Prostate Biopsy: Difference between revisions

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***5 ml of 1% lidocaine without epinephrine per side, is sufficient to provide pain relief'''[https://pubmed.ncbi.nlm.nih.gov/24725491/]'''
***5 ml of 1% lidocaine without epinephrine per side, is sufficient to provide pain relief'''[https://pubmed.ncbi.nlm.nih.gov/24725491/]'''
** '''Direct infiltration into the prostate (intraprostatic injection) can augment the anesthetic benefit seen with periprostatic injection'''
** '''Direct infiltration into the prostate (intraprostatic injection) can augment the anesthetic benefit seen with periprostatic injection'''
*Warn patients that they should expect a loud click when the biopsy gun is fired.
*Take biopsies following appropriate template
*Remove ultrasound probe and apply digital pressure to biopsied area to reduce bleeding
*Inform patient of reasons to return to hospital


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**Local anesthetic injection: 1% Lidocaine without epinephrine mixed with 8.4% sodium bicarbonate injected bilaterally into the perineal skin and peri-prostatic space to a depth of 10 mm as well as into the pelvic floor musculature, for a total of 20-30 cc[https://pubmed.ncbi.nlm.nih.gov/34048827/]
**Local anesthetic injection: 1% Lidocaine without epinephrine mixed with 8.4% sodium bicarbonate injected bilaterally into the perineal skin and peri-prostatic space to a depth of 10 mm as well as into the pelvic floor musculature, for a total of 20-30 cc[https://pubmed.ncbi.nlm.nih.gov/34048827/]
**'''Direct infiltration into the prostate (intraprostatic injection) can augment the anesthetic benefit seen with periprostatic injection'''
**'''Direct infiltration into the prostate (intraprostatic injection) can augment the anesthetic benefit seen with periprostatic injection'''
*Warn patients that they should expect a loud click when the biopsy gun is fired.
*Take biopsies following appropriate template
*Remove ultrasound probe and apply digital pressure to biopsied area to reduce bleeding
*Inform patient of reasons to return to hospital


== Complications[https://pubmed.ncbi.nlm.nih.gov/28363690/] ==
== Complications[https://pubmed.ncbi.nlm.nih.gov/28363690/] ==