Caudal block anesthesia for transrectal prostate biopsy
Objective Transrectal prostate biopsy is a potentially painful procedure. Our service has significant experience with caudal anesthesia for perianal procedures. This study is aimed to determine the effectiveness of caudal anesthesia for transrectal prostate biopsy. Patients and methods Seventy conse...
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| Veröffentlicht in: | International urology and nephrology 2010-03, Vol.42 (1), p.19-22 |
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| creator | Ikuerowo, S. O. Popoola, A. A. Olapade-Olaopa, E. O. Okeke, L. I. Shittu, O. B. Adebayo, S. A. Sanusi, A. A. |
| description | Objective
Transrectal prostate biopsy is a potentially painful procedure. Our service has significant experience with caudal anesthesia for perianal procedures. This study is aimed to determine the effectiveness of caudal anesthesia for transrectal prostate biopsy.
Patients and methods
Seventy consecutive patients undergoing transrectal prostate biopsy were entered into the study. The patients were requested to complete a questionnaire structured to assess the pain felt during the procedure using the visual analog score (VAS). The effectiveness of the caudal anesthesia was determined by the anesthesia of the perineum and the laxity of the anal sphincter. Complications from the procedures were recorded.
Results
All the patients completed and returned the questionnaire. The average age of the respondents is 65.8 years. Among the 34 patients with caudal block, effective anesthesia was achieved in 28 patients and ineffective in six patients. However, the mean VAS for the pain from transrectal prostate biopsy was 1.49 ± 1.93 SD (range 0–6.0) for the patients with effective caudal anesthesia and 8.02 ± 1.79 SD (range 5.0–10.0) for patients with no caudal anesthesia. There was a reduced requirement for analgesics after prostate biopsy for patients with effective caudal anesthesia. Three patients (8.8%) had minor complications (transient dizziness) following the injection of the anesthetic into the caudal epidural space.
Conclusion
Satisfactory analgesia for transrectal prostate biopsy can be achieved with the use of CA and it results in better cooperation of the patient during the procedure. |
| doi_str_mv | 10.1007/s11255-006-9095-4 |
| format | Article |
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Transrectal prostate biopsy is a potentially painful procedure. Our service has significant experience with caudal anesthesia for perianal procedures. This study is aimed to determine the effectiveness of caudal anesthesia for transrectal prostate biopsy.
Patients and methods
Seventy consecutive patients undergoing transrectal prostate biopsy were entered into the study. The patients were requested to complete a questionnaire structured to assess the pain felt during the procedure using the visual analog score (VAS). The effectiveness of the caudal anesthesia was determined by the anesthesia of the perineum and the laxity of the anal sphincter. Complications from the procedures were recorded.
Results
All the patients completed and returned the questionnaire. The average age of the respondents is 65.8 years. Among the 34 patients with caudal block, effective anesthesia was achieved in 28 patients and ineffective in six patients. However, the mean VAS for the pain from transrectal prostate biopsy was 1.49 ± 1.93 SD (range 0–6.0) for the patients with effective caudal anesthesia and 8.02 ± 1.79 SD (range 5.0–10.0) for patients with no caudal anesthesia. There was a reduced requirement for analgesics after prostate biopsy for patients with effective caudal anesthesia. Three patients (8.8%) had minor complications (transient dizziness) following the injection of the anesthetic into the caudal epidural space.
