title: Pain during transrectal ultrasound-guided prostate biopsy and the role of periprostatic nerve block: what radiologists should know.
abstract: Early prostate cancers are best detected with transrectal ultrasound (TRUS)-guided core biopsy of the prostate. Due to increased longevity and improved prostate cancer screening, more men are now subjected to TRUS-guided biopsy. To improve the detection rate of early prostate cancer, the current trend is to increase the number of cores obtained. The significant pain associated with the biopsy procedure is usually neglected in clinical practice. Although it is currently underutilized, the periprostatic nerve block is an effective technique to mitigate pain associated with prostate biopsy. This article reviews contemporary issues pertaining to pain during prostate biopsy and discusses the practical aspects of periprostatic nerve block.
authors.affiliation: Department of Oncologic Imaging, National Cancer Centre, Singapore 169610.
authors.forename: Babar
authors.initials: B
authors.lastname: Nazir
mesh_terms: D001707:Biopsy, Needle; D006801:Humans; D008012:Lidocaine; D008297:Male; D009407:Nerve Block; D010147:Pain Measurement; D011467:Prostate / Q000033:anatomy & histology / Q000000981:diagnostic imaging / Q000601:surgery*; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D014463:Ultrasonography; D036761:Ultrasound, High-Intensity Focused, Transrectal
chemical_list: D008012:Lidocaine
keywords: Periprostatic nerve block; Prostate cancer; Transrectal ultrasound; Transrectal ultrasound guided prostate biopsy