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