A randomized controlled comparison between periprostatic nerve block and pelvic plexus block at the base and apex of 14-core prostate biopsies
Purpose To compare the pain control efficacies of the pelvic plexus block (PPB), periprostatic nerve block (PNB), and controls during a 14-core basal and apical core prostate biopsy. Methods This randomized controlled study, performed between January 2015 and January 2016, included patients with an...
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| Veröffentlicht in: | World journal of urology 2019-12, Vol.37 (12), p.2663-2669 |
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| creator | Kim, Sung Jin Lee, Jongpill An, Dong Hyeon Park, Chang-Hoo Lim, Ju Hyun Kim, Han Gwun Park, Jong Yeon |
| description | Purpose
To compare the pain control efficacies of the pelvic plexus block (PPB), periprostatic nerve block (PNB), and controls during a 14-core basal and apical core prostate biopsy.
Methods
This randomized controlled study, performed between January 2015 and January 2016, included patients with an abnormal serum prostate-specific antigen (PSA > 3 ng/mL) level or a palpable nodule on digital rectal examination. The enrolled patients were randomized into three groups: Group 1, intrarectal local anesthesia (IRLA, 10 mL of 2% lidocaine jelly) and PPB with 3.0 mL of 2% lidocaine injected at the bilateral pelvic plexus; Group 2, IRLA and PNB with 3.0 mL of 2% lidocaine injected at both periprostatic nerves; and Group 3, only IRLA. Patients answered the visual analog scale (VAS) questionnaire at 6 time points.
Results
This study consisted of 163 patients (Group 1 = 55, Group 2 = 55, and Group 3 = 53). Pain at the apical biopsy location was less in Groups 1 and 2 than in Group 3 (
p
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| doi_str_mv | 10.1007/s00345-019-02722-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2191011405</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2191011405</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-702e8ce695524c4d3834dcc368436de4e8705f54c2edc09d9c1ac741ee133e473</originalsourceid><addsrcrecordid>eNp9kc9O3DAQh60K1F1oX4ADssSlF5fxn8TJcYUoVELqhZ4trzNbsiRxaics5SH6zPVudkHqgZOtmW8-j_Uj5IzDVw6gLyOAVBkDXjIQWgi2-UDmXEnJCi3yIzIHLRRTZSFn5CTGNQDXOWQfyUxCkSuAfE7-LmiwXeXb-gUr6nw3BN80u2vb21BH39ElDhvEjvYY6j74ONihdrTD8IR02Xj3SJMhdZunVO4bfB7joT7Q4SFBNuKOsT0-U7-iXDHnA9K9LRG172ON8RM5Xtkm4uf9eUp-fru-v7pldz9uvl8t7piTOhuYBoGFw7zMMqGcqmQhVeWczAsl8woVFhqyVaacwMpBWZWOW6cVR-RSotLylHyZvGmD3yPGwbR1dNg0tkM_RiN4yYFzBVlCL_5D134MXdpuS4HIFRdbSkyUS1-KAVemD3Vrwx_DwWzTMlNaJqVldmmZTRo636vHZYvV68ghngTICYip1f3C8Pb2O9p_Y3ChtA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2190264125</pqid></control><display><type>article</type><title>A randomized controlled comparison between periprostatic nerve block and pelvic plexus block at the base and apex of 14-core prostate biopsies</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Kim, Sung Jin ; Lee, Jongpill ; An, Dong Hyeon ; Park, Chang-Hoo ; Lim, Ju Hyun ; Kim, Han Gwun ; Park, Jong Yeon</creator><creatorcontrib>Kim, Sung Jin ; Lee, Jongpill ; An, Dong Hyeon ; Park, Chang-Hoo ; Lim, Ju Hyun ; Kim, Han Gwun ; Park, Jong Yeon</creatorcontrib><description>Purpose
To compare the pain control efficacies of the pelvic plexus block (PPB), periprostatic nerve block (PNB), and controls during a 14-core basal and apical core prostate biopsy.
Methods
This randomized controlled study, performed between January 2015 and January 2016, included patients with an abnormal serum prostate-specific antigen (PSA > 3 ng/mL) level or a palpable nodule on digital rectal examination. The enrolled patients were randomized into three groups: Group 1, intrarectal local anesthesia (IRLA, 10 mL of 2% lidocaine jelly) and PPB with 3.0 mL of 2% lidocaine injected at the bilateral pelvic plexus; Group 2, IRLA and PNB with 3.0 mL of 2% lidocaine injected at both periprostatic nerves; and Group 3, only IRLA. Patients answered the visual analog scale (VAS) questionnaire at 6 time points.
Results
This study consisted of 163 patients (Group 1 = 55, Group 2 = 55, and Group 3 = 53). Pain at the apical biopsy location was less in Groups 1 and 2 than in Group 3 (
p
< 0.001,
p
< 0.001) and between the two local anesthetic groups (PNB + IRLA vs PPB + IRLA). Group 2 patients reported less pain than Group 1 patients (
p
= 0.022). Pain during the basal core biopsy was significantly less in Groups 1 and 2 than in Group 3 (
p
= 0.002,
p
< 0.001), but there were no significant differences in pain control between the two methods (PNB + IRLA vs PPB + IRLA,
p
= 0.054) during basal core biopsy.
