잠시만 기다려 주세요. 로딩중입니다.

Effect of patient position on pain scales during transrectal ultrasound-guided prostate biopsy

대한비뇨기과학회지 2015년 56권 6호 p.449 ~ 454
 ( Kim Yeong-Uk ) - Yeungnam University College of Medicine Department of Urology

 ( Ji Yoon-Seob ) - Yeungnam University College of Medicine Department of Urology
 ( Ko Young-Hwii ) - Yeungnam University College of Medicine Department of Urology
 ( Song Phil-Hyun ) - Yeungnam University College of Medicine Department of Urology

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 (β=-0.772, p=0.003) and diabetes mellitus (β=-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.

키워드

Biopsy ; Pain ; Patient positioning
원문 및 링크아웃 정보
  
등재저널 정보
KCI
KoreaMed
KAMS