Your browser doesn't support javascript.
loading
Apical peri-prostatic nerve block versus intra-rectal xylocaine gel for trans- rectal ultrasound guided prostate biopsy among Nigerian patients: A prospective randomized study.
Ezenwa, E V; Osaghae, S O; Ozah, E O; Okparanta, G.
Afiliação
  • Ezenwa EV; Department of Surgery, Urology Unit, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria.
  • Osaghae SO; Department of Surgery, Urology Unit, University of Benin Teaching Hospital; Department of Surgery, College of Medicine, University of Benin, Benin City, Edo State, Nigeria.
  • Ozah EO; Department of Surgery, Urology Unit, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria.
  • Okparanta G; Department of Surgery, College of Medicine, University of Benin, Benin City, Edo State, Nigeria.
Niger J Clin Pract ; 23(9): 1183-1187, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32913154
ABSTRACT

Aims:

This study compared the analgesic effect of apical peri-prostatic block with that of intra-rectal xylocaine gel for trans-rectal ultrasound guided prostate biopsy (TRUS-PBx) in Nigeria.

Methods:

This is a prospective randomized comparative study carried out over one year in University of Benin Teaching Hospital, Edo State, Nigeria. The participants were randomized into two groups; Group A had 10 mls of intra-rectal xylocaine gel instillation while Group B had apical infiltration of 10 mls of 1% xylocaine all before TRUS-PBx.

Result:

There was a statistically significant difference in the mean pain score during and one hour after TRUS-PBx between Group A and Group B of the study population respectively (p < 0.0001). Those that had intra-rectal xylocaine gel (Group A) had more pain during and after biopsy. There was no difference in the mean pain score during probe insertion between the two groups (p = 0.952).

Conclusion:

This study demonstrated the superiority of apical peri-prostatic nerve block over intra rectal xylocaine gel instillation during TRUS-PBx with respect to its anesthetic efficacy. Therefore, centers providing TRUS-PBx in Nigeria should consider apical peri-prostatic nerve block as their mode of anesthesia for the procedure due to its efficacy and high safety profile.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Dor / Próstata / Neoplasias da Próstata / Biópsia por Agulha / Biópsia Guiada por Imagem / Lidocaína / Bloqueio Nervoso Tipo de estudo: Ensaio clínico controlado / Estudo de etiologia / Estudo observacional Limite: Idoso / Humanos / Masculino / Meia-Idade País/Região como assunto: África Idioma: Inglês Revista: Niger J Clin Pract Assunto da revista: Medicina Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Nigéria

Similares

MEDLINE

...
LILACS

LIS

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Dor / Próstata / Neoplasias da Próstata / Biópsia por Agulha / Biópsia Guiada por Imagem / Lidocaína / Bloqueio Nervoso Tipo de estudo: Ensaio clínico controlado / Estudo de etiologia / Estudo observacional Limite: Idoso / Humanos / Masculino / Meia-Idade País/Região como assunto: África Idioma: Inglês Revista: Niger J Clin Pract Assunto da revista: Medicina Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Nigéria