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Is Pelvic Plexus Block Superior to Periprostatic Nerve Block for Pain Control during Transrectal Ultrasonography-Guided Prostate Biopsy? A Double-Blind, Randomized Controlled Trial

1
Department of Urology, Soonchunhyang University Seoul Hospital, Soonchunhyang University Medical College, Seoul 04401, Korea
2
Department of Urology, Daegu Catholic University Medical Center, Daegu 42472, Korea
3
Department of Urology, Gangnam Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul 06273, Korea
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(4), 557; https://doi.org/10.3390/jcm8040557
Received: 19 April 2019 / Accepted: 23 April 2019 / Published: 24 April 2019
(This article belongs to the Section Nephrology & Urology)
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Abstract

We evaluated whether pelvic plexus block (PPB) is superior to periprostatic nerve block (PNB) for pain control during transrectal ultrasonography (TRUS)-guided prostate biopsy (PBx). A prospective, double-blind, randomized, controlled study was performed at a single center; 46 patients were enrolled and randomly allocated into two groups: PPB (n = 23) and PNB (n = 23). The visual analogue scale (VAS) was used; pain scores were measured four times: during local anesthesia, probe insertion, sampling procedures, and at 15 min post procedures. No significant differences were observed in VAS scores during local anesthesia (2.30 for PPB vs. 2.65 for PNB, p = 0.537) or during probe insertion (2.83 for PPB vs. 2.39 for PNB, p = 0.569). Similarly, no differences in VAS scores were detected during the sampling procedures (2.83 for PPB vs. 2.87 for PNB, p = 0.867) and at 15 min post procedures (1.39 for PPB vs. 1.26 for PNB, p = 0.631). No major complications were noted in either group. Both PPB and PNB are comparably effective and safe methods for PBx related pain relief, and PPB is not superior to PNB. Local anesthetic method could be selected based on the preference and skill of the operator. View Full-Text
Keywords: prostate; biopsy; transrectal; ultrasound; local anesthesia prostate; biopsy; transrectal; ultrasound; local anesthesia
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Kim, D.K.; Hah, Y.S.; Kim, J.W.; Koo, K.C.; Lee, K.S.; Hong, C.H.; Chung, B.H.; Cho, K.S. Is Pelvic Plexus Block Superior to Periprostatic Nerve Block for Pain Control during Transrectal Ultrasonography-Guided Prostate Biopsy? A Double-Blind, Randomized Controlled Trial. J. Clin. Med. 2019, 8, 557.

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