Format

Send to

Choose Destination
  • Showing results for a modified search because your search retrieved no results.
Prog Urol. 2014 Feb;24(2):108-13. doi: 10.1016/j.purol.2013.07.011. Epub 2013 Aug 24.

[The local anesthesia for the prostatic biopsies echo-guided: forward-looking randomized study comparing two methods].

[Article in French]

Author information

1
Service d'urologie du CHU Mohammed VI, Marrakech, Maroc. Electronic address: uromoudouni@gmail.com.
2
Service d'urologie du CHU Mohammed VI, Marrakech, Maroc. Electronic address: redazahraoui@yahoo.fr.
3
Laboratoire d'épidémiologie et de biostatistique, faculté de médecine et de pharmacie de Marrakech, université Caddi Ayad, Maroc.
4
Service d'urologie du CHU Mohammed VI, Marrakech, Maroc.

Abstract

INTRODUCTION:

The realization of the prostatic biopsies is a painful act. The objective of our work was to compare the analgesic efficiency of the injection of the lidocaine at the level of periprostatics laterals and apical areas compared with the use of gel of lidocaine intrarectal associated with the taking of oral tramadol.

PATIENTS AND METHODS:

Between November 2007 and December 2009, 60 patients admitted in the service of urology of the university hospital Mohammed VI of Marrakesh for prostatic biopsies were randomized in two groups. The group 1 (30 patients) received two tablets from tramadol 50mg with 10 mL of gel of lidocaine 2% intrarectal while 30 patients of the group 2 received 10 mL from lidocaine 2% injected at the level of periprostatics laterals and apicales. The pain was estimated by a visual analog scale (AVS) at the introduction of the probe of echography (AVS 1), at the time of the biopsy (AVS 2) and 20 minutes later (AVS 3).

RESULTS:

There was no significant difference between both groups concerning AVS 1 means. The average score of the pain was significantly lower in the group 2 for the AVS 2 and AVS 3.

CONCLUSION:

The periprostatics anesthesia assured a better control of the pain at the time of the prostatic biopsy and 20 minutes later, without increase of the complications. We recommend it to decrease the pain and the discomfort related to this technique.

KEYWORDS:

Anesthesia; Anesthésie; Biopsie; Biopsy; Prostate

PMID:
24485080
DOI:
10.1016/j.purol.2013.07.011
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center