What should be done to minimize pain without any sexual function deterioration in transrectal prostate biopsy?

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dc.contributor.authorSonmez, Mehmet Giray
dc.contributor.authorKozanhan, Betul
dc.contributor.authorDemirelli, Erhan
dc.contributor.authorSonmez, Leyla Ozturk
dc.contributor.authorKara, Cengiz
dc.date.accessioned2024-02-23T14:41:21Z
dc.date.available2024-02-23T14:41:21Z
dc.date.issued2017
dc.departmentNEÜen_US
dc.description.abstractIntroduction The aim of this study was to find an ideal method for the application of a transrectal ultrasound-guided prostate biopsy (TRUS-Bx) without deteriorating patient comfort. Material and methods TRUS-Bx was applied in a total of 93 patients. Taking the application method into consideration, these patients were divided into three groups, each consisting of 31 patients. Methods applied for pain control in the different groups were compared (groups 1, 2 and 3). Age, prostate specific antigen (PSA), prostate volume, cancer detection rate, re-biopsy consent ratio, complication rates, visual analog scale (VAS), and International Index of Erectile Function (IIEF-5) scores were compared among the groups. Results Age, PSA, prostate volume, cancer detection rate, and fever complication rate were not statistically different between the three groups. However, a statistically significant difference was detected among the groups for the VAS measured during and after TRUS-Bx, re-biopsy consent ratio, and hematuria (p < 0.001, p < 0.001, p < 0.001, and p = 0.027, respectively). There was no detected difference in pre-operation IIEF-5 scores, but the difference in IIEF-5 scores in the first month after the operation was significant (p = 0.116, p = 0.024, respectively). Conclusions Anal dilatation after the application of intrarectal topical anesthetic to provide anesthesia during TRUS-Bx and giving lidocaine hydrochloride with epinephrine for periprostatic nerve blockage (PNB) is a successful and effective method to maintain patient comfort, especially as it relates to pain control and sexual function. Anal dilatation seems to minimize any pain that may occur due to probe transition, and adding epinephrine as a vasopressor to the anesthetic agent chosen during the operation will be rather helpful for hemostasis control and pain that results from the needle.en_US
dc.identifier.doi10.5173/ceju.2017.1442
dc.identifier.endpage377en_US
dc.identifier.issn2080-4806
dc.identifier.issn2080-4873
dc.identifier.issue4en_US
dc.identifier.pmid29410888en_US
dc.identifier.scopus2-s2.0-85090660767en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage372en_US
dc.identifier.urihttps://doi.org/10.5173/ceju.2017.1442
dc.identifier.urihttps://hdl.handle.net/20.500.12452/16818
dc.identifier.volume70en_US
dc.identifier.wosWOS:000418412900007en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherPolish Urological Assocen_US
dc.relation.ispartofCentral European Journal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectTransrectal Ultrasound Guided Prostate Biopsyen_US
dc.subjectPainen_US
dc.subjectSexual Functionsen_US
dc.subjectLocal Anestheticen_US
dc.subjectProstate Canceren_US
dc.titleWhat should be done to minimize pain without any sexual function deterioration in transrectal prostate biopsy?en_US
dc.typeArticleen_US

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