Soloway M S, Obek C
Department of Urology, University of Miami School of Medicine, Florida, USA.
J Urol. 2000 Jan;163(1):172-3.
We assessed the morbidity and benefit of periprostatic local anesthesia administered before ultrasound guided prostate biopsy.
After placing the transrectal ultrasound probe and visualizing the prostate 50 consecutive patients received local anesthesia before prostate biopsies.
There was no morbidity associated with the infiltration of local anesthesia into the periprostatic neurovascular plexus. Only 1 patient had discomfort during prostate biopsies, and 10 patients who previously underwent biopsies without anesthesia commented favorably on the dramatic difference.
Many patients have pain during transrectal ultrasound guided biopsies of the prostate and few clinicians provide a periprostatic nerve block before this procedure. A periprostatic nerve block administered before the biopsies dramatically decreases discomfort. We urge all urologists to attempt this procedure, and we are confident that they will adopt it as part of their practice.
我们评估了在超声引导下前列腺活检前进行前列腺周围局部麻醉的发病率及益处。
放置经直肠超声探头并观察前列腺后，50例连续患者在前列腺活检前接受了局部麻醉。
将局部麻醉药注入前列腺周围神经血管丛未出现并发症。仅1例患者在前列腺活检期间有不适，10例之前未接受麻醉进行活检的患者对这种显著差异给予了好评。
许多患者在经直肠超声引导下前列腺活检时会疼痛，且很少有临床医生在该操作前进行前列腺周围神经阻滞。活检前进行前列腺周围神经阻滞可显著减轻不适。我们敦促所有泌尿外科医生尝试这一操作，并且我们相信他们会将其纳入常规操作。
