166 Local Anaesthesia for Prostate Biopsy by Periprotatic Infiltration: Lidocaine Versus Bupivacaine: A Prospective, Randomized, Double Blind Placebo-Controlled Study

Dridi, Moez; Larbi, Hamedoun; Ghorbel, J.; Khouni, H.; Ghozzi, Samir; Raïs, N. Ben

doi:10.1016/s1569-9056(10)60170-4

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study which evaluated the firsthour pain following a prostate biopsy procedure, Yurdakul et al (15) compared the combination of two long-acting agents, bupivacaine and ropivacaine, with lidocaine gel and found that they decreased the pain effectively, even though either method was not superior. Dridi et al (25) compared patients who received short-acting lidocaine, long-acting bupivacaine or placebo, and they found that in bupivacaine-administered patients, pain scores were lower in the 1 st , 2 nd and 3 rd hours, compared to both placebo and lidocaine groups. In our study, it was seen that the only agent that decreased the first-hour pain significantly compared to control group was levobupivacaine (Table 4).…”

Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Comparison of Effects of Three Different Agents Used for Local Anesthesia in Transrectal Ultrasound-Guided Prostate Biopsy

Avcı¹,

Öner²,

Çağlayan³

et al. 2018

jus

View full text Add to dashboard Cite

Objective: To evaluate the effects of three different local anesthetic agents in patients who underwent Transrectal ultrasoun guided prostate needle biopsy. Materials and Methods: One hundred and sixty patients who were admitted to our clinic between January 2012 and May 2012 for prostate biopsy were divided into 4 groups: no anesthesia-administered group (group 1), lidocaine-administered group (group 2), levobupivacaine-administered group (group 3) and bupivacaine-administered group (group 4). Pain intensity was evaluated in each group using the visual analog scale (VAS): during administration of local anesthetic (VAS 1), during the biopsy (VAS 2), just after the biopsy (VAS 3) and one hour after the biopsy (VAS 4). Results: There was not any significant difference among the groups in terms of VAS 1 (p=0.152). Pain scores were significantly lower during biopsy (VAS 2) in groups 1, 2 and 3 compared to that in group 1 (p=0.001, p=0.005 and p=0.007, respectively). VAS 3 scores were significantly lower in group 2 and group 3 compared to group 1 while no difference was found in group 4 (p=0.003, p=0.032, and p=0.136, respectively). VAS 4 scores were significantly lower only in group 3 compared to group 1 (p=0.001). Conclusions: It was observed that all the three local anesthetics effectively diminished pain during prostate biopsy. However, we found that levobupivacaine, which improved pain scores in all steps of pain evaluation compared to the control group, was relatively superior for pain management in the transrectal biopsy setting.

show abstract

Section: Discussionmentioning

confidence: 99%