Transrektal Ultrasonografi eşliğinde prostati iğne biyopsisinde kaudal anestezinin etkinliği ve güvenilirliği

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Kabay Ş., Yücel M., Aydın T., Şahin L.

Yeni Üroloji Dergisi, vol.3, pp.135-138, 2007 (Peer-Reviewed Journal)

  • Publication Type: Article / Article
  • Volume: 3
  • Publication Date: 2007
  • Journal Name: Yeni Üroloji Dergisi
  • Journal Indexes: TR DİZİN (ULAKBİM)
  • Page Numbers: pp.135-138
  • Kütahya Health Sciences University Affiliated: No


ABSTRACT: Transrectal prostate biopsy is a potentially painful procedure. This study is aimed to determine the efficacy and safety of caudal anesthesia for transrectal ultrasound guided prostate biopsy. A total of 41 consecutive patients underwent prostate needle biopsy. 10% lidocaine was injected into caudal space of the all patients 10 minutes before the procedure. Their pain scores were assessed using with a visual analog pain scale (VAS) during caudal anesthesia, probe insertion into anal canal, probe maneuver and biopsies separately. The degree of motor block was assessed with the Bromage scale. The mean VAS during the probe insertion into anal canal, the probe maneuvers, the biopsies, caudal anesthesia were 1.1±0.9 SD (range; 0-2), 1.3±1.2 SD (range; 0-3), 2.1±1.9 SD (range; 1-4), 2.8±1.4 SD (range; 1-5), respectively. The patients’ satisfactions were bad 2 (4.8%), good 6 (14.6%) and very good 33 (80.4%). Bromage scale was 0 for all patients. Our results have demonstrated that caudal anesthesia possesses strong potential for decreasing discomfort and especially pain during probe insertion and TRUS-guided biopsy. Caudal anesthesia should be considered as a suitable form of anesthesia for patients undergoing transrectal biopsy of the prostate gland. [Key Words: Caudal anesthesia, prostate biopsy, lidocain