Conclusions
PNB + IRLA is an effective local anesthetic method for reducing pain when performing apical biopsies compared with PPB + IRLA or IRLA alone.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-019-02722-w</identifier><identifier>PMID: 30864006</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Anesthesia ; Anesthetics ; Biopsy ; Biopsy, Large-Core Needle - methods ; Humans ; Hypogastric Plexus ; Lidocaine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Nerve Block - methods ; Nerves ; Oncology ; Original Article ; Pain ; Pain Management - methods ; Prostate ; Prostate - innervation ; Prostate - pathology ; Prostate-specific antigen ; Prostatic Neoplasms - pathology ; Rectum ; Single-Blind Method ; Urology</subject><ispartof>World journal of urology, 2019-12, Vol.37 (12), p.2663-2669</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>World Journal of Urology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-702e8ce695524c4d3834dcc368436de4e8705f54c2edc09d9c1ac741ee133e473</citedby><cites>FETCH-LOGICAL-c375t-702e8ce695524c4d3834dcc368436de4e8705f54c2edc09d9c1ac741ee133e473</cites><orcidid>0000-0002-8657-1474</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-019-02722-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-019-02722-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30864006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Sung Jin</creatorcontrib><creatorcontrib>Lee, Jongpill</creatorcontrib><creatorcontrib>An, Dong Hyeon</creatorcontrib><creatorcontrib>Park, Chang-Hoo</creatorcontrib><creatorcontrib>Lim, Ju Hyun</creatorcontrib><creatorcontrib>Kim, Han Gwun</creatorcontrib><creatorcontrib>Park, Jong Yeon</creatorcontrib><title>A randomized controlled comparison between periprostatic nerve block and pelvic plexus block at the base and apex of 14-core prostate biopsies</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose
To compare the pain control efficacies of the pelvic plexus block (PPB), periprostatic nerve block (PNB), and controls during a 14-core basal and apical core prostate biopsy.
Methods
This randomized controlled study, performed between January 2015 and January 2016, included patients with an abnormal serum prostate-specific antigen (PSA > 3 ng/mL) level or a palpable nodule on digital rectal examination. The enrolled patients were randomized into three groups: Group 1, intrarectal local anesthesia (IRLA, 10 mL of 2% lidocaine jelly) and PPB with 3.0 mL of 2% lidocaine injected at the bilateral pelvic plexus; Group 2, IRLA and PNB with 3.0 mL of 2% lidocaine injected at both periprostatic nerves; and Group 3, only IRLA. Patients answered the visual analog scale (VAS) questionnaire at 6 time points.
Results
This study consisted of 163 patients (Group 1 = 55, Group 2 = 55, and Group 3 = 53). Pain at the apical biopsy location was less in Groups 1 and 2 than in Group 3 (
p
< 0.001,
p
< 0.001) and between the two local anesthetic groups (PNB + IRLA vs PPB + IRLA). Group 2 patients reported less pain than Group 1 patients (
p
= 0.022). Pain during the basal core biopsy was significantly less in Groups 1 and 2 than in Group 3 (
p
= 0.002,
p
< 0.001), but there were no significant differences in pain control between the two methods (PNB + IRLA vs PPB + IRLA,
p
= 0.054) during basal core biopsy.
Conclusions
PNB + IRLA is an effective local anesthetic method for reducing pain when performing apical biopsies compared with PPB + IRLA or IRLA alone.</description><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthetics</subject><subject>Biopsy</subject><subject>Biopsy, Large-Core Needle - methods</subject><subject>Humans</subject><subject>Hypogastric Plexus</subject><subject>Lidocaine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Nerve Block - methods</subject><subject>Nerves</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain</subject><subject>Pain Management - methods</subject><subject>Prostate</subject><subject>Prostate - innervation</subject><subject>Prostate - pathology</subject><subject>Prostate-specific antigen</subject><subject>Prostatic Neoplasms - pathology</subject><subject>Rectum</subject><subject>Single-Blind Method</subject><subject>Urology</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kc9O3DAQh60K1F1oX4ADssSlF5fxn8TJcYUoVELqhZ4trzNbsiRxaics5SH6zPVudkHqgZOtmW8-j_Uj5IzDVw6gLyOAVBkDXjIQWgi2-UDmXEnJCi3yIzIHLRRTZSFn5CTGNQDXOWQfyUxCkSuAfE7-LmiwXeXb-gUr6nw3BN80u2vb21BH39ElDhvEjvYY6j74ONihdrTD8IR02Xj3SJMhdZunVO4bfB7joT7Q4SFBNuKOsT0-U7-iXDHnA9K9LRG172ON8RM5Xtkm4uf9eUp-fru-v7pldz9uvl8t7piTOhuYBoGFw7zMMqGcqmQhVeWczAsl8woVFhqyVaacwMpBWZWOW6cVR-RSotLylHyZvGmD3yPGwbR1dNg0tkM_RiN4yYFzBVlCL_5D134MXdpuS4HIFRdbSkyUS1-KAVemD3Vrwx_DwWzTMlNaJqVldmmZTRo636vHZYvV68ghngTICYip1f3C8Pb2O9p_Y3ChtA</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Kim, Sung Jin</creator><creator>Lee, Jongpill</creator><creator>An, Dong