Efficacy of Voltaren Suppository in Adjunct with Peri- Prostatic Nerve Block with Lignocaine as Analgesia for Transrectal Ultrasound- Guided Biopsy of Prostate
H. Y. Khor *
Urology Unit of Hospital Raja Perempuan Zainab II, Malaysia.
M. Arif Khairuddin
Urology Unit of Hospital Raja Perempuan Zainab II, Malaysia.
N. Azam Nasuha
Urology Unit of Hospital Raja Perempuan Zainab II, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Objectives: To evaluate the efficacy of suppository voltaren as an adjunct analgesia during transrectal ultrasound (TRUS) biopsy using numerical pain score.
Methods: A total of 48 patients who were subjected to TRUS biopsy of prostate were enrolled in this study. The patients were randