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Original Research

Comparison of the caudal block anesthesia and ıntrarectal gel anesthesia for transrectal prostate biopsy in patients with anorectal disorders


Dumlupınar Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı


DOI :
New J Urol. 2013; 8 (1): 45-49

Abstract

Objective: We compared the analgesic ef-ficacy of the caudal block anesthesia and intra-rectal gel anesthesia for TRUS-guided prostate biopsy in patients with anorectal disorders.

Materials and Methods: A total of 100 pa-tients which had anorectal disorders undergo-ing biopsy were entered into this study. 15 ml of lidocaine (1% lidocaine) was into the cau-dal space in caudal group (first 50 patients) and 15 cc 2% lidocaine gel were applied intra-rectally in intrarectal gel group (last 50 pati-ents) 10 minutes before the prostate biopsy. A self-administration visual analogue scale (VAS) was used to assess the pain score during anest-hesia, during probe insertion and during pros-tate biopsy.

Results: The mean VAS score during the probe insertion and during the prostate biop-sies is lower in group 1 than group 2, (p<0.05). The mean VAS score during the anesthesia, pro-be insertion and prostate biopsy in group 1 and in group 2 are (2.72±1.29 (1-5) vs 1.46±0.67 (1-3), p<0.05), (2.00±1.03 (0-4) vs 2.50±0.64 (2-4), p<0.05), and (2.02±0.93 (1-4) vs 3.60±0.83 (3-6), p<0.05), respectively. 

Conclusions: Caudal block anesthesia is superior to reduce pain intrarectal gel applica-tion in probe insertion and prostate biopsy in patients with anorectal disorders undergoing TRUS-guided prostate biopsy.

Key Words: Caudal block, intrarectal gel, prostate biopsy, visual analog scale.


Abstract

Objective: We compared the analgesic ef-ficacy of the caudal block anesthesia and intra-rectal gel anesthesia for TRUS-guided prostate biopsy in patients with anorectal disorders.

Materials and Methods: A total of 100 pa-tients which had anorectal disorders undergo-ing biopsy were entered into this study. 15 ml of lidocaine (1% lidocaine) was into the cau-dal space in caudal group (first 50 patients) and 15 cc 2% lidocaine gel were applied intra-rectally in intrarectal gel group (last 50 pati-ents) 10 minutes before the prostate biopsy. A self-administration visual analogue scale (VAS) was used to assess the pain score during anest-hesia, during probe insertion and during pros-tate biopsy.

Results: The mean VAS score during the probe insertion and during the prostate biop-sies is lower in group 1 than group 2, (p<0.05). The mean VAS score during the anesthesia, pro-be insertion and prostate biopsy in group 1 and in group 2 are (2.72±1.29 (1-5) vs 1.46±0.67 (1-3), p<0.05), (2.00±1.03 (0-4) vs 2.50±0.64 (2-4), p<0.05), and (2.02±0.93 (1-4) vs 3.60±0.83 (3-6), p<0.05), respectively. 

Conclusions: Caudal block anesthesia is superior to reduce pain intrarectal gel applica-tion in probe insertion and prostate biopsy in patients with anorectal disorders undergoing TRUS-guided prostate biopsy.

Key Words: Caudal block, intrarectal gel, prostate biopsy, visual analog scale.

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