Biopsia prostática ecodirigida: comparación de dos métodos anestésicos

Redondo, C. Conde; Fernández, D. Alonso; Samaniego, A. Robles; González, N. Del Valle; Royo, F. Castroviejo; Marcos, Christine; Toves, Antonio Rodríguez; Oceja, José María Martínez-Sagarra

doi:10.1016/s0210-4806(06)73414-3

Cited by 5 publications

(3 citation statements)

References 22 publications

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“…[ 13 , 14 ] PNB was an effective way of anesthesia for prostate puncture, [ 15 ] which could directly infiltrate the neurovascular bundle. [ 16 ] Conde et al [ 17 ] found that bilateral PNB had better anesthetic effect than oral morphine. A meta-analysis conducted by Hergan, [ 18 ] which included 14 studies, revealed that PNB was better than local anesthesia or placebo.…”

Section: Discussionmentioning

confidence: 99%

Effect of prostate volume on the peripheral nerve block anesthesia in the prostate biopsy

Luan

Huang²,

Gu³

et al. 2016

Medicine

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Objective:The objective of this study was to evaluate the anesthetic efficacy of periprostatic nerve block (PNB) in transrectal ultrasound (TRUS)-guided biopsy on different prostate volume.Methods:A total of 568 patients received prostate biopsy in our hospital from May 2013 to September 2015 and were retrospectively studied. All patients were divided into local anesthesia group (LAG) and nerve block group (NBG). Then each group was subdivided into 4 subgroups (20–40, 40–60, 60–100, and >100 mL groups) according to different prostate volume range. Visual analogue scale (VAS) and visual numeric scale (VNS) were used to assess the patient's pain and quantify their satisfaction. The scores and complications were compared between the groups.Results:The age and serum prostate-specific antigen (PSA) level before biopsy had no significant differences at intergroup or intragroup level. The VAS scores were significantly lower in the NBG than those in the LAG in terms of prostate volume (1 (1–2) versus 2 (1–3), 2 (1–3) versus 2 (2–4), 2 (2–3) versus 3 (2–5), 4 (3–5) versus 5 (4–7), all P < 0.05). Conversely, the VNS scores were higher in the NBG (4 (3–4) versus 3.5 (3–4), 3 (3–4) versus 3 (3–3), 3 (2–4) versus 3 (2–3), 2 (2–2) versus 1 (1–2), all P < 0.05). Patients with smaller prostate volume undergoing PNB or local anesthesia experienced significantly lower pain and higher satisfaction scores than those with large prostate. Whether in PNB or local anesthesia group, patients with large prostate volume had more chance to have hematuria, hemospermia, urinary retention than smaller one except infection (P < 0.05). Those complications had no significant differences between LAG and NBG (P > 0.05).Conclusion:Compared with local anesthesia, ultrasound-guided PNB has superior analgesic effect and equal safety, but for patients with a large prostate volume, the analgesic effect is inefficient.

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Section: Discussionmentioning

confidence: 99%

Effect of prostate volume on the peripheral nerve block anesthesia in the prostate biopsy

Luan

Huang²,

Gu³

et al. 2016

Medicine

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“…Conde et al [7] in 2006 found that bilateral periprostatic nerve block is better for analgesia than oral morphine. Over the years, it has been established by various authors that periprostatic nerve block is very effective for TRUS-guided prostate biopsy.…”

Section: Discussionmentioning

confidence: 99%

Comparative Evaluation of Periprostatic Nerve Block with and without Intraprostatic Nerve Block in Transrectal Ultrasound-Guided Prostatic Needle Biopsy

