Efficacy and safety of periprostatic nerve block combined with perineal subcutaneous anaesthesia and intrarectal lidocaine gel in transrectal ultrasound guided transperineal prostate biopsy: A Prospective Randomised Controlled Trial

Prostate Cancer and Prostatic Diseases, Published online: 03 June 2019; doi:10.1038/s41391-019-0155-0Efficacy and safety of periprostatic nerve block combined with perineal subcutaneous anaesthesia and intrarectal lidocaine gel in transrectal ultrasound guided transperineal prostate biopsy: A Prospective Randomised Controlled Trial
Source: Prostate Cancer and Prostatic Diseases - Category: Urology & Nephrology Authors: Source Type: research

Related Links:

This study was registered with Japan Registry of Clinical Trials (jRCTs052190026). PMID: 31701044 [PubMed]
Source: Clinical Prostate Cancer - Category: Cancer & Oncology Authors: Tags: Contemp Clin Trials Commun Source Type: research
ConclusionsWe demonstrate the safety and feasibility of performing transperineal prostate biopsy using cognitive MRI/biplanar ultrasound fusion guidance. The described technique affords the safety benefits of the transperineal approach as well as obviates the need for a formal fusion platform. Additionally, this method can conveniently be performed under local anesthesia with acceptable tolerability.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
Purpose of review Prostate cancer (PCa) diagnostics have undergone a number of changes as a result of efforts to reduce the detection rate of indolent prostate cancer and to increase the hit rate for clinically significant prostate cancer (csPCa). Here, we look at those studies that have shifted our knowledge and the impact these have had on clinical practice. Recent findings The introduction of multiparametric MRI (mpMRI) and approaches to active surveillance have changed the landscape in prostate cancer diagnostics, reducing the number of men that need biopsy, but increasing the need for accuracy in mapping the exte...
Source: Current Opinion in Urology - Category: Urology & Nephrology Tags: CALCULATING PROSTATE CANCER RISK, AVOIDANCE OF OVERTREATMENT IN LOCALIZED PROSTATE CANCER: Edited by Matthew R. Cooperberg and Declan G. Murphy Source Type: research
By now most of us are familiar with Brexit, the UK’s pending divorce with the European Union. But in a play on that term, British doctors are also moving towards an exit they’ve dubbed “TRexit” from the most common sort of prostate biopsy: the transrectal ultrasound guided biopsy, or TRUS. Men who test positive on the PSA cancer screening test will usually have a prostate biopsy that’s performed in either of two ways. With a TRUS, doctors guided by an ultrasound machine can sample the prostate using a biopsy needle inserted through the rectum. Alternatively, the biopsy needle can be inserted (...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Diagnosis Prostate Knowledge HPK Source Type: blogs
Rinat Bar-Shalom1, Margalit Bergman2, Shlomo Grossman2, Naiel Azzam1, Lital Sharvit1 and Fuad Fares1* 1Department of Human Biology, Faculty of Natural Sciences, University of Haifa, Haifa, Israel 2Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan, Israel Colorectal cancer (CRC) is the second most common cancer in females and the third in males worldwide. Conventional therapy of CRC is limited by severe side effects and by the development of resistance. Therefore, additional therapies are needed in order to combat the problem of selectivity and drug resistance in CRC patients. Inula viscosa (IV) is a well-...
Source: Frontiers in Oncology - Category: Cancer & Oncology Source Type: research
CONCLUSIONS: Targeted MRI/TRUS fusion-guided focal HIFU allows local tumor ablation, but is not free from limitations. The procedure has good functional outcomes and a quick recovery. Multicenter trials with more patients are required to determine the procedure´s role in the prostate cancer therapy algorithm. PMID: 30093211 [PubMed - as supplied by publisher]
Source: Urologic Oncology - Category: Urology & Nephrology Authors: Tags: Urol Oncol Source Type: research
Purpose of review To review novel procedures in interventional radiology and describe anesthetic implications. Recent findings Noninvasive treatment options for patients who are nonsurgical candidates are on the rise. The complication rate for patients receiving anesthesia in the interventional radiology suite is higher than other nonoperating room anesthetizing locations. The investigative use of catheter-directed thrombolysis for acute submassive pulmonary embolism will likely lead to an increased demand for anesthesia assistance. Treatment of prostate cancer with high-intensity focused ultrasound with MRI guidance ...
Source: Current Opinion in Anaesthesiology - Category: Anesthesiology Tags: NON-OPERATING ROOM ANESTHESIA: Edited by Mark S. Weiss Source Type: research
The emergence of MRI-Ultrasound (MR/US) fusion biopsies has led to greater accuracy in targeting the prostate. Cryoablation for prostate cancer is well-established for partial or whole gland prostate ablation. NCT02381990 is a protocol aimed to evaluate outcomes of MR/US fusion targeted prostate cryoablation. While prostate cryoablation has been typically performed under general anesthesia, we patented a local anesthesia approach that enables cryoablation in an office setting (U.S. Provisional Patent 62/476,751).
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Imaging Based Techniques & Uroradiology Source Type: research
In this study, we captured a representative sample of these cases to add the important layer of complication rates, as they add to the total cost.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Prostate Cancer: Detection & Screening VII Source Type: research
We report the tolerability and feasibility of transperineal prostate biopsies under sedation versus LA alone.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Prostate Cancer: Detection & Screening III Source Type: research
More News: Anesthesia | Anesthesiology | Cancer | Cancer & Oncology | Lidoderm | Prostate Cancer | Ultrasound | Urology & Nephrology