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A randomized controlled comparison between periprostatic nerve block and pelvic plexus block at the base and apex of 14-core prostate biopsies

World Journal of Urology Mar 16, 2019

Kim SJ, et al. - In this randomized controlled study, between January 2015 and January 2016, researchers assessed the pain control effectiveness of the pelvic plexus block (PPB), periprostatic nerve block (PNB), and controls during a 14-core basal and apical core prostate biopsy among 163 candidates. They observed lesser pain at the apical biopsy location in Groups 1 and 2 vs Group 3 and between the 2 local anesthetic groups (PNB + IRLA vs PPB + IRLA). They also reported a lower intensity of pain during the basal core biopsy in Groups 1 and 2 as compared to in Group 3. They found no significant variations in pain control between the 2 methods viz, PNB + IRLA vs PPB + IRLA during basal core biopsy.
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