Hyeon</creator><creator>Park, Chang-Hoo</creator><creator>Lim, Ju Hyun</creator><creator>Kim, Han Gwun</creator><creator>Park, Jong Yeon</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8657-1474</orcidid></search><sort><creationdate>20191201</creationdate><title>A randomized controlled comparison between periprostatic nerve block and pelvic plexus block at the base and apex of 14-core prostate biopsies</title><author>Kim, Sung Jin ; Lee, Jongpill ; An, Dong Hyeon ; Park, Chang-Hoo ; Lim, Ju Hyun ; Kim, Han Gwun ; Park, Jong Yeon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-702e8ce695524c4d3834dcc368436de4e8705f54c2edc09d9c1ac741ee133e473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Anesthesia</topic><topic>Anesthetics</topic><topic>Biopsy</topic><topic>Biopsy, Large-Core Needle - methods</topic><topic>Humans</topic><topic>Hypogastric Plexus</topic><topic>Lidocaine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Nerve Block - methods</topic><topic>Nerves</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pain</topic><topic>Pain Management - methods</topic><topic>Prostate</topic><topic>Prostate - innervation</topic><topic>Prostate - pathology</topic><topic>Prostate-specific antigen</topic><topic>Prostatic Neoplasms - pathology</topic><topic>Rectum</topic><topic>Single-Blind Method</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Sung Jin</creatorcontrib><creatorcontrib>Lee, Jongpill</creatorcontrib><creatorcontrib>An, Dong Hyeon</creatorcontrib><creatorcontrib>Park, Chang-Hoo</creatorcontrib><creatorcontrib>Lim, Ju Hyun</creatorcontrib><creatorcontrib>Kim, Han Gwun</creatorcontrib><creatorcontrib>Park, Jong Yeon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Sung Jin</au><au>Lee, Jongpill</au><au>An, Dong Hyeon</au><au>Park, Chang-Hoo</au><au>Lim, Ju Hyun</au><au>Kim, Han Gwun</au><au>Park, Jong Yeon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized controlled comparison between periprostatic nerve block and pelvic plexus block at the base and apex of 14-core prostate biopsies</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>37</volume><issue>12</issue><spage>2663</spage><epage>2669</epage><pages>2663-2669</pages><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Purpose
To compare the pain control efficacies of the pelvic plexus block (PPB), periprostatic nerve block (PNB), and controls during a 14-core basal and apical core prostate biopsy.
Methods
This randomized controlled study, performed between January 2015 and January 2016, included patients with an abnormal serum prostate-specific antigen (PSA > 3 ng/mL) level or a palpable nodule on digital rectal examination. The enrolled patients were randomized into three groups: Group 1, intrarectal local anesthesia (IRLA, 10 mL of 2% lidocaine jelly) and PPB with 3.0 mL of 2% lidocaine injected at the bilateral pelvic plexus; Group 2, IRLA and PNB with 3.0 mL of 2% lidocaine injected at both periprostatic nerves; and Group 3, only IRLA. Patients answered the visual analog scale (VAS) questionnaire at 6 time points.
Results
This study consisted of 163 patients (Group 1 = 55, Group 2 = 55, and Group 3 = 53). Pain at the apical biopsy location was less in Groups 1 and 2 than in Group 3 (
p
< 0.001,
p
< 0.001) and between the two local anesthetic groups (PNB + IRLA vs PPB + IRLA). Group 2 patients reported less pain than Group 1 patients (
p
= 0.022). Pain during the basal core biopsy was significantly less in Groups 1 and 2 than in Group 3 (
p
= 0.002,
p
< 0.001), but there were no significant differences in pain control between the two methods (PNB + IRLA vs PPB + IRLA,
p
= 0.054) during basal core biopsy.
Conclusions
PNB + IRLA is an effective local anesthetic method for reducing pain when performing apical biopsies compared with PPB + IRLA or IRLA alone.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30864006</pmid><doi>10.1007/s00345-019-02722-w</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8657-1474</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0724-4983 |
| ispartof | World journal of urology, 2019-12, Vol.37 (12), p.2663-2669 |
| issn | 0724-4983 1433-8726 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Aged Anesthesia Anesthetics Biopsy Biopsy, Large-Core Needle - methods Humans Hypogastric Plexus Lidocaine Male Medicine Medicine & Public Health Middle Aged Nephrology Nerve Block - methods Nerves Oncology Original Article Pain Pain Management - methods Prostate Prostate - innervation Prostate - pathology Prostate-specific antigen Prostatic Neoplasms - pathology Rectum Single-Blind Method Urology |
| title | A randomized controlled comparison between periprostatic nerve block and pelvic plexus block at the base and apex of 14-core prostate biopsies |
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