title: Three different techniques for administering analgesia during transrectal ultrasound-guided prostate biopsy: a comparative study.
abstract: OBJECTIVE
  The efficacy of three different analgesic techniques during transrectal ultrasound (TRUS) guided prostate biopsy, including (i) periprostatic blockage (PPB), (ii) intrarectal gel instillation, and (iii) sedoanalgesia were compared.
  
  
  METHODS
  During a period of five months, 100 consecutive men were enrolled in this study. A 10-point linear visual analogue scale (VAS) was used to assess the pain scores during (VAS 1), immediately after (VAS 2) and one hour after (VAS 3) the needle biopsy procedure. The relationship between the level of pain, prostate volume, age and PSA was determined.
  
  
  RESULTS
  There were no statistically significant differences between the four groups in terms of mean age and PSA values. The pain scores were significantly lower in sedoanalgesia and PPB groups (p = 0.0001). There was no statistically significant difference between the groups in terms of complications.
  
  
  CONCLUSIONS
  In this study, it was shown that patient comfort is better and it is possible to get decreased pain scores with PPB or sedoanalgesia. However, PPB is a preferable method in TRUS-guided prostate biopsy since it is much more practical in outpatient clinics.
authors.affiliation: Department of Urology, University of Cukurova, Faculty of Medicine, Adana, Turkey. volkanizol@yahoo.com
authors.forename: Volkan
authors.initials: V
authors.lastname: Izol
authors.forename: Bulent
authors.initials: B
authors.lastname: Soyupak
authors.forename: Gulsah
authors.initials: G
authors.lastname: Seydaoglu
authors.forename: I Atilla
authors.initials: IA
authors.lastname: Aridogan
authors.forename: Zuhtu
authors.initials: Z
authors.lastname: Tansug
mesh_terms: D000284:Administration, Oral; D000285:Administration, Rectal; D000368:Aged; D000369:Aged, 80 and over; D000698:Analgesia / Q000379:methods* / Q000592:standards; D000779:Anesthetics, Local / Q000008:administration & dosage*; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D011467:Prostate / Q000000981:diagnostic imaging / Q000473:pathology*; D017430:Prostate-Specific Antigen; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D018084:Ultrasonography, Interventional
chemical_list: D000779:Anesthetics, Local; D017430:Prostate-Specific Antigen