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Local anesthesia for transurethral manipulations: is a transrectal periprostatic nerve block effective?

Müntener, Michael ; Fatzer, Markus ; Praz, Valentin ; Straumann, Urs ; Strebel, Räto ; John, Hubert

In: World Journal of Urology, 2005, vol. 23, no. 5, p. 349-352

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    Titre
    • Local anesthesia for transurethral manipulations: is a transrectal periprostatic nerve block effective?
    Auteur
    • Müntener, Michael. Department of Urology, University Hospital, Zürich, Switzerland
    • Fatzer, Markus. Department of Urology, University Hospital, Zürich, Switzerland
    • Praz, Valentin. Department of Urology, University Hospital, Lausanne, Switzerland
    • Straumann, Urs. Department of Urology, University Hospital, Basel, Switzerland
    • Strebel, Räto. Department of Urology, University Hospital, Zürich, Switzerland
    • John, Hubert. Department of Urology, University Hospital, Zürich, Switzerland
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:319581
    Summary
    Periprostatic nerve block has been reported to be an effective form of anesthesia for prostatic surgery. Recent studies have shown the simplicity and the efficacy of a transrectal approach for periprostatic nerve block. The goal of our study was to evaluate the effect of a transrectal periprostatic nerve block on the discomfort associated with rigid cystoscopy. A total of 73 patients underwent cystoscopy. Group 1 (n=39) received a transrectal periprostatic lidocaine infiltration prior to the cystoscopy. Group 2 (n=34) underwent cystoscopy alone. The pain that patients experienced during cystoscopy was assessed on a visual analog scale. The patients in the two groups were very similar in regard to age and size of the prostate. The mean pain score was 3.4 in group 1 and 3.9 in group 2. This difference was not statistically significant. We conclude that nerve block does not seem to reduce the pain associated with transurethral manipulations