Abstract | BACKGROUND: The aim of the study was to evaluate the pain scores and complications of transrectal ultrasonography (TRUS)-guided prostate biopsy and to compare lithotomy position (LP) versus left lateral decubitis position (LLDP). METHODS: A total of 340 patients were referred for TRUS-guided biopsy. In group 1 (n = 170), biopsies were performed in LP (n = 170), and in group 2 (n = 170) biopsies were performed in LLDP (n = 170). In 68 patients, biopsies were repeated. We constituted two additional groups: in group 3 (n = 33) patients underwent biopsies in LP and LLDP, respectively, and in group 4 (n = 35) patients underwent biopsies in LLDP and LP, respectively. Pain score, infection rates, hematospermia, hematuria, rectal bleeding, and serious complications were compared between group 1 and group 2. Pain scores were compared between the four groups. RESULTS: CONCLUSION: The effect of position on pain scores in TRUS biopsy patients has not been previously described. Our study indicates that pain scale values are lower in LLDP than in LP.
|
Authors | Mete Kilciler, Erkan Demir, Selahattin Bedir, Koray Erten, Cenk Kilic, Ahmet Fuat Peker |
Journal | Urologia internationalis
(Urol Int)
Vol. 79
Issue 4
Pg. 361-3
( 2007)
ISSN: 1423-0399 [Electronic] Switzerland |
PMID | 18025857
(Publication Type: Journal Article, Randomized Controlled Trial)
|
Copyright | (c) 2007 S. Karger AG, Basel. |
Topics |
- Aged
- Biopsy, Needle
(adverse effects, methods)
- Follow-Up Studies
- Hematuria
(etiology, physiopathology)
- Humans
- Male
- Middle Aged
- Pain
(etiology, physiopathology)
- Pain Measurement
- Posture
- Probability
- Prospective Studies
- Prostatic Neoplasms
(diagnostic imaging, pathology)
- Reference Values
- Risk Assessment
- Time Factors
- Ultrasonography
- Ultrasound, High-Intensity Focused, Transrectal
(adverse effects, methods)
|