Conclusion
Satisfactory analgesia for transrectal prostate biopsy can be achieved with the use of CA and it results in better cooperation of the patient during the procedure.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-006-9095-4</identifier><identifier>PMID: 17318346</identifier><identifier>CODEN: IURNAE</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Aged ; Anesthesia, Caudal ; Biopsy, Needle - adverse effects ; Biopsy, Needle - methods ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Original Paper ; Pain - etiology ; Pain - prevention & control ; Patient Satisfaction ; Prospective Studies ; Prostate - pathology ; Rectum ; Urology</subject><ispartof>International urology and nephrology, 2010-03, Vol.42 (1), p.19-22</ispartof><rights>Springer Science+Business Media B.V. 2007</rights><rights>Springer Science+Business Media, B.V. 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-aa18f1489c6d01ae6fe2f6c9aa16c5f38925575ce88232bbed6c78bc6396c2113</citedby><cites>FETCH-LOGICAL-c370t-aa18f1489c6d01ae6fe2f6c9aa16c5f38925575ce88232bbed6c78bc6396c2113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11255-006-9095-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11255-006-9095-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17318346$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ikuerowo, S. O.</creatorcontrib><creatorcontrib>Popoola, A. A.</creatorcontrib><creatorcontrib>Olapade-Olaopa, E. O.</creatorcontrib><creatorcontrib>Okeke, L. I.</creatorcontrib><creatorcontrib>Shittu, O. B.</creatorcontrib><creatorcontrib>Adebayo, S. A.</creatorcontrib><creatorcontrib>Sanusi, A. A.</creatorcontrib><title>Caudal block anesthesia for transrectal prostate biopsy</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>Objective
Transrectal prostate biopsy is a potentially painful procedure. Our service has significant experience with caudal anesthesia for perianal procedures. This study is aimed to determine the effectiveness of caudal anesthesia for transrectal prostate biopsy.
Patients and methods
Seventy consecutive patients undergoing transrectal prostate biopsy were entered into the study. The patients were requested to complete a questionnaire structured to assess the pain felt during the procedure using the visual analog score (VAS). The effectiveness of the caudal anesthesia was determined by the anesthesia of the perineum and the laxity of the anal sphincter. Complications from the procedures were recorded.
Results
All the patients completed and returned the questionnaire. The average age of the respondents is 65.8 years. Among the 34 patients with caudal block, effective anesthesia was achieved in 28 patients and ineffective in six patients. However, the mean VAS for the pain from transrectal prostate biopsy was 1.49 ± 1.93 SD (range 0–6.0) for the patients with effective caudal anesthesia and 8.02 ± 1.79 SD (range 5.0–10.0) for patients with no caudal anesthesia. There was a reduced requirement for analgesics after prostate biopsy for patients with effective caudal anesthesia. Three patients (8.8%) had minor complications (transient dizziness) following the injection of the anesthetic into the caudal epidural space.
Conclusion
Satisfactory analgesia for transrectal prostate biopsy can be achieved with the use of CA and it results in better cooperation of the patient during the procedure.</description><subject>Aged</subject><subject>Anesthesia, Caudal</subject><subject>Biopsy, Needle - adverse effects</subject><subject>Biopsy, Needle - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Original Paper</subject><subject>Pain - etiology</subject><subject>Pain - prevention & control</subject><subject>Patient Satisfaction</subject><subject>Prospective Studies</subject><subject>Prostate - pathology</subject><subject>Rectum</subject><subject>Urology</subject><issn>0301-1623</issn><issn>1573-2584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE9LxDAQxYMo7rr6AbxI8eIpOpOkaXKUxX-w4EXPIU1T7dpt16Q9-O3N0oUFwVNg8ps37z1CLhFuEaC4i4gszymApBp0TsURmWNecMpyJY7JHDggRcn4jJzFuAYArQBOyQwLjooLOSfF0o6VbbOy7d1XZjsfh08fG5vVfciGYLsYvBsSsA19HOzgs7Lpt_HnnJzUto3-Yv8uyPvjw9vyma5en16W9yvqeAEDtRZVjUJpJytA62XtWS2dTnPp8pornQIUufNKMc7K0lfSFap0kmvpGCJfkJtJN93_HpM7s2mi822brPZjNAXnXAitIZHXf8h1P4YumTMMJSqlxE4OJ8ilOClabbah2djwYxDMrlMzdWpSp2bXqRFp52ovPJYbXx029iUmgE1ATF_dhw-Hy_-r_gLU4YB6</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Ikuerowo, S. O.</creator><creator>Popoola, A. A.</creator><creator>Olapade-Olaopa, E. O.</creator><creator>Okeke, L. I.