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Article: Intrarectal administration of lidocaine gel versus plain lubricant gel for pain control during transrectal ultrasound-guided extensive 10-core prostate biopsy in Hong Kong Chinese population: prospective double-blind randomised controlled trial

TitleIntrarectal administration of lidocaine gel versus plain lubricant gel for pain control during transrectal ultrasound-guided extensive 10-core prostate biopsy in Hong Kong Chinese population: prospective double-blind randomised controlled trial
以前瞻性雙盲隨機對照方式, 試驗香港華籍人士在進行經直腸超聲波導引的前列腺活組織切除術時, 使用含利多卡因的凝膠與純粹潤滑劑在止痛效用上的分別
Authors
Issue Date2006
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org.hk
Citation
Hong Kong Medical Journal, 2006, v. 12 n. 2, p. 103-107 How to Cite?
AbstractOBJECTIVE. To compare the level of pain experienced by patients during transrectal ultrasound-guided prostatic biopsy using intrarectal 2% lidocaine gel versus plain lubricant gel. DESIGN. Prospective double-blind randomised controlled trial. SETTING. Regional hospital, Hong Kong. PATIENTS. From March 2002 to December 2003, patients who underwent ultrasound-guided prostate biopsy at a Geriatric Urology Centre. MAIN OUTCOME MEASURES. Pain and discomfort scores measured by horizontal visual analogue scales. RESULTS. A total of 338 consecutive patients were randomised to lidocaine gel or plain lubricant gel groups. The two groups were statistically similar in demographic and disease characteristics. There were no significant statistical differences in pain or discomfort score in the lidocaine gel and plain lubricant groups—pain score: 1.75 versus 1.79 (P=0.66) on day 0 and 0.21 versus 0.15 (P=0.97) on day 1; discomfort score: 0.79 versus 0.77 (P=0.86) on day 0 and 0.12 versus 0.12 (P=0.76) on day 1. No major complications were recorded in this cohort. CONCLUSIONS. Transrectal ultrasound-guided trucut biopsy of the prostate can be safely performed with no anaesthesia in Chinese patients. Pain and discomfort are minimal. It was found that 2% lidocaine gel has no statistical therapeutic or analgesic benefit over plain lubricant gel.
Persistent Identifierhttp://hdl.handle.net/10722/45389
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279

 

DC FieldValueLanguage
dc.contributor.authorLeung, SYLen_HK
dc.contributor.authorWong, BBWen_HK
dc.contributor.authorCheung, MCen_HK
dc.contributor.authorHo, KLen_HK
dc.contributor.authorLee, FCWen_HK
dc.contributor.authorTam, PCen_HK
dc.date.accessioned2007-10-30T06:24:26Z-
dc.date.available2007-10-30T06:24:26Z-
dc.date.issued2006en_HK
dc.identifier.citationHong Kong Medical Journal, 2006, v. 12 n. 2, p. 103-107en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45389-
dc.description.abstractOBJECTIVE. To compare the level of pain experienced by patients during transrectal ultrasound-guided prostatic biopsy using intrarectal 2% lidocaine gel versus plain lubricant gel. DESIGN. Prospective double-blind randomised controlled trial. SETTING. Regional hospital, Hong Kong. PATIENTS. From March 2002 to December 2003, patients who underwent ultrasound-guided prostate biopsy at a Geriatric Urology Centre. MAIN OUTCOME MEASURES. Pain and discomfort scores measured by horizontal visual analogue scales. RESULTS. A total of 338 consecutive patients were randomised to lidocaine gel or plain lubricant gel groups. The two groups were statistically similar in demographic and disease characteristics. There were no significant statistical differences in pain or discomfort score in the lidocaine gel and plain lubricant groups—pain score: 1.75 versus 1.79 (P=0.66) on day 0 and 0.21 versus 0.15 (P=0.97) on day 1; discomfort score: 0.79 versus 0.77 (P=0.86) on day 0 and 0.12 versus 0.12 (P=0.76) on day 1. No major complications were recorded in this cohort. CONCLUSIONS. Transrectal ultrasound-guided trucut biopsy of the prostate can be safely performed with no anaesthesia in Chinese patients. Pain and discomfort are minimal. It was found that 2% lidocaine gel has no statistical therapeutic or analgesic benefit over plain lubricant gel.en_HK
dc.format.extent327473 bytes-
dc.format.extent756903 bytes-
dc.format.extent3517 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org.hken_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshAnesthetics, Local - therapeutic useen_HK
dc.subject.meshLidocaine - therapeutic useen_HK
dc.subject.meshPain - etiology - prevention & controlen_HK
dc.subject.meshProstatic Neoplasms - pathology - ultrasonographyen_HK
dc.subject.meshUltrasonography, Interventional - adverse effectsen_HK
dc.titleIntrarectal administration of lidocaine gel versus plain lubricant gel for pain control during transrectal ultrasound-guided extensive 10-core prostate biopsy in Hong Kong Chinese population: prospective double-blind randomised controlled trialen_HK
dc.title以前瞻性雙盲隨機對照方式, 試驗香港華籍人士在進行經直腸超聲波導引的前列腺活組織切除術時, 使用含利多卡因的凝膠與純粹潤滑劑在止痛效用上的分別zh_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=12&issue=2&spage=103&epage=107&date=2006&atitle=Intrarectal+administration+of+lidocaine+gel+versus+plain+lubricant+gel+for+pain+control+during+transrectal+ultrasound-guided+extensive+10-core+prostate+biopsy+in+Hong+Kong+Chinese+population:+prospective+double-blind+randomised+controlled+trialen_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid16603776-
dc.identifier.scopuseid_2-s2.0-33646478736-

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