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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 97 - 102 (6page)
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초록· 키워드
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Purpose: To compare pain induced by a transrectal ultrasound (TRUS)-guided prostate biopsy in men between using local lidocaine gel or plain lubricant.Materials and Methods: Between January and October of 2014, a total of 63 consecutive patients undergoing TRUS-guided prostate biopsy for elevated prostate-specific antigen (PSA) levels and/or a suspicious digital rectal examination were randomized to two groups: lidocaine group and control group. In the lidocaine group (n=31), patients received 20 ml of 2% lidocaine gel and betadine solution soaked gauze was administered via a transrectal route 10 minutes before the procedure. In the control group (n=32), 20 ml plain lubricant and betadine solution soaked gauze was administrated under the same condition. After the biopsy procedure, patients were asked to rate their pain perception on a 10-point visual analog scale (VAS) score.Results: There was no statistically significant difference with the mean patient age, PSA, prostate volume, biopsy duration time between lidocaine group and control group. The mean pain score and number of patients with VAS ≥5 in the lidocaine group (4.14±2.0, 10) were significantly lower than those in the control group (5.78±2.3, 19). In younger men (≤65 years), pain was reported significantly less in the lidocaine group than in the control group. Complication rates were not different between the two groups.Conclusions: Intrarectal lidocaine gel is a simple, safe, and efficacious for reducing pain and discomfort during the TRUS-guided prostate biopsy procedure. It appears to have an enhanced effect, especially in younger than in older men.
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참고문헌 (29)
참고문헌 신청
Aus G / 1993 / Transrectal ultrasound examination of the prostate : complications and acceptance by patients / Br J Urol 71:457~459
Clements R / 1993 / Side effects and patient acceptability of transrectal biopsy of the prostate / Clin Radiol 47:125~126
Collins GN / 1993 / Multiple transrectal ultrasound-guided prostatic biopsies--true morbidity and patient acceptance / Br J Urol 71:460~463
Jones JS / 2002 / Saturation prostate biopsy with periprostatic block can be performed in office / J Urol 168:2108~2110
Walker AE / 2002 / Does pericapsular lignocaine reduce pain during transrectal ultrasonography-guided biopsy of the prostate? / BJU Int 90:883~886
Clements R / 1993 / Side effects and patient acceptability of transrectal biopsy of the prostate / Clin Radiol 47:125~126
Collins GN / 1993 / Multiple transrectal ultrasound-guided prostatic biopsies--true morbidity and patient acceptance / Br J Urol 71:460~463
Jones JS / 2002 / Saturation prostate biopsy with periprostatic block can be performed in office / J Urol 168:2108~2110
Walker AE / 2002 / Does pericapsular lignocaine reduce pain during transrectal ultrasonography-guided biopsy of the prostate? / BJU Int 90:883~886
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