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Minimizing Pain and Optimizing Patient Experience During Prostate Biopsy

  • Chapter
Prostate Biopsy

Part of the book series: Current Clinical Urology ((CCU))

Abstract

Pain is not a necessary attribute of prostate biopsy. Respect for the patient’s comfort, modesty, and well-being greatly improves his experience. Periprostatic lidocaine injection should be standard for the reduction of pain and discomfort. Lidocaine injection at the basilar “Mount Everest” notch is advocated because of the ease of administration as well as the short learning curve for the procedure. More-experienced surgeons may find injection at the apex more effective. Local anesthesia of the prostate and anus allows for better probe positioning crucial to obtaining diagnostic needle cores especially of the anterior horn region. New residents should be trained to respect the patient’s concerns and administer periprostatic block to minimize the discomfort of transrectal ultrasound biopsy.

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Author information

Authors and Affiliations

  1. Department of Regional Urology, Cleveland Clinic Glickman Urological and Kidney Institute, USA

    J. Stephen Jones MD

  2. Cleveland Clinic, Lerner College of Medicine at CWRU, Cleveland, OH

    J. Stephen Jones MD

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  1. J. Stephen Jones MD
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Editor information

Editors and Affiliations

  1. Department of Regional Urology, Cleveland Clinic Glickman Urological and Kidney Institute, USA

    J. Stephen Jones MD (Chairman, Associate Professor of Surgery (Urology) (Chairman, Associate Professor of Surgery (Urology)

  2. Cleveland Clinic Lerner College of Medicine at CWRU, Cleveland, OH, USA

    J. Stephen Jones MD (Chairman, Associate Professor of Surgery (Urology) (Chairman, Associate Professor of Surgery (Urology)

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© 2008 Humana Press, a part of Springer Science+Business Media, LLC

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Jones, J.S. (2008). Minimizing Pain and Optimizing Patient Experience During Prostate Biopsy. In: Jones, J.S. (eds) Prostate Biopsy. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60327-078-6_11

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  • DOI: https://doi.org/10.1007/978-1-60327-078-6_11

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-790-7

  • Online ISBN: 978-1-60327-078-6

  • eBook Packages: MedicineMedicine (R0)

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