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Comparison of Two Local Anesthesia Injection Methods During a Transrectal Ultrasonography-guided Prostate Biopsy

Abstract

To compare the effectiveness of 2 injection methods of lidocaine during a transrectal ultrasound (TRUS)-guided prostate biopsy for pain control and complication rates. We retrospectively evaluated patients who underwent a TRUS-guided prostate biopsy from March 2005 to March 2006. One hundred patients were categorized into two groups based on injection method. For group 1, 10 mL of 1% lidocaine was injected bilaterally at the junction of the seminal vesicle and prostate and for group 2, into Denonvilliers' fascia. Pain scores using a visual analog scale (VAS) as well as immediate and delayed complication rates were evaluated. The mean VAS score showed no significant differences between the groups (group 1, 3.4{+-}1.78: group 2, 2.8{+-}1.3: p = 0.062). The difference in delayed complication rates and incidence of hematuria, hemospermia, and blood via the rectum was not significant between groups. However, two patients in group 1 complained of symptoms immediately after local anesthesia: one of tinnitus and the other of mild dizziness. There were no significant differences between pain control and complication rates between the 2 lidocaine injection methods. However, injection into Denonvilliers' fascia is thought to have less potential risk
Authors:
Baek, Song Ee; Oh, Young Taik; [1]  Kim, Jang Hwan; Rha, Koon Ho; Hong, Sung Joon; Yang, Seung Choul [2] 
  1. Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul (Korea, Republic of)
  2. Yonsei University College of Medicine, Seoul (Korea, Republic of)
Publication Date:
Sep 15, 2010
Product Type:
Journal Article
Resource Relation:
Journal Name: Journal of the Korean Society of Medical Ultrasound; Journal Volume: 29; Journal Issue: 3
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOPSY; DIAGNOSIS; INJECTION; PATIENTS; ULTRASONOGRAPHY; DIAGNOSTIC TECHNIQUES; INTAKE
OSTI ID:
21549543
Country of Origin:
Korea, Republic of
Language:
Korean
Other Identifying Numbers:
Journal ID: ISSN 1015-7085; TRN: KR1200874027649
Submitting Site:
KRN
Size:
page(s) 165-169
Announcement Date:
May 10, 2012

Citation Formats

Baek, Song Ee, Oh, Young Taik, Kim, Jang Hwan, Rha, Koon Ho, Hong, Sung Joon, and Yang, Seung Choul. Comparison of Two Local Anesthesia Injection Methods During a Transrectal Ultrasonography-guided Prostate Biopsy. Korea, Republic of: N. p., 2010. Web.
Baek, Song Ee, Oh, Young Taik, Kim, Jang Hwan, Rha, Koon Ho, Hong, Sung Joon, & Yang, Seung Choul. Comparison of Two Local Anesthesia Injection Methods During a Transrectal Ultrasonography-guided Prostate Biopsy. Korea, Republic of.
Baek, Song Ee, Oh, Young Taik, Kim, Jang Hwan, Rha, Koon Ho, Hong, Sung Joon, and Yang, Seung Choul. 2010. "Comparison of Two Local Anesthesia Injection Methods During a Transrectal Ultrasonography-guided Prostate Biopsy." Korea, Republic of.
@misc{etde_21549543,
title = {Comparison of Two Local Anesthesia Injection Methods During a Transrectal Ultrasonography-guided Prostate Biopsy}
author = {Baek, Song Ee, Oh, Young Taik, Kim, Jang Hwan, Rha, Koon Ho, Hong, Sung Joon, and Yang, Seung Choul}
abstractNote = {To compare the effectiveness of 2 injection methods of lidocaine during a transrectal ultrasound (TRUS)-guided prostate biopsy for pain control and complication rates. We retrospectively evaluated patients who underwent a TRUS-guided prostate biopsy from March 2005 to March 2006. One hundred patients were categorized into two groups based on injection method. For group 1, 10 mL of 1% lidocaine was injected bilaterally at the junction of the seminal vesicle and prostate and for group 2, into Denonvilliers' fascia. Pain scores using a visual analog scale (VAS) as well as immediate and delayed complication rates were evaluated. The mean VAS score showed no significant differences between the groups (group 1, 3.4{+-}1.78: group 2, 2.8{+-}1.3: p = 0.062). The difference in delayed complication rates and incidence of hematuria, hemospermia, and blood via the rectum was not significant between groups. However, two patients in group 1 complained of symptoms immediately after local anesthesia: one of tinnitus and the other of mild dizziness. There were no significant differences between pain control and complication rates between the 2 lidocaine injection methods. However, injection into Denonvilliers' fascia is thought to have less potential risk}
journal = []
issue = {3}
volume = {29}
place = {Korea, Republic of}
year = {2010}
month = {Sep}
}