Site of local anaesthesia in transrectal ultrasonography-guided 12-core prostate biopsy: does it make a difference?
Author(s): Philip J, McCabe JE, Roy SD, Samsudin A, Campbell IM, Javle P Affiliation(s): Department of Urology, Leighton Hospital, Crewe, UK. indianajoe@gmail.com Publication date & source: 2006-02, BJU Int., 97(2):263-5. Publication type: Randomized Controlled Trial OBJECTIVE: To prospectively compare the efficacy of bi-basal vs bi-apical periprostatic nerve block (PPNB) during 12-core prostate biopsy guided by transrectal ultrasonography (TRUS), and to evaluate the pain experienced on inserting the probe compared to the biopsy procedure, as PPNB with lignocaine local anaesthesia has been used for over a decade for minimizing pain during prostatic biopsy. PATIENTS AND METHODS: In all, 143 men who were to have a TRUS-guided prostate biopsy were systematically randomized to two groups, to receive PPNB at the apex or base. A 10-cm visual analogue score was used to record the pain experienced during probe insertion, the biopsy and just before to leaving the department . RESULTS: The mean
