Özet:

Objectives: Prostate biopsy is the gold standard for distinction of benign or malign pathologies of the prostate with certainty. However, pain is a serious problem during the procedure. The aim of this study was to compare the anesthetic techniques that may affect the degree of the pain during prostate biopsy, with two different methods guided with transrectal ultrasound TRUS. Materials and Methods: Prostate biopsy was performed for a total of 92 patients with high prostate-specific antigen PSA and a spicious findings with rectal examination. The pain of the patients was evaluated with visual analog pain scale VAS. The process was made for the patients with lateral decubitus position with 7 MHz transrectal ultrasound probe, 18 G automatic Tru-cut biopsy attachments. In one group, 5 minutes before the TRUS probe insertion 10 mL of 2% lidocaine HCL gel was inserted into the rectum. For the other group, HCL 2% lidocaine came before the procedure again, and for peri-prostatic nerve block 5 cc of lidocaine was injected separately for the left and right lobe. Results: None of the patients had described severe or excruciating pain. Significant differences was observed with patient streated with rectal lidocain gel for VAS pain score compared with peri-prostatic nerve blockade after rectal lidocain gel p

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