ISSN 1301 - 0883 | E-ISSN: 1309-3886
A Prospective Analysis of the Efficacy and Safety of Caudal Block for Transrectal Ultrasound Guided Prostate Biopsy in Patients with Anorectal Disorders [Eastern J Med]
Eastern J Med. 2024; 29(3): 353-358 | DOI: 10.5505/ejm.2024.46144

A Prospective Analysis of the Efficacy and Safety of Caudal Block for Transrectal Ultrasound Guided Prostate Biopsy in Patients with Anorectal Disorders

Rahmi Aslan1, HACI YUSUF GÜNES1, Akif Erbin2, RECEP ERYILMAZ1, MEHMET SEVİM1, Kasım Ertaş1, Murat Demir1, kerem taken1
1Van Yüzüncü Yıl University, Medical Fakulty
2Department of Urology, Haseki Training and Research Hospital, Istanbul, Turkey

INTRODUCTION: In this study, the efficacy and safety of the caudal block technique for Trus-guided biopsy in patients with anorectal problems were investigated.
METHODS: A total of 31 consecutive patients with anal-rectal problems underwent prostate needle biopsy. All patients included in the study were examined by an experienced general surgeon, and the presence of anorectal problems was confirmed. The majority of patients (61%) were referred from the outer center to our clinic because a biopsy could not be performed due to severe pain felt during rectal probe insertion despite local anesthesia (topical prilocaine or lidocaine cream). A 12-core biopsy protocol was applied to all patients under the caudal block. Pain perception was separately assessed during caudal anesthesia, probe insertion, and sampling stages using a visual analog scale (VAS) score.
RESULTS: The mean age was 64.1 ± 9.1 years. The mean VAS score during caudal anesthesia was 1.8 ± 0.81. At probe insertion, the mean VAS score was 1,44 ± 012. During the needle penetration into prostate tissue and sampling, the mean VAS score was 2.44± 013. All of the patients did not state any bothersome pain at any stage. We did not find any complications related to the anesthesia method.
DISCUSSION AND CONCLUSION: Topical creams and/or PNB do not provide adequate analgesia in patients with anorectal disorders undergoing Trus-guided biopsy. Caudal block technique can be performed effectively and reliably in this selected patient group.

Keywords: caudal block, hemorrhoids, periprostatic local anesthesia, prostate

Corresponding Author: Rahmi Aslan, Türkiye
Manuscript Language: English
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