et al. 2012

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PurposeControversy exists over the pain during prostate biopsy. Periprostatic nerve block is a commonly used anaesthetic technique during transrectal ultrasound (TRUS)-guided prostate biopsy. The recent trend toward increasing the number of cores has become popular. This practice further increases the need for a proper anaesthetic application. We compared the efficacy of periprostatic nerve block with or without intraprostatic nerve block.Materials and MethodsWe conducted a prospective double-blinded placebo-controlled study at our institute with 142 consecutive patients. Patients were randomly assigned into 3 groups. Group 1 received periprostatic nerve block with intraprostatic nerve block with 1% lignocaine. Group 2 patients were administered periprostatic nerve block only with 1% lignocaine. Group 3 received no anaesthesia. Patients were asked to grade their level of pain by using an 11-point linear analogue scale at the time of ultrasound probe insertion, at the time of anaesthesia, during biopsy, and 30 minutes after biopsy.ResultsThe study groups were comparable in demographic profile, prostate-specific antigen (PSA) level, and prostate size. The mean pain scores at the time of biopsy in groups 1, 2, and 3 were 2.70, 3.39, and 4.16, respectively. Group 1 recorded the minimum mean pain score of 2.70 during prostate biopsy, which was significantly lower than the scores of groups 2 and 3 (p<0.001). There were no significant differences in pain scores among the 3 groups during probe insertion, during anaesthesia, or at 30 minutes after biopsy (p>0.05).ConclusionsPeriprostatic nerve block with intraprostatic nerve block provides better pain control than does periprostatic nerve block alone in TRUS-guided prostate biopsy.

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“…In 1996, Nash et al [11] were the first to introduce PNB, and found that it can relieve the pain during transrectal ultrasound (TRUS) -guided prostate biopsy. Conde et al [12] found that the anesthesia effect of PNB was superior to oral morphine. Hergan et al [13] conducted a meta analysis of fourteen trials and found that PNB had better anesthesia effect than that of local anesthesia or placebo.…”

Section: Introductionmentioning

confidence: 99%

Pelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trial

Ding

Huang

et al. 2019

BMC Urol

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Background To evaluate the efficacy of pelvic plexus block (PPB) in relief pain during transperineal template-guided prostate biopsy (TTPB), compared with conventional periprostatic nerve block (PNB). Methods From July 2016 to August 2017, 245 patients who were performed TTPB in Clinical Medical College of Yangzhou University were recruited. The patients were randomized into three groups using a random number table. Group-1 received prostate capsule local anesthesia with 22 ml of 1% lidocaine. Group-2 additionally received PNB on the basis of Group-1. To perform PNB, 5 ml 1% lidocaine was injected into the region of prostatic neurovascular bundle situated in the angle of prostate-bladder-seminal vesicle. Group-3 received prostate capsule local anesthesia plus PPB (5 ml of 1% lidocaine injection into the pelvic plexus which located on lateral to the bilateral seminal vesicle apex). The patients’ pain and satisfaction were evaluated by visual analogue scale and visual numerical scale, respectively. Results The age, total prostate volume, PSA and the number of cores were comparable among the three groups. The visual analog scale scores of group-3 were significantly lower than group-2 during biopsy ( P = 0.003). Conversely, the visual numeric scale scores were higher in group-3 ( P = 0.039). Both the group-2 and group-3 outperformed the group-1 in alleviating pain and had a higher quantification of satisfaction. There were no significant differences in the pain scores or the satisfaction scores at 30 min after the procedure among the three groups. Conclusions The analgesic efficacy of PPB guided by Doppler ultrasound in TTPB was better than that of PNB and both were superior to no nerve block. Trial registration ChiCTR-IOR-17013533 , 01/06/2016.

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Biopsia prostática ecodirigida: comparación de dos métodos anestésicos

Abstract: The use of bilateral periprosthetic block with mepivacaine is a very effective and useful technique, well tolerated by the patient, which almost completely abolishes the pain and discomfort associated with the prostate biopsy procedure. And also allows increase the number of cores.

Cited by 5 publications

References 22 publications

Effect of prostate volume on the peripheral nerve block anesthesia in the prostate biopsy

Effect of prostate volume on the peripheral nerve block anesthesia in the prostate biopsy

Comparative Evaluation of Periprostatic Nerve Block with and without Intraprostatic Nerve Block in Transrectal Ultrasound-Guided Prostatic Needle Biopsy

Pelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trial

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