Prostate Biopsy: Difference between revisions
Urology4all (talk | contribs) |
Urology4all (talk | contribs) |
||
Line 151: | Line 151: | ||
***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 | |||
* | * | ||
Line 167: | Line 171: | ||
**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/] == |