Nigerian Journal of Clinical Practice

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 23  |  Issue : 9  |  Page : 1183--1187

Apical peri-prostatic nerve block versus intra-rectal xylocaine gel for trans- rectal ultrasound guided prostate biopsy among Nigerian patients: A prospective randomized study


EV Ezenwa1, SO Osaghae2, EO Ozah1, G Okparanta4 
1 Department of Surgery, Urology Unit, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
2 Department of Surgery, Urology Unit, University of Benin Teaching Hospital; Department of Surgery, College of Medicine, University of Benin, Benin City, Edo State, Nigeria

Correspondence Address:
Dr. E V Ezenwa
Department of Surgery, Urology Unit, University of Benin Teaching Hospital, Benin City, Edo State
Nigeria

Aims: This study compared the analgesic effect of apical peri-prostatic block with that of intra-rectal xylocaine gel for trans-rectal ultrasound guided prostate biopsy (TRUS-PBx) in Nigeria. Methods: This is a prospective randomized comparative study carried out over one year in University of Benin Teaching Hospital, Edo State, Nigeria. The participants were randomized into two groups; Group A had 10 mls of intra-rectal xylocaine gel instillation while Group B had apical infiltration of 10 mls of 1% xylocaine all before TRUS-PBx. Result: There was a statistically significant difference in the mean pain score during and one hour after TRUS-PBx between Group A and Group B of the study population respectively (p < 0.0001). Those that had intra-rectal xylocaine gel (Group A) had more pain during and after biopsy. There was no difference in the mean pain score during probe insertion between the two groups (p = 0.952). Conclusion: This study demonstrated the superiority of apical peri-prostatic nerve block over intra rectal xylocaine gel instillation during TRUS-PBx with respect to its anesthetic efficacy. Therefore, centers providing TRUS-PBx in Nigeria should consider apical peri-prostatic nerve block as their mode of anesthesia for the procedure due to its efficacy and high safety profile.


How to cite this article:
Ezenwa E V, Osaghae S O, Ozah E O, Okparanta G. Apical peri-prostatic nerve block versus intra-rectal xylocaine gel for trans- rectal ultrasound guided prostate biopsy among Nigerian patients: A prospective randomized study.Niger J Clin Pract 2020;23:1183-1187


How to cite this URL:
Ezenwa E V, Osaghae S O, Ozah E O, Okparanta G. Apical peri-prostatic nerve block versus intra-rectal xylocaine gel for trans- rectal ultrasound guided prostate biopsy among Nigerian patients: A prospective randomized study. Niger J Clin Pract [serial online] 2020 [cited 2020 Sep 24 ];23:1183-1187
Available from: http://www.njcponline.com/article.asp?issn=1119-3077;year=2020;volume=23;issue=9;spage=1183;epage=1187;aulast=Ezenwa;type=0