counselled appropriately. |
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| MeSH term(s) | Age Factors ; Aged ; Aged, 80 and over ; Analgesia/methods ; Anesthetics, Local/therapeutic use ; Humans ; Image-Guided Biopsy/methods ; Male ; Middle Aged ; Pain/drug therapy ; Pain Measurement ; Pain, Postoperative ; Prospective Studies ; Prostate/diagnostic imaging ; Prostate/pathology ; Prostatic Neoplasms/diagnostic imaging ; Prostatic Neoplasms/pathology ; Surveys and Questionnaires ; Time Factors ; Ultrasonography, Interventional/methods ; Visual Analog Scale | |||||
| Chemical Substances | Anesthetics, Local | |||||
| Language | English | |||||
| Publishing date | 2013-09 | |||||
| Publishing country | Brazil | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 2206649-4 | |||||
| ISSN | 1677-6119 ; 1677-5538 | |||||
| ISSN (online) | 1677-6119 | |||||
| ISSN | 1677-5538 | |||||
| DOI | 10.1590/S1677-5538.IBJU.2013.05.09 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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