Assessment and clinical factors associated with pain in patients undergoing transrectal prostate biopsy

Gómez‐Gómez, Enrique; Ramírez, M.; Gómez-Ferrer, Á.; Rubio‐Briones, J.; Iborra, I.; Carrasco‐Valiente, Julia; Campos, J.P.; Ruiz-García, J.; Requena-Tapia, M.J.; Solsona, E.

doi:10.1016/j.acuroe.2015.06.005

Cited by 6 publications

(3 citation statements)

References 29 publications

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“…Literature reviews also indicate that there is a controversy in the literature as to whether the level of pain during biopsy can vary according to patient age and prostate volume (21)(22)(23). In our study, we found that the mean age and the median prostate volume were similar in both groups (p=0.612, p=0.627, respectively), which is important for implicating standardization and homogeneity.…”

Section: Discussionsupporting

confidence: 54%

Comparison of pain levels in fusion prostate biopsy and standard TRUS-Guided biopsy

et al. 2020

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Objectives: Fusion prostate biopsy (FPB) has recently emerged as a popular and successful biopsy technique on diagnosis of prostate cancer. The aim of this study was to compare the pain levels in TRUS-guided standard 12-core prostate biopsy (SPB) and MpMRI-guided FPB. Materials and Methods: Patients detected with a PI-RADS (Prostate Imaging Reporting and Data System) ≥3 lesion on MpMRI underwent MpMRI-guided FPB (Group I) and the patients who had no suspected lesions or had a PI-RADS <3 lesion on MpMRI underwent TRUS-guided SPB (Group II). Pain assessment was performed using Visual Analog Scale (VAS) five minutes after the procedure. Following the procedure, the patients were asked to indicate the most painful biopsy step among the three steps. Results: 252 patients were included in this study (Group I=159, Group II=93). The mean number of cores and the malignancy detection rate were significantly higher in Group I compared to Group II (p <0.001, p=0.043, respectively). No significant difference was found between the two groups with regard to VAS scores (p=0.070). The most painful part of the whole procedure was revealed to be the insertion of the probe into the rectum. However, no significant difference was found between the two groups with regard to the most painful biopsy step (p=0.140). Conclusion: FPB, with a relatively higher cancer detection rate, leads to the same pain level as SPB although it increases the number of biopsy cores and involves a more complex procedure compared to SPB. Further prospective studies with larger patient series are needed to substantiate our findings.

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Section: Discussionsupporting

confidence: 54%

Comparison of pain levels in fusion prostate biopsy and standard TRUS-Guided biopsy

et al. 2020

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“…Since the prostatic base is broader than the apex, it can be inferred that a greater distance between the biopsy location and lidocaine injection site is associated with increased pain for the base-only PNB. Our results are consistent with those reported by previous studies that investigated the relationship between prostate volume and the efficacy of local anesthesia [15,16].…”

Section: Discussionsupporting

confidence: 93%

“…The main factors related to pain during prostate biopsy were identified as age, procedure duration, prostate volume, and lithotomy position [6,[13][14][15]. Our results confirmed that age and procedure duration are associated with pain due to TRUS-guided prostate biopsy.…”

Section: Discussionsupporting

confidence: 75%

Efficacy of additional periprostatic apex nerve block on pain in each of 12 transrectal prostate core biopsies: a retrospective study

et al. 2021

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Background We identified pain variation according to prostate biopsy sites and compared differences in pain relief according to the site of periprostatic nerve block (PNB). Methods This retrospective study collected data from 312 patients who underwent transrectal prostate biopsies between January 2019 and August 2020. Patients were stratified into two groups according to the site of local anesthesia (base vs. base and apex PNB), with each block achieved with 2.5 cm3 of 2% lidocaine. Pain scores were assessed using the visual analog scale at the following time points: probe insertion, PNB at base, PNB at apex, each of the 12 core biopsy sites, and 15 min after biopsy. The results were analyzed using a linear mixed model. Results The average pain scores were significantly higher in the base-only PNB group than were those in the base and apex PNB group (3.88 vs 2.82, p < 0.001). In the base-only PNB group, the pain scores increased from base to apex (p < 0.001), and the pain at each site also gradually increased as the biopsy proceeded (p < 0.001). In contrast, in the base and apex PNB group, there was minor change in pain scores throughout the procedure. Conclusions The pain scores varied at each site during the prostate biopsy. The provision of a base and apex PNB provided greater pain relief than does base-only PNB during prostate biopsy.

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Complications of transrectal prostate biopsy in our context. International multicenter study of 3350 patients

Teruel

Lorenzo-Gómez

Veiga

et al. 2020

Actas Urológicas Españolas (English Edition)

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Assessment and clinical factors associated with pain in patients undergoing transrectal prostate biopsy

Cited by 6 publications

References 29 publications

Comparison of pain levels in fusion prostate biopsy and standard TRUS-Guided biopsy

Comparison of pain levels in fusion prostate biopsy and standard TRUS-Guided biopsy

Efficacy of additional periprostatic apex nerve block on pain in each of 12 transrectal prostate core biopsies: a retrospective study

Complications of transrectal prostate biopsy in our context. International multicenter study of 3350 patients

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