Effect of patient position on pain scales during transrectal ultrasound-guided prostate biopsy.
10.4111/kju.2015.56.6.449
- Author:
Yeong Uk KIM
1
;
Yoon Seob JI
;
Young Hwii KO
;
Phil Hyun SONG
Author Information
1. Department of Urology, Yeungnam University College of Medicine, Daegu, Korea. sph04@hanmail.net
- Publication Type:Original Article
- Keywords:
Biopsy;
Pain;
Patient positioning
- MeSH:
Aged;
Biopsy, Needle/*adverse effects/methods;
Humans;
Male;
Middle Aged;
Pain/etiology/*prevention & control;
Pain Measurement/methods;
Patient Positioning/*methods;
Posture/physiology;
Prostatic Neoplasms/*pathology;
Retrospective Studies;
Ultrasonography, Interventional/methods
- From:Korean Journal of Urology
2015;56(6):449-454
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Transrectal ultrasound (TRUS)-guided prostate biopsy is the most useful technique for the diagnosis of prostate cancer; however, many patients describe the procedure as uncomfortable and painful. We investigated the effect of the patient's position on pain scales during TRUS-guided prostate biopsy. MATERIALS AND METHODS: Between July 2012 and June 2013, a total of 128 consecutive patients who underwent TRUS-guided prostate biopsy were included in this study. Seventy patients underwent the procedure in the lithotomy position performed by a urologist and the other patients (n=58) underwent the procedure in the left lateral decubitus (LLD) position performed by a radiologist. Pain was assessed by using visual analogue scale (VAS) scores from 0 to 10. Using a linear regression model, we analyzed the correlation between pain scale score and clinical variables with a focus on patient position. RESULTS: No significant differences related to age, body mass index, prostate volume, prostate-specific antigen (PSA), hematuria, pyuria, International Prostate Symptom Score, or the cancer detection rate were observed between the lithotomy and the LLD groups. In the correlation analysis, VAS score showed a significant correlation with diabetes mellitus, PSA level, and lithotomy position (p<0.05). In the multiple linear regression model, VAS score showed a significant correlation with lithotomy position (beta=-0.772, p=0.003) and diabetes mellitus (beta=-0.803, p=0.033). CONCLUSIONS: We suggest that the lithotomy position may be the proper way to reduce pain during TRUS-guided prostate biopsy.
