Effect of patient position on pain experienced during prostate biopsy.
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.
Bruyère
Franck
F
Urology Department, University Hospital of Tours, Tours, France. franck.bruyere@wanadoo.fr
Faivre d'Arcier
Benjamin
B
Haringanji
Deo C
DC
Boutin
Jean-Michel
JM
Haillot
Olivier
O
Lanson
Yves
Y
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*