title: Effect of patient position on pain experienced during prostate biopsy.
abstract: OBJECTIVE
  To compare pain during prostate biopsy performed in two different positions.
  
  
  METHODS
  We carried out a prospective, randomized study to compare the pain experienced during biopsy in two different positions: lithotomy (group 1) and lateral (group 2). Pain was evaluated using a visual analog scale (VAS).
  
  
  RESULTS
  70 patients were randomized to the two positions for biopsy. The median number of samples taken was the same for both groups (n = 10). The median VAS rating after biopsy was 30 in group 1 and 45 in group 2. 96.6% of the men in group 1 were prepared to undergo a repeat examination according to the same modalities, against only 86.7% in group 2. Only 14.3% of the men in group 1 would have preferred more analgesic against 37.1% in group 2. Pain after biopsy was less in group 1. The men with prostate adenocarcinoma tolerated biopsies better than the others.
  
  
  CONCLUSIONS
  Our results suggest that the lithotomy position induced less pain and less post-biopsy hematuria than did the lateral position during prostate biopsy. Men with prostate adenocarcinoma tolerated the procedures better.
authors.affiliation: Urology Department, University Hospital of Tours, Tours, France. franck.bruyere@wanadoo.fr
authors.forename: Franck
authors.initials: F
authors.lastname: Bruyère
authors.forename: Benjamin
authors.initials: B
authors.lastname: Faivre d'Arcier
authors.forename: Deo C
authors.initials: DC
authors.lastname: Haringanji
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Boutin
authors.forename: Olivier
authors.initials: O
authors.lastname: Haillot
authors.forename: Yves
authors.initials: Y
authors.lastname: Lanson
mesh_terms: D001707:Biopsy, Needle / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D011187:Posture; D011467:Prostate / Q000473:pathology*