[The local anesthesia for the prostatic biopsies echo-guided: forward-looking randomized study comparing two methods].
BACKGROUND
The realization of the prostatic biopsies is a painful act. The objective of our work was to compare the analgesic efficiency of the injection of the lidocaine at the level of periprostatics laterals and apical areas compared with the use of gel of lidocaine intrarectal associated with the taking of oral tramadol.


METHODS
Between November 2007 and December 2009, 60 patients admitted in the service of urology of the university hospital Mohammed VI of Marrakesh for prostatic biopsies were randomized in two groups. The group 1 (30 patients) received two tablets from tramadol 50mg with 10 mL of gel of lidocaine 2% intrarectal while 30 patients of the group 2 received 10 mL from lidocaine 2% injected at the level of periprostatics laterals and apicales. The pain was estimated by a visual analog scale (AVS) at the introduction of the probe of echography (AVS 1), at the time of the biopsy (AVS 2) and 20 minutes later (AVS 3).


RESULTS
There was no significant difference between both groups concerning AVS 1 means. The average score of the pain was significantly lower in the group 2 for the AVS 2 and AVS 3.


CONCLUSIONS
The periprostatics anesthesia assured a better control of the pain at the time of the prostatic biopsy and 20 minutes later, without increase of the complications. We recommend it to decrease the pain and the discomfort related to this technique.
Service d'urologie du CHU Mohammed VI, Marrakech, Maroc. Electronic address: uromoudouni@gmail.com.
S M
SM
Moudouni
Service d'urologie du CHU Mohammed VI, Marrakech, Maroc. Electronic address: redazahraoui@yahoo.fr.
M R
MR
Zahraoui
Laboratoire d'épidémiologie et de biostatistique, faculté de médecine et de pharmacie de Marrakech, université Caddi Ayad, Maroc.
L
L
Adarmouch
Service d'urologie du CHU Mohammed VI, Marrakech, Maroc.
M A
MA
Lakmichi
Service d'urologie du CHU Mohammed VI, Marrakech, Maroc.
N
N
Bentani
Service d'urologie du CHU Mohammed VI, Marrakech, Maroc.
R
R
Jarir
Service d'urologie du CHU Mohammed VI, Marrakech, Maroc.
Z
Z
Dahami
Laboratoire d'épidémiologie et de biostatistique, faculté de médecine et de pharmacie de Marrakech, université Caddi Ayad, Maroc.
M
M
Amine
Service d'urologie du CHU Mohammed VI, Marrakech, Maroc.
I
I
Sarf
D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D006801:Humans; D061705:Image-Guided Biopsy; D008012:Lidocaine / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology*; D014147:Tramadol / Q000008:administration & dosage; D018084:Ultrasonography, Interventional
D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D014147:Tramadol; D008012:Lidocaine
Anesthesia; Anesthésie; Biopsie; Biopsy; Prostate