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Journals / Van Tıp Dergisi / 2013 / Cilt: 20 - Sayı: 4

A simple method to be used to predict the severity of pain in transrectal ultrasound- guided prostate biopsy: Digital rectal examination staging

Transrektal Ultrason rehberliğinde prostat biopsisinde ağrı şiddetini öngörmede kullanılacak basit bir yöntem: Parmakla rektal muayene evrelemesi

M. Murat RİFAİOĞLU
Kasım TUZCU
Işıl DAVARCI
Mürsel DAVARCI
Pages
222–226
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Independent of the size of the prostate, patients with increased DRE stage may experience more pain during TRUS-bx.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: To examine the differences in patients with different levels of pain during transrectal ultrasound guided biopsy (TRUS-bx) of prostate, and to evaluate the effectiveness of digital rectal examination (DRE) staging.
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Key Findings & Data:Methods: Between April 2012 and 2013, patients who underwent DRE staging and TRUS-bx due to suspicion of prostate cancer were retrospectively evaluated.
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Conclusion & Impact:Independent of the size of the prostate, patients with increased DRE stage may experience more pain during TRUS-bx.
🔬Design:Research Article
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: To examine the differences in patients with different levels of pain during transrectal ultrasound guided biopsy (TRUS-bx) of prostate, and to evaluate the effectiveness of digital rectal examination (DRE) staging. Methods: Between April 2012 and 2013, patients who underwent DRE staging and TRUS-bx due to suspicion of prostate cancer were retrospectively evaluated. All patients were categorized into two groups according to visual analog scale (VAS) (median = 4) (Group 1: < 4; Group 2: &#8805;4). Parameters regarding the relationship between groups were compared and investigated for the correlations. Results: The mean age of 65.74 ± 7.5 (47-84) total 77 TRUS-bx patients were studied. 31 and 46 patients were included in Group 1 and 2, respectively. A correlation was found between VAS and prostate volume and DRE staging (p=0.019, p=0.002, respectively), but when the VAS groups were compared, there was only significant difference in DRE staging (p=0.038). Accoding to DRE staging, in group 2, patients were 58.3%, 62% and 88.9% in stage I, stage II and in stage III, respectively. Conclusion: There was a relation between VAS and DRE staging. Independent of the size of the prostate, patients with increased DRE stage may experience more pain during TRUS-bx.

Özet

Amaç: Transrektal ultrason rehberliğinde biopsi (TRUS-bx) sırasında ağrı seviyeleri değişik olan hastalardaki farkları inceleyip, ağrıyı tahmin etmede parmakla rektal muayene (PRM) evrelemesinin etkinliğini araştırmaktır. Yöntem: Nisan 2012 - 2013 arasında PRM evrelemesi ve prostat kanser şüphesiyle TRUS-bx yapılan 77 hasta retrospektif olarak tarandı. PRM evresi üç evre olarak sınıflandırıldı. Hastalar vizuel analog skalası (VAS)’na göre iki gruba ayrıldı (median=4) (Grup 1: <4; group 2: ≥4). Gruplar ile ilişkisi olabilecek parametreler (yaş, vucut kitle indeksi (BMİ), prostat volümü, PRM evresi, PSA, serbest/total PSA oranı, biopsi patalojisi) karşılaştırıldı ve korelasyon analizleri yapıldı. Bulgular: Yaş ortalaması 65.74±7.5 (47-84) olan 77 erkek TRUS-bx hastası çalışmaya alındı. Grup 1’de 31 hasta, Grup 2’de 46 hasta değerlendirildi. VAS skroru ile prostat boyutu ve PRM evresi arasında korelasyon bulundu (sırasıyla, p=0.019, p=0.002), VAS grupları karşılaştırıldığında sadece PRM evresinde anlamlı bir fark bulundu (p=0.038). PRM evrelemesine göre Grup 2’de evre I’e %58.3, evre II’ye %62 ve evre III’e %88.9 hastada saptandı. Sonuç: VAS PRM evresi ile ilişkilidir. TRUS-bx esnasında, prostat boyutundan bağımsız olarak, PRM evresi artan hastalar daha fazla ağrı duyabilirler.

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Cite This Article

RİFAİOĞLU, M. M., TUZCU, K., DAVARCI, I., DAVARCI, M. (2013). A simple method to be used to predict the severity of pain in transrectal ultrasound- guided prostate biopsy: Digital rectal examination staging. Van Tıp Dergisi, Cilt: 20 - Sayı: 4, 222–226. https://ajindex.com/articles/334131

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