Use of xylocaine spray 10% reduces pain associated with Transrectal Prostatic Biopsy (prospective study)
Keywords:
Xylocaine spray, TRUS biopsy prostateAbstract
Introduction: When a prostate biopsy is taken many patients experience pain. Local anesthesia at rectal mucosa might reduce pain during transrectal ultrasonography (TRUS)-guided biopsy prostate.
Objective: To examine the efficacy of short acting agent xylocaine spray 10% (10 mg/dose) during transrectal ultrasonography (TRUS)-guided biopsy prostate, as the local anaesthesia has been shown to significantly alleviate the pain of this procedure.
Patients and methods: Sixty patients were randomized to receive a local anaesthesia with xylocaine spray 10% or no local anaesthesia. Two minutes before biopsy 10 doses (100 mg) of the anaesthesia were given via transrectal above anal sphincter 2 cm to the base of prostate gland. After taking a 12-cores biopsy the patient were given a visual analogue scale (VAS; 0-10) to assess their pain during the procedure.
Results: The mean VAS scores were 4 in the xylocaine spray group and 7 in the no local anaesthe- sia group (P<0.001).
References
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