Department of Urology, Yale School of Medicine, New Haven, CT, USA.
Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA.
Curr Urol Rep. 2024 Oct;25(10):243-252. doi: 10.1007/s11934-024-01220-w. Epub 2024 Jun 19.
Prostate fusion biopsy, an innovative imaging modality for diagnosing prostate cancer, presents certain challenges for patients including discomfort and emotional distress, leading to nonadherence to treatment and follow-ups. To inform clinicians and offer pain relief alternatives to patients, this review delves into the risk factors for increased pain and modern management options to alleviate pain during prostate biopsy.
Individual responses to pain vary, and the overall experience of pain during a prostate biopsy has been contributed to numerous factors such as patient age, prostate volume, previous biopsy experience, and more. As a result, several strategies aim to mitigate pain during in-office procedures. Notably, techniques including pharmacological analgesics, hand holding, heating pads, entertainment/virtual reality, and distraction have shown significant efficacy. Existing studies explore risk factors influencing pain intensity during prostate biopsy and effective pain management strategies. This review consolidates available information to guide clinicians in enhancing patient comfort and thus, encourage surveillance adherence.
前列腺融合活检作为一种创新性的影像学诊断前列腺癌的方法，给患者带来了一些挑战，包括不适和情绪困扰，导致治疗和随访的不依从。为了告知临床医生并为患者提供疼痛缓解的替代方案，本综述深入探讨了增加疼痛的风险因素和缓解前列腺活检过程中疼痛的现代管理选择。
个体对疼痛的反应不同，前列腺活检过程中的整体疼痛体验归因于许多因素，如患者年龄、前列腺体积、既往活检经验等。因此，有几种策略旨在减轻门诊手术中的疼痛。值得注意的是，包括药物镇痛、手握手、加热垫、娱乐/虚拟现实和分散注意力在内的技术已显示出显著的疗效。现有研究探讨了影响前列腺活检过程中疼痛强度的风险因素和有效的疼痛管理策略。本综述整合了现有信息，以指导临床医生提高患者舒适度，从而鼓励他们进行监测随访。
