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Comparison of Two Local Anesthesia Injection Methods During a Transrectal Ultrasonography-guided Prostate Biopsy

Other Titles
 경직장 초음파 검사를 통한 전립선 조직 검사 시 마취제 주사 방법의 비교 
 Song-Ee Baek  ;  Young Taik Oh  ;  Jang Hwan Kim  ;  Koon Ho Rha  ;  Sung Joon Hong  ;  Seung Choul Yang 
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지), Vol.29(3) : 165-169, 2010 
Journal Title
 Journal of the Korean Society of Medical Ultrasound (대한초음파의학회지) 
Issue Date
Prostate ; Biopsy ; Ultrasonography ; Local anesthesia ; Nerve block
PURPOSE: To compare the effectiveness of 2 injection methods of lidocaine during a transrectal ultrasound (TRUS)-guided prostate biopsy for pain control and complication rates. MATERIALS AND METHODS: We retrospectively evaluated patients who underwent a TRUS-guided prostate biopsy from March 2005 to March 2006. One hundred patients were categorized into two groups based on injection method. For group 1, 10 mL of 1% lidocaine was injected bilaterally at the junction of the seminal vesicle and prostate and for group 2, into Denonvilliers' fascia. Pain scores using a visual analog scale (VAS) as well as immediate and delayed complication rates were evaluated. RESULTS: The mean VAS score showed no significant differences between the groups (group 1, 3.4+/-1.78; group 2, 2.8+/-1.3; p = 0.062). The difference in delayed complication rates and incidence of hematuria, hemospermia, and blood via the rectum was not significant between groups. However, two patients in group 1 complained of symptoms immediately after local anesthesia; one of tinnitus and the other of mild dizziness. CONCLUSION: There were no significant differences between pain control and complication rates between the 2 lidocaine injection methods. However, injection into Denonvilliers' fascia is thought to have less potential risk.
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1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jang Hwan(김장환) ORCID logo https://orcid.org/0000-0002-9056-7072
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Baek, Song Ee(백송이) ORCID logo https://orcid.org/0000-0001-8146-2570
Yang, Seung Choul(양승철)
Oh, Young Taik(오영택) ORCID logo https://orcid.org/0000-0002-4438-8890
Hong, Sung Joon(홍성준) ORCID logo https://orcid.org/0000-0001-9869-065X
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