Factors associated with pain sensation in patients with ultrasound-guided prostate biopsy
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Introduction:
TRUS-guided prostate biopsy is a current method used to obtain the histopathological material necessary to make a definitive diagnosis of prostate cancer.
Objective:
To investigate patient-related variables affecting the level of pain felt during prostate biopsy to determine what can be done to minimize pain.
Methods:
The study included 241 patients scheduled for prostate biopsy. Four patients who did not meet the criteria were excluded. Local anesthesia was administered intrarectally 10 minutes before the biopsy to 237 patients, and a conventional 12-core biopsy was performed. The level of pain felt by all patients during the biopsy was measured using the Visual Analog Scale (VAS) score. Pain scores were compared by forming groups according to the selected parameters
Results:
The study included 241 patients scheduled for prostate biopsy. Four patients who did not meet the criteria were excluded. Local anesthesia was administered intrarectally 10 minutes before the biopsy to 237 patients, and a conventional 12-core biopsy was performed. The level of pain felt by all patients during the biopsy was measured using the Visual Analog Scale (VAS) score. Pain scores were compared by forming groups according to the selected parameters.
Conclusions:
Some patient parameters may affect the level of pain felt during TRUS-guided prostate biopsy.
- pain level
- prostate biopsy
- alpha-blocker
- 5-alpha reductase inhibitor
- Perineural invasion
- Positive tumor pathology
- Digital Rectal Examination
Nihat Türkmen, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Urology Department, Istanbul. Turkey
https://orcid.org/0000-0003-0881-3279
Kadir Cem Gunay, TC Sağlık Bakanlığı Muş Devlet Hastanesi: Mus, Muş, TR
https://orcid.org/0000-0002-5780-7038
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