title: Pain scores and early complications of transrectal ultrasonography-guided prostate biopsy: effect of patient position.
abstract: BACKGROUND
  The aim of the study was to evaluate the pain scores and complications of transrectal ultrasonography (TRUS)-guided prostate biopsy and to compare lithotomy position (LP) versus left lateral decubitis position (LLDP).
  
  
  METHODS
  A total of 340 patients were referred for TRUS-guided biopsy. In group 1 (n = 170), biopsies were performed in LP (n = 170), and in group 2 (n = 170) biopsies were performed in LLDP (n = 170). In 68 patients, biopsies were repeated. We constituted two additional groups: in group 3 (n = 33) patients underwent biopsies in LP and LLDP, respectively, and in group 4 (n = 35) patients underwent biopsies in LLDP and LP, respectively. Pain score, infection rates, hematospermia, hematuria, rectal bleeding, and serious complications were compared between group 1 and group 2. Pain scores were compared between the four groups.
  
  
  RESULTS
  There were no differences between group 1 and group 2 for age, prostate volume, prostate-specific antigen level, biopsy time, hematuria, infection, hematospermia, and rectal bleeding. Pain scores were lower in group 2 than in group 1. Also, for LLDP, pain scores were lower in group 3 and group 4.
  
  
  CONCLUSIONS
  The effect of position on pain scores in TRUS biopsy patients has not been previously described. Our study indicates that pain scale values are lower in LLDP than in LP.
authors.affiliation: Department of Urology, Gulhane Military Medical Academy, School of Medicine, Ankara, Turkey.
authors.forename: Mete
authors.initials: M
authors.lastname: Kilciler
authors.forename: Erkan
authors.initials: E
authors.lastname: Demir
authors.forename: Selahattin
authors.initials: S
authors.lastname: Bedir
authors.forename: Koray
authors.initials: K
authors.lastname: Erten
authors.forename: Cenk
authors.initials: C
authors.lastname: Kilic
authors.forename: Ahmet Fuat
authors.initials: AF
authors.lastname: Peker
mesh_terms: D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects* / Q000379:methods; D005500:Follow-Up Studies; D006417:Hematuria / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology* / Q000503:physiopathology; D010147:Pain Measurement; D011187:Posture; D011336:Probability; D011446:Prospective Studies; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D012016:Reference Values; D018570:Risk Assessment; D013997:Time Factors; D014463:Ultrasonography; D036761:Ultrasound, High-Intensity Focused, Transrectal / Q000009:adverse effects* / Q000379:methods