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Conference Paper: Does combined perianal-intrarectal lidocaine-prilocaine cream and periprostatic nerve block provide better pain relief than periprostatic nerve block alone during transrectal ultrasound guided prostate biopsy?

TitleDoes combined perianal-intrarectal lidocaine-prilocaine cream and periprostatic nerve block provide better pain relief than periprostatic nerve block alone during transrectal ultrasound guided prostate biopsy?
Authors
Issue Date2014
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.bjui.org/
Citation
Hong Kong Urological Association Annual Scientific Meeting, Hong Kong, 10 November 2013. In BJU International, 2014, v. 113 n. Suppl. S1, p. 13 How to Cite?
AbstractObjective: To compare the efficacy of combined perianal-intrarectal (PI) lidocaine-prilocaine (LP) cream (EMLA cream) and periprostatic nerve block (PNB) with PNB alone during transrectal ultrasound guided prostate biopsy (TRUS Bx). Patients & Methods: This is a prospective study without blinding. All patients attending Queen Mary Hospital (QMH) and Tung Wah Hospital (TWH) for TRUS Bx were recruited. LP cream with PNB was used in QMH patients, and PNB only in TWH patients. Visual analogue scale (VAS) scores were collected during probe insertion, peri-prostatic nerve block and biopsy taking. Results: From 7/2012 to 4/2013, 246 patients were recruited, 162 from QMH and 84 from TWH. The mean VAS during probe insertion, peri-prostatic block and biopsy taking were 2.31, 2.34 and 3.14 respectively in combination arm and 2.87, 2.50 and 3.90 respectively in PNB only arm. Only the difference in VAS during biopsy taking reached statistical significance (p = 0.037). Subgroup analysis of patients aged below 70 revealed significant differences in VAS during probe insertion and biopsy taking, ie. probe insertion (2.37 vs 3.29, p = 0.046), peri-prostatic block (2.29 vs 2.67, p = 0.368) and biopsy taking (3.25 vs 4.29, p = 0.024) in combination arm and in PNB respectively. Conclusion: EMLA cream in addition to peri-prostatic nerve block is superior to peri-prostatic nerve block alone, especially for patients aged below 70.
DescriptionModerated poster presentation
Persistent Identifierhttp://hdl.handle.net/10722/193967
ISSN
2015 Impact Factor: 4.387
2015 SCImago Journal Rankings: 2.009

 

DC FieldValueLanguage
dc.contributor.authorNg, CMen_US
dc.contributor.authorWong, EMHen_US
dc.contributor.authorYiu, MKen_US
dc.date.accessioned2014-01-28T06:38:23Z-
dc.date.available2014-01-28T06:38:23Z-
dc.date.issued2014en_US
dc.identifier.citationHong Kong Urological Association Annual Scientific Meeting, Hong Kong, 10 November 2013. In BJU International, 2014, v. 113 n. Suppl. S1, p. 13en_US
dc.identifier.issn1464-4096-
dc.identifier.urihttp://hdl.handle.net/10722/193967-
dc.descriptionModerated poster presentation-
dc.description.abstractObjective: To compare the efficacy of combined perianal-intrarectal (PI) lidocaine-prilocaine (LP) cream (EMLA cream) and periprostatic nerve block (PNB) with PNB alone during transrectal ultrasound guided prostate biopsy (TRUS Bx). Patients & Methods: This is a prospective study without blinding. All patients attending Queen Mary Hospital (QMH) and Tung Wah Hospital (TWH) for TRUS Bx were recruited. LP cream with PNB was used in QMH patients, and PNB only in TWH patients. Visual analogue scale (VAS) scores were collected during probe insertion, peri-prostatic nerve block and biopsy taking. Results: From 7/2012 to 4/2013, 246 patients were recruited, 162 from QMH and 84 from TWH. The mean VAS during probe insertion, peri-prostatic block and biopsy taking were 2.31, 2.34 and 3.14 respectively in combination arm and 2.87, 2.50 and 3.90 respectively in PNB only arm. Only the difference in VAS during biopsy taking reached statistical significance (p = 0.037). Subgroup analysis of patients aged below 70 revealed significant differences in VAS during probe insertion and biopsy taking, ie. probe insertion (2.37 vs 3.29, p = 0.046), peri-prostatic block (2.29 vs 2.67, p = 0.368) and biopsy taking (3.25 vs 4.29, p = 0.024) in combination arm and in PNB respectively. Conclusion: EMLA cream in addition to peri-prostatic nerve block is superior to peri-prostatic nerve block alone, especially for patients aged below 70.-
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.bjui.org/-
dc.relation.ispartofBJU Internationalen_US
dc.rightsThe definitive version is available at www3.interscience.wiley.com-
dc.titleDoes combined perianal-intrarectal lidocaine-prilocaine cream and periprostatic nerve block provide better pain relief than periprostatic nerve block alone during transrectal ultrasound guided prostate biopsy?en_US
dc.typeConference_Paperen_US
dc.identifier.emailYiu, MK: pmkyiu@hku.hken_US
dc.identifier.doi10.1111/bju.12606-
dc.identifier.hkuros227508en_US
dc.identifier.volume113-
dc.identifier.issueSuppl. S1-
dc.identifier.spage13-
dc.identifier.epage13-
dc.publisher.placeUnited Kingdom-

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