Author/Authors :
Hizli، Fatih نويسنده Departments of Urology Oncology Training and Re- search Hospital , Ankara, Turkey , , Argun، Guldeniz نويسنده Department of Anesthesiology, Oncology Training and Research Hospital, Ankara, Turkey , , Ozkul، Fatih نويسنده Department of Urology, Oncology Training and Research Hospital, Ankara, Turkey , , Guven، Oguz نويسنده Department of Urology, Oncology Training and Research Hospital, Ankara, Turkey , , Arik، Ali Ihsan نويسنده Department of Urology, Oncology Training and Research Hospital, Ankara, Turkey , , Basay، Sinan نويسنده Department of Urology, Oncology Training and Research Hospital, Ankara, Turkey , , Kosus، Aydin نويسنده Department of Obstetrics and Gynecology, Faculty of Medicine, Turgut Ozal University, Ankara, Turkey , , Gunaydin، Halil نويسنده Department of Urology, Oncology Training and Research Hospital, Ankara, Turkey. , , Basar، Halil نويسنده Departments of Urology Oncology Training and Re- search Hospital , Ankara, Turkey ,
Abstract :
Purpose: To investigate the efficacy of a novel anesthetic technique called iliohypogastric nerve block (INB) for pain control in patients undergoing prostate biopsy.
Materials and Methods: A total of 59 consecutive patients who underwent transrectal ultrasound guided prostates biopsies were included in the study. Patients were randomized into four groups: (1) control, no method of anesthesia
was administered, (2) intrarectal prilocaine-lidocaine cream application, (3) INB and (4) INB + intrarectal prilocaine-lidocaine cream application (combined group). Patients were asked to use a scale of 0-10 in a Visual Analogue Scale (VAS) questionnaire about pain during probe insertion (VAS 1) and prostate biopsy (VAS 2).
Results: The mean VAS 1 and VAS 2 scores were 0.7 and 4.9 for controls, 0.5 and 1.8 for INB, 0.5 and 2.6 for the intrarectal cream group, and 0.4 and 1.8 for the combined group. The mean VAS 1 scores were not different between groups. However,
the mean VAS 2 scores were significantly lower in INB, prilocaine-lidocaine cream and combined groups compared to the control group (P < .001). In addition, the INB group had significantly lower VAS 2 scores compared to the cream application group (P = .03). On the other hand, there was no difference between the INB and combined groups (P = .8).
Conclusion: Any form of anesthesia was superior to none. However, INB alone seemed to be superior to prilocaine-lidocaine
cream application in patients undergoing prostate biopsy. Addition of prilocaine-lidocaine cream application to INB may not provide better analgesia.
