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Transrectal ultrasound guided prostate biopsy (TRUS-Bx) is the gold standard method for prostat cancer diagnosis. Cancer detection rate is an important issue in TRUS-Bx. Effective biopsy protocol is necessary to enhance cancer detection rate during the procedure. Patient tolerance may improve the protocol effectiveness and quality.
Adequate patient tolerance with optimal local anesthesia may enhance cancer detection rate in TRUS-Bx.
In transrectal ultrasound guided prostate biopsy ultrasound's probe manipulation is necessary for effective biopsy. Patient discomfort and pain frequently occurs with manipulation of probe during transrectal ultrasound guided prostate biopsy and this situation may qualify of the achievement of this procedure.
In this study, we aimed to describe the impact of different two local anesthesia types on cancer detection rate in transrectal ultrasound guided prostate biopsy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intrarectal lidocaine gel | Experimental | transrectal ultrasound guided prostate biopsy was performed with intrarectal lidocaine gel anesthesia: 10 minutes before the procedure % 2 lidocaine hydrochloride gel instilated into the rectum for local anesthesia |
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| periprostatic nerve blockade | Experimental | transrectal ultrasound guided prostate biopsy was performed with intrarectal lidocaine gel anesthesia: 10 minutes before the procedure transrectal ultrasound guided 10 ml prilocaine and serum physiologic blend (5ml %2 prilocaine and 5 ml serum physiologic) injected separetly 5ml right and 5ml left junction between the prostate base and seminal vesicle. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intrarectal lidocaine gel | Drug | intrarectal local anesthetic application |
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| Measure | Description | Time Frame |
|---|---|---|
| cancer detection rate with anesthesia type | finally pathologic evaluation within 2-3 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| mustafa z temiz | bagcilar training and research hospital-depertmant of urology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bagcilar Training and Research Hospital-Depertmant of urology | Istanbul | Bagcilar | 34100 | Turkey (Türkiye) |
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| periprostatic nerve blockade | Drug | periprostatic local anesthetic application |
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