</creator><creator>Shittu, O. B.</creator><creator>Adebayo, S. A.</creator><creator>Sanusi, A. A.</creator><general>Springer Netherlands</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>7QP</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>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20100301</creationdate><title>Caudal block anesthesia for transrectal prostate biopsy</title><author>Ikuerowo, S. O. ; Popoola, A. A. ; Olapade-Olaopa, E. O. ; Okeke, L. I. ; Shittu, O. B. ; Adebayo, S. A. ; Sanusi, A. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-aa18f1489c6d01ae6fe2f6c9aa16c5f38925575ce88232bbed6c78bc6396c2113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Anesthesia, Caudal</topic><topic>Biopsy, Needle - adverse effects</topic><topic>Biopsy, Needle - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Original Paper</topic><topic>Pain - etiology</topic><topic>Pain - prevention & control</topic><topic>Patient Satisfaction</topic><topic>Prospective Studies</topic><topic>Prostate - pathology</topic><topic>Rectum</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ikuerowo, S. O.</creatorcontrib><creatorcontrib>Popoola, A. A.</creatorcontrib><creatorcontrib>Olapade-Olaopa, E. O.</creatorcontrib><creatorcontrib>Okeke, L. I.</creatorcontrib><creatorcontrib>Shittu, O. B.</creatorcontrib><creatorcontrib>Adebayo, S. A.</creatorcontrib><creatorcontrib>Sanusi, A. A.</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>Calcium & Calcified Tissue 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>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>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International urology and nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ikuerowo, S. O.</au><au>Popoola, A. A.</au><au>Olapade-Olaopa, E. O.</au><au>Okeke, L. I.</au><au>Shittu, O. B.</au><au>Adebayo, S. A.</au><au>Sanusi, A. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Caudal block anesthesia for transrectal prostate biopsy</atitle><jtitle>International urology and nephrology</jtitle><stitle>Int Urol Nephrol</stitle><addtitle>Int Urol Nephrol</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>42</volume><issue>1</issue><spage>19</spage><epage>22</epage><pages>19-22</pages><issn>0301-1623</issn><eissn>1573-2584</eissn><coden>IURNAE</coden><abstract>Objective
Transrectal prostate biopsy is a potentially painful procedure. Our service has significant experience with caudal anesthesia for perianal procedures. This study is aimed to determine the effectiveness of caudal anesthesia for transrectal prostate biopsy.
Patients and methods
Seventy consecutive patients undergoing transrectal prostate biopsy were entered into the study. The patients were requested to complete a questionnaire structured to assess the pain felt during the procedure using the visual analog score (VAS). The effectiveness of the caudal anesthesia was determined by the anesthesia of the perineum and the laxity of the anal sphincter. Complications from the procedures were recorded.
Results
All the patients completed and returned the questionnaire. The average age of the respondents is 65.8 years. Among the 34 patients with caudal block, effective anesthesia was achieved in 28 patients and ineffective in six patients. However, the mean VAS for the pain from transrectal prostate biopsy was 1.49 ± 1.93 SD (range 0–6.0) for the patients with effective caudal anesthesia and 8.02 ± 1.79 SD (range 5.0–10.0) for patients with no caudal anesthesia. There was a reduced requirement for analgesics after prostate biopsy for patients with effective caudal anesthesia. Three patients (8.8%) had minor complications (transient dizziness) following the injection of the anesthetic into the caudal epidural space.
Conclusion
Satisfactory analgesia for transrectal prostate biopsy can be achieved with the use of CA and it results in better cooperation of the patient during the procedure.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>17318346</pmid><doi>10.1007/s11255-006-9095-4</doi><tpages>4</tpages></addata></record> |
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| subjects | Aged Anesthesia, Caudal Biopsy, Needle - adverse effects Biopsy, Needle - methods Humans Male Medicine Medicine & Public Health Middle Aged Nephrology Original Paper Pain - etiology Pain - prevention & control Patient Satisfaction Prospective Studies Prostate - pathology Rectum Urology |
| title | Caudal block anesthesia for transrectal prostate biopsy |
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