title: Transrectal ultrasound guided multi-core prostate biopsy: pain control: results of 106 patients.
abstract: OBJECTIVE
  To determine the efficacy of periprostatic nerve block (PPNB) for control of transrectal ultrasound (TRUS)-guided multicore prostate biopsy-related pain.
  
  
  METHODS
  A total of 106 cases with suspicion of prostate cancer underwent TRUS-guided multicore prostate biopsy under local anesthesia using a total of 10 ml of 1% lidocaine for each patient. Lidocaine was injected around the neurovascular bundle at the base of the prostate just lateral to the seminal vesicle-prostate junction. The pain score was assessed using visual analog pain score from 0 to 10. All patients were questioned for whether they would accept repeat biopsy or not, if necessary.
  
  
  RESULTS
  Pain score ranged from 0 to 5 (mean: 1.4). Thirty-five percent (37/106) of patients reported a score of 0, whereas 17% (18/106), 32% (34/106), 8.4% (9/106), 6.7% (7/106), 0.9% (1/106) reported pain scores of 1, 2, 3, 4, and 5, respectively. There were no pain scores of 6-10. Answers for the question "would you accept repeat biopsy or not, if necessary?" was "yes" for 82% (87/106) of the patients.
  
  
  CONCLUSIONS
  PPNB prior to multi-core TRUS-guided prostate biopsy is an easy, safe, and effective technique for the control of procedure-related pain.
authors.affiliation: Medical Faculty, Gevher Nesibe Hospital, Department of Radiology, Erciyes University, 38039, Kayseri, Turkey.
authors.forename: Guven
authors.initials: G
authors.lastname: Kahriman
authors.forename: Halil
authors.initials: H
authors.lastname: Donmez
authors.forename: Ertugrul
authors.initials: E
authors.lastname: Mavili
authors.forename: Nevzat
authors.initials: N
authors.lastname: Ozcan
authors.forename: Serpil Postgil
authors.initials: SP
authors.lastname: Yilmaz
authors.forename: Bekir
authors.initials: B
authors.lastname: Kenan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000779:Anesthetics, Local; D001707:Biopsy, Needle / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008012:Lidocaine; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010146:Pain / Q000209:etiology / Q000517:prevention & control*; D010147:Pain Measurement; D017060:Patient Satisfaction; D011467:Prostate / Q000000981:diagnostic imaging* / Q000473:pathology*; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D014463:Ultrasonography
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine