1. Patient’s Preparation in Order to Reduce Pain, Anxiety and Complications of TRUS Prostatic Biopsies
- Author
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C. Milani, Francesco Pagano, Fabrizio Dal Moro, Francesco Pinto, and Tommaso Prayer Galetti
- Subjects
medicine.medical_specialty ,Prostate biopsy ,medicine.diagnostic_test ,Lidocaine ,business.industry ,Urology ,Rectum ,medicine.disease ,Surgery ,Prostate cancer ,medicine.anatomical_structure ,Prostate ,Biopsy ,medicine ,Local anesthesia ,Antibiotic prophylaxis ,business ,medicine.drug - Abstract
Objectives: Prostatic biopsy is a minor diagnostic procedure; despite the simplicity of execution this procedure can determine a high patients' discomfort. Methods: We analyzed the experience reported in the literature concerning the pain and the anxiety, the role of local or intrarectal anesthesia and the complications related to prostatic biopsy. Key words used for the Medline search included: prostate cancer, biopsy, transrectal ultrasound anesthesia, complications. Results: The reduction of patients' pre biopsy anxiety may help the physician to perform a better prostate biopsy. While the use of pre biopsy enemas seems questionable, the use of antibiotic prophylaxis is mandatory when the biopsy is transrectal and could be useful if the approach is transperineal. The use of anaesthesia (periprostatic local injection of lidocaine or intrarectal administration of lidocaine gel) seems to reduce patients' discomfort. The higher is the number of biopsy cores, the greater is the need for anaesthesia. Conclusions: Trans-rectal ultrasound (TRUS) prostatic biopsy with a correct patient's preparation has a limited impact on patient's well-being.
- Published
- 2002