Caudal block anaesthesia for transrectal biopsy of prostate in patients with anal rectal disorders.

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

Central European Journal of Urology. , vol.62, no.1, pp.18-20, 2009 (Scopus)

  • Publication Type: Article / Article
  • Volume: 62 Issue: 1
  • Publication Date: 2009
  • Journal Name: Central European Journal of Urology.
  • Journal Indexes: Scopus
  • Page Numbers: pp.18-20
  • Kütahya Health Sciences University Affiliated: No


Abstract 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.