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ISSN 1561-3186 (Electronic)

2019, Number 3

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Rev Acta Médica 2019; 20 (3)

Anesthetic infiltration in transrectal ultrasound-guided prostate biopsy

Moreno CLF, de la Cruz ÁMP, García GA, Escudero CRA, León RCA

Language: Spanish
References: 20
Page: 1-13
PDF size: 159.26 Kb.


ABSTRACT

Introduction: At present, the transrectal ultrasound-guided biopsy is the most used access route to the prostate, for both its ease of learning and its high diagnostic performance.
Objective: To assess the outcomes of anesthetic infiltration in the performance of transrectal ultrasound-guided prostate biopsy.
Methods: Descriptive, comparative, longitudinal and prospective study carried out at the Urology Service of Hermanos Ameijeiras Clinical-Surgical Hospital, from January 2016 to January 2018. The study included 152 patients who met the established criteria. Through randomization, two groups were made up: group A (n=76), whose members were anesthetized before performing the biopsy; and group B (n=76), whose members were not infiltrated by anesthesia.
Results: In group A, an average of 10.09 biopsy samples were taken, and in group B, a sample of 10.21. Of the total amount of patients studied, 124 (81.58%) presented PSA levels>10 ng/mL. Regarding prostate volume, 69.08% of the patients presented a volume>50 cm3. The results of the analog visual scale showed that group A reported an average of 1.83 and group B an average of 5.20. From group B, 25 (32.89%) reported moderate pain and 29 patients (38.16%) reported severe pain.
Conclusions: The presence and intensity of pain was greater in the group that was not infiltrated by anesthesia, which allowed us to infer that the periprostatic block is a method that decreases perception during the biopsy.


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