COMPARATIVE EVALUATION OF CURRENT METHODS OF ANESTHESIA IN PERFORMANCE OF TRANSRECTAL PROSTATE BIOPSY-Reference-Cited by-同舟云学术

COMPARATIVE EVALUATION OF CURRENT METHODS OF ANESTHESIA IN PERFORMANCE OF TRANSRECTAL PROSTATE BIOPSY

Published:2015-10-28 Issue:5 Volume:174 Page:75-78
ISSN:2686-7370
Container-title:Grekov's Bulletin of Surgery
language:
Short-container-title:VESTNIK KHIRURGII IMENI I.I.GREKOVA

Author:

Topuzov M. E.¹,Pryalukhin A. E.¹,Belogortsev I. O.¹,Zubarev V. A.¹,Vodop’Yan S. S.¹

Affiliation:

1. I. I. Mechnikov North-Western State Medical University

Abstract

Prostate biopsy guided by transrectal ultrasonography (TRUS) is largely used in prostate cancer diagnostics. This procedure is usually quite painful and fear of pain could scare patients from this important research. The aim of the study was to compare methods of anesthesia for prostate biopsy. The patients were divided into 4 groups (40 patients in each group). TRUS-guided periprostatic anesthesia with 1% solution of lidocaine (10 ml) was carried out in the first group. An intrarectal introduction of 5 g EMLA cream (lidocaine 2,5% and prilocaine 2,5%) was applied in the second group. The intrarectal introduction of 10% lidocaine spray (3 doses) was used in the third group. Placebo as ultrasonic gel was utilized for the fourth group. The authors used the 100- score linear visual analog scale (LVS 1-100) and 5-score numeric visual scale (NVS-4). Minimal scores of pain were obtained in patients using TRUS-guided periprostatic anesthesia with 1% solution of lidocaine (10 ml). This type of anesthesia didn’t lead to increase of the number of complications.

Publisher

FSBEI HE I.P. Pavlov SPbSMU MOH Russia

Subject

General Medicine

Reference18 articles.

1. Belogortsev I. O., Ramaev I. R., Pryalukhin A. E., Topuzov M. E. K voprosu ob obezbolivanii biopsii predstatel'noi zhelezy. «Ratsional'naya farmakoterapiya v urologii - 2013» // Tezisy VII Vseros. nauch.-prakt. konf. s mezhdunar. uchastiem. M., 2013. S. 37-38.

2. Bernikov A. N., Rasner P. I., Govorov A. V., Bormotin A. V. Profilakticheskaya antibakterial'naya terapiya pri transrektal'noi biopsii predstatel'noi zhelezy // Farmateka. 2002. № 1. S. 59-60.

3. Glants S. (Glanz S.) Mediko-biologicheskaya statistika. Per. s angl. M.: Praktika, 1999. 459 c.

4. Govorov A. V., Bormotin A. V. Metodika mestnoi anestezii pri transrektal'noi biopsii predstatel'noi zhelezy // «Fundamental'nye nauki i progress klinicheskoi meditsiny»: Tezisy II Konferentsii molodykh uchenykh Rossii s mezhdunar. uchastiem. 2001. № 2. S. 233-234.

5. Govorov A. V., Loran O. B., Pushkar' D. Yu. Dinamika vyyavlyaemosti raka predstatel'noi zhelezy pri transrektal'noi biopsii predstatel'noi zhelezy v zavisimosti ot chisla poluchaemykh stolbikov tkani i urovnya PSA // Materialy X Rossiiskogo s\"ezda urologov. M., 2002. S. 420-421.