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Pain control according to the periprostatic nerve block site in magnetic resonance imaging/transrectal targeted prostate biopsy

We analyzed the intensity of pain at each site of systemic prostate biopsy (SBx) and compared the intensity of pain among magnetic resonance (MRI)-targeted transrectal biopsies according to the periprostatic nerve block (PNB) site. We collected data from 229 consecutive patients who had undergone MR...

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Autores principales: Yoo, Jeong Woo, Koo, Kyo Chul, Chung, Byung Ha, Lee, Kwang Suk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8760249/
https://www.ncbi.nlm.nih.gov/pubmed/35031671
http://dx.doi.org/10.1038/s41598-022-04795-x
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author Yoo, Jeong Woo
Koo, Kyo Chul
Chung, Byung Ha
Lee, Kwang Suk
author_facet Yoo, Jeong Woo
Koo, Kyo Chul
Chung, Byung Ha
Lee, Kwang Suk
author_sort Yoo, Jeong Woo
collection PubMed
description We analyzed the intensity of pain at each site of systemic prostate biopsy (SBx) and compared the intensity of pain among magnetic resonance (MRI)-targeted transrectal biopsies according to the periprostatic nerve block (PNB) site. We collected data from 229 consecutive patients who had undergone MRI-targeted biopsy. Patients were stratified into two groups according to the site of PNB (base versus base and apex PNB). Pain was quantified at the following time points: probe insertion, injection at the prostate base, injection at the prostate apex, MRI cognitive biopsy (CBx), MRI/transrectal ultrasound fusion biopsy (FBx), SBx, and 15 min after biopsy. For all biopsy methods, the average pain were significantly higher in the base PNB group than in the base and apex PNB group (CBx, p < 0.001; FBx, p = 0.015; SBx, p < 0.001). In the base and apex PNB group, FBx was significantly more painful than SBx (p = 0.024). Overall, regardless of the PNB site, pain at the anterior sites was more than that at the posterior sites in FBx (p = 0.039). Base and apex PNB provided better overall pain control than base-only PNB in all biopsy methods. In the base and apex PNB group, FBx was more painful than CBx and SBx.
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spelling pubmed-87602492022-01-18 Pain control according to the periprostatic nerve block site in magnetic resonance imaging/transrectal targeted prostate biopsy Yoo, Jeong Woo Koo, Kyo Chul Chung, Byung Ha Lee, Kwang Suk Sci Rep Article We analyzed the intensity of pain at each site of systemic prostate biopsy (SBx) and compared the intensity of pain among magnetic resonance (MRI)-targeted transrectal biopsies according to the periprostatic nerve block (PNB) site. We collected data from 229 consecutive patients who had undergone MRI-targeted biopsy. Patients were stratified into two groups according to the site of PNB (base versus base and apex PNB). Pain was quantified at the following time points: probe insertion, injection at the prostate base, injection at the prostate apex, MRI cognitive biopsy (CBx), MRI/transrectal ultrasound fusion biopsy (FBx), SBx, and 15 min after biopsy. For all biopsy methods, the average pain were significantly higher in the base PNB group than in the base and apex PNB group (CBx, p < 0.001; FBx, p = 0.015; SBx, p < 0.001). In the base and apex PNB group, FBx was significantly more painful than SBx (p = 0.024). Overall, regardless of the PNB site, pain at the anterior sites was more than that at the posterior sites in FBx (p = 0.039). Base and apex PNB provided better overall pain control than base-only PNB in all biopsy methods. In the base and apex PNB group, FBx was more painful than CBx and SBx. Nature Publishing Group UK 2022-01-14 /pmc/articles/PMC8760249/ /pubmed/35031671 http://dx.doi.org/10.1038/s41598-022-04795-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Yoo, Jeong Woo
Koo, Kyo Chul
Chung, Byung Ha
Lee, Kwang Suk
Pain control according to the periprostatic nerve block site in magnetic resonance imaging/transrectal targeted prostate biopsy
title Pain control according to the periprostatic nerve block site in magnetic resonance imaging/transrectal targeted prostate biopsy
title_full Pain control according to the periprostatic nerve block site in magnetic resonance imaging/transrectal targeted prostate biopsy
title_fullStr Pain control according to the periprostatic nerve block site in magnetic resonance imaging/transrectal targeted prostate biopsy
title_full_unstemmed Pain control according to the periprostatic nerve block site in magnetic resonance imaging/transrectal targeted prostate biopsy
title_short Pain control according to the periprostatic nerve block site in magnetic resonance imaging/transrectal targeted prostate biopsy
title_sort pain control according to the periprostatic nerve block site in magnetic resonance imaging/transrectal targeted prostate biopsy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8760249/
https://www.ncbi.nlm.nih.gov/pubmed/35031671
http://dx.doi.org/10.1038/s41598-022-04795-x
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