DOI: 10.36347/sjams.2016.v04i02.002

Pages: 295-298

To evaluate the efficacy of two different analgesic techniques during transrectal ultrasound (TRUS) guided prostate biopsy. It may help in highlighting the importance of implementing an analgesic protocol. In this prospective analytical study 104 patients underwent TRUS guided prostate biopsy were included in two groups. Prostatic biopsy was performed using combined periprostatic nerve block with intra rectal lignocaine gel in Group 1 and using intra rectal lignocaine gel in Group 2. Visual analogue scale (VAS) pain scores were compared using Mann-Whitney U test. In results one hundred and four patients were analyzed. The mean age was 65.6(±10.8) years. The age, digital rectal examination (DRE) findings and mean serum PSA values were comparable among these two groups. The mean VAS pain score during was significantly less in Group1 compared to Group2 with p value <0.001. The conclusion in this study it was shown that combined periprostatic nerve block with intra rectal lignocaine gel helps in reducing pain significantly during prostatic biopsy. Periprostatic nerve block is safe, minimally invasive procedure and should be employed during the procedure.