Effect of patient position on pain experienced during prostate biopsy

被引:7
作者
Bruyere, Franck [1 ]
d'Arcier, Benjamin Faivre [1 ]
Haringanji, Deo C. [1 ]
Boutin, Jean-Michel [1 ]
Haillot, Olivier [1 ]
Lanson, Yves [1 ]
机构
[1] Univ Hosp Tours, Dept Urol, Tours, France
关键词
biopsy; prostate; pain; posture; influence on pain;
D O I
10.1159/000100841
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives: To compare pain during prostate biopsy performed in two different positions. Methods: We carried out a prospective, randomized study to compare the pain experienced during biopsy in two different positions: lithotomy ( group 1) and lateral ( group 2). Pain was evaluated using a visual analog scale ( VAS). Results: 70 patients were randomized to the two positions for biopsy. The median number of samples taken was the same for both groups ( n = 10). The median VAS rating after biopsy was 30 in group 1 and 45 in group 2. 96.6% of the men in group 1 were prepared to undergo a repeat examination according to the same modalities, against only 86.7% in group 2. Only 14.3% of the men in group 1 would have preferred more analgesic against 37.1% in group 2. Pain after biopsy was less in group 1. The men with prostate adenocarcinoma tolerated biopsies better than the others. Conclusion: Our results suggest that the lithotomy position induced less pain and less post-biopsy hematuria than did the lateral position during prostate biopsy. Men with prostate adenocarcinoma tolerated the procedures etter. Copyright (c) 2007 S. Karger AG, Basel.
引用
收藏
页码:351 / 355
页数:5
相关论文
共 17 条
[11]   Local anesthesia for prostate biopsy by periprostatic lidocaine injection: A double-blind placebo controlled study [J].
Leibovici, D ;
Zisman, A ;
Siegel, YI ;
Sella, A ;
Kleinmann, J ;
Lindner, A .
JOURNAL OF UROLOGY, 2002, 167 (02) :563-565
[12]   Local anesthesia before transrectal ultrasound guided prostate biopsy: Comparison of 2 methods in a prospective, randomized clinical trial [J].
Mallick, S ;
Humbert, M ;
Braud, F ;
Fofana, M ;
Blanchet, P .
JOURNAL OF UROLOGY, 2004, 171 (02) :730-733
[13]   Nitrous oxide vs periprostatic nerve block with 1% lidocaine during transrectal ultrasound guided biopsy of the prostate: A prospective, randomized, controlled trial [J].
Manikandan, R ;
Srirangam, SJ ;
Brown, SCW ;
O'Reilly, PH ;
Collins, GN .
JOURNAL OF UROLOGY, 2003, 170 (05) :1881-1883
[14]   Local anesthesia during 10 core biopsy of the prostate: Comparison of 2 methods [J].
Mutaguchi, K ;
Shinohara, K ;
Matsubara, A ;
Yasumoto, H ;
Mita, K ;
Usui, T .
JOURNAL OF UROLOGY, 2005, 173 (03) :742-745
[15]   Pain and morbidity of transrectal ultrasound guided prostate biopsy: A prospective randomized trial of 6 versus 12 cores [J].
Naughton, CK ;
Ornstein, DK ;
Smith, DS ;
Catalona, WJ .
JOURNAL OF UROLOGY, 2000, 163 (01) :168-171
[16]   A single injection of lidocaine as local anesthesia for ultrasound guided needle biopsy of the prostate [J].
Taverna, G ;
Maffezzini, M ;
Benetti, A ;
Seveso, M ;
Giusti, G ;
Graziotti, P .
JOURNAL OF UROLOGY, 2002, 167 (01) :222-223
[17]   The impact of prostate biopsy on patient well-being: A prospective study of pain, anxiety and erectile dysfunction [J].
Zisman, A ;
Leibovici, D ;
Kleinmann, J ;
Siegel, YI ;
Lindner, A .
JOURNAL OF UROLOGY, 2001, 165 (02) :445-454