| Pain assessment after original transperineal prostate biopsy using a coaxial needle. | |
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MedLine Citation:
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PMID: 14550444 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To assess whether the use of a coaxial needle reduces discomfort in patients undergoing multiple-core transperineal prostate biopsy to detect prostate cancer. METHODS: From October 2002 to January 2003, we enrolled 102 consecutive patients with a suspicion of prostate cancer. In every case, we performed a 14-core transperineal prostate biopsy under transrectal ultrasound guidance. The patients were randomized into two groups: group 1 (n = 51) in which we used the 17-gauge coaxial TruGuide needle, and group 2 (n = 51) in which the conventional transperineal technique was used. At the end of the procedure, patients were asked to complete a questionnaire regarding the level of pain experienced. RESULTS: The studied groups were comparable in age, total prostate-specific antigen value, and prostate volume. The whole procedure was significantly less painful in group 1 (2.20 +/- 1.20 versus 2.90 +/- 1.73, P = 0.01). We failed to show any significant pain score differences during rectal probe insertion (P = 0.10), transrectal ultrasonography (P = 0.16), and execution of local anesthesia (P = 0.11). The pain score recorded during the multiple-core prostate sampling was significantly lower in group 1 (1.53 +/- 1.5 versus 2.43 +/- 1.86, P = 0.009). No statistically significant differences were found in the complication rates between the two groups. CONCLUSIONS: The use of a coaxial needle reduces the procedure's invasiveness and patient's pain compared with the conventional transperineal prostate biopsy. |
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Authors:
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Giovanni Novella; Vincenzo Ficarra; Antonio Galfano; Riccardo Ballario; Giacomo Novara; Stefano Cavalleri; Walter Artibani |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Urology Volume: 62 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-10-10 Completed Date: 2003-11-07 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
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Languages: eng Pagination: 689-92 Citation Subset: IM |
Affiliation:
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Department of Urology, University of Verona, Verona, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Biopsy, Needle / adverse effects*, instrumentation Humans Male Middle Aged Needles* Pain / etiology* Pain Measurement* Prospective Studies Prostate / pathology*, ultrasonography Questionnaires |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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