Central European Journal of Urology. , vol.62, no.1, pp.18-20, 2009 (Scopus)
The aim of the study. To investigate the effectiveness of caudal
anesthesia for transrectal prostate biopsy with anal rectal disorders.
Material and methods. A total of 36 patients with anal rectal
disorders underwent prostate biopsy. The observed anorectal
problems and/or diseases were hemorrhoids (n = 19), hemorrhoidectomy (n = 7), anal stenosis (n = 2) and chronic anal
fissure (n = 8). A questionnaire covering pain scores was
assessed using the visual analog pain scale (VAS) during caudal
anesthesia, probe insertion, probe maneuver and biopsies separately. Caudal block anesthesia was performed using 15 mL of
lidocaine 1% in the lateral decubitus position.
Results. The mean ±SD [min-max] biopsy time was 9.7 ±2.1
(5-16) minutes. The mean ±SD (min-max) caudal anesthesia
time was 11.3 ±5.6 (1-25) minutes. The mean ±SD (min-max)
VAS during the probe insertion, the probe maneuvers, the biopsies, caudal anesthesia were 1.1 ±0.9 (0-2), 1.2 ±1.2 (0-3), 2.1
±1.4 (1-4), 1.9 ±1.4 (1-5), respectively.
Conclusion. Caudal block anesthesia can be used for transrectal
ultrasound guided biopsy of the prostate in patients with analrectal problems.