Pelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trial
Abstract Background To evaluate the efficacy of pelvic plexus block (PPB) in relief pain during transperineal template-guided prostate biopsy (TTPB), compared with conventional periprostatic nerve block (PNB). Methods From July 2016 to August 2017, 245 patients who were performed TTPB in Clinical Me...
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| Format: | Article |
| Language: | English |
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BMC
2019-07-01
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| Series: | BMC Urology |
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| Online Access: | http://link.springer.com/article/10.1186/s12894-019-0496-y |
| _version_ | 1818841386887151616 |
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| author | Xue-fei Ding Tian-bao Huang Sheng-ming Lu Hua-zhi Tao Xiao-fang Ye Fei Wang Yao-zong Xu Jia-nan Xu Yu-quan Zhou Yang Luan |
| author_facet | Xue-fei Ding Tian-bao Huang Sheng-ming Lu Hua-zhi Tao Xiao-fang Ye Fei Wang Yao-zong Xu Jia-nan Xu Yu-quan Zhou Yang Luan |
| author_sort | Xue-fei Ding |
| collection | DOAJ |
| description | Abstract Background To evaluate the efficacy of pelvic plexus block (PPB) in relief pain during transperineal template-guided prostate biopsy (TTPB), compared with conventional periprostatic nerve block (PNB). Methods From July 2016 to August 2017, 245 patients who were performed TTPB in Clinical Medical College of Yangzhou University were recruited. The patients were randomized into three groups using a random number table. Group-1 received prostate capsule local anesthesia with 22 ml of 1% lidocaine. Group-2 additionally received PNB on the basis of Group-1. To perform PNB, 5 ml 1% lidocaine was injected into the region of prostatic neurovascular bundle situated in the angle of prostate-bladder-seminal vesicle. Group-3 received prostate capsule local anesthesia plus PPB (5 ml of 1% lidocaine injection into the pelvic plexus which located on lateral to the bilateral seminal vesicle apex). The patients’ pain and satisfaction were evaluated by visual analogue scale and visual numerical scale, respectively. Results The age, total prostate volume, PSA and the number of cores were comparable among the three groups. The visual analog scale scores of group-3 were significantly lower than group-2 during biopsy (P = 0.003). Conversely, the visual numeric scale scores were higher in group-3 (P = 0.039). Both the group-2 and group-3 outperformed the group-1 in alleviating pain and had a higher quantification of satisfaction. There were no significant differences in the pain scores or the satisfaction scores at 30 min after the procedure among the three groups. Conclusions The analgesic efficacy of PPB guided by Doppler ultrasound in TTPB was better than that of PNB and both were superior to no nerve block. Trial registration ChiCTR-IOR-17013533, 01/06/2016. |
| first_indexed | 2024-12-19T04:25:16Z |
| format | Article |
| id | doaj.art-3b560f57c00943b7a43c135f68fef5f5 |
| institution | Directory Open Access Journal |
| issn | 1471-2490 |
| language | English |
| last_indexed | 2024-12-19T04:25:16Z |
| publishDate | 2019-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Urology |
| spelling | doaj.art-3b560f57c00943b7a43c135f68fef5f52022-12-21T20:36:03ZengBMCBMC Urology1471-24902019-07-011911710.1186/s12894-019-0496-yPelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trialXue-fei Ding0Tian-bao Huang1Sheng-ming Lu2Hua-zhi Tao3Xiao-fang Ye4Fei Wang5Yao-zong Xu6Jia-nan Xu7Yu-quan Zhou8Yang Luan9Department of Urology, Clinical Medical College, Yangzhou UniversityDepartment of Urology, Clinical Medical College, Yangzhou UniversityDepartment of Urology, Clinical Medical College, Yangzhou UniversityDepartment of Urology, Clinical Medical College, Yangzhou UniversityDepartment of Urology, Clinical Medical College, Yangzhou UniversityDepartment of Urology, Clinical Medical College, Yangzhou UniversityDepartment of Urology, Clinical Medical College, Yangzhou UniversityDepartment of Urology, Clinical Medical College, Yangzhou UniversityDepartment of Urology, Clinical Medical College, Yangzhou UniversityDepartment of Urology, Clinical Medical College, Yangzhou UniversityAbstract Background To evaluate the efficacy of pelvic plexus block (PPB) in relief pain during transperineal template-guided prostate biopsy (TTPB), compared with conventional periprostatic nerve block (PNB). Methods From July 2016 to August 2017, 245 patients who were performed TTPB in Clinical Medical College of Yangzhou University were recruited. The patients were randomized into three groups using a random number table. Group-1 received prostate capsule local anesthesia with 22 ml of 1% lidocaine. Group-2 additionally received PNB on the basis of Group-1. To perform PNB, 5 ml 1% lidocaine was injected into the region of prostatic neurovascular bundle situated in the angle of prostate-bladder-seminal vesicle. Group-3 received prostate capsule local anesthesia plus PPB (5 ml of 1% lidocaine injection into the pelvic plexus which located on lateral to the bilateral seminal vesicle apex). The patients’ pain and satisfaction were evaluated by visual analogue scale and visual numerical scale, respectively. Results The age, total prostate volume, PSA and the number of cores were comparable among the three groups. The visual analog scale scores of group-3 were significantly lower than group-2 during biopsy (P = 0.003). Conversely, the visual numeric scale scores were higher in group-3 (P = 0.039). Both the group-2 and group-3 outperformed the group-1 in alleviating pain and had a higher quantification of satisfaction. There were no significant differences in the pain scores or the satisfaction scores at 30 min after the procedure among the three groups. Conclusions The analgesic efficacy of PPB guided by Doppler ultrasound in TTPB was better than that of PNB and both were superior to no nerve block. Trial registration ChiCTR-IOR-17013533, 01/06/2016.http://link.springer.com/article/10.1186/s12894-019-0496-yProstateBiopsyNerve blockPain |
| spellingShingle | Xue-fei Ding Tian-bao Huang Sheng-ming Lu Hua-zhi Tao Xiao-fang Ye Fei Wang Yao-zong Xu Jia-nan Xu Yu-quan Zhou Yang Luan Pelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trial BMC Urology Prostate Biopsy Nerve block Pain |
| title | Pelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trial |
| title_full | Pelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trial |
| title_fullStr | Pelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trial |
| title_full_unstemmed | Pelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trial |
| title_short | Pelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trial |
| title_sort | pelvic plexus block to provide better anesthesia in transperineal template guided prostate biopsy a randomised controlled trial |
| topic | Prostate Biopsy Nerve block Pain |
| url | http://link.springer.com/article/10.1186/s12894-019-0496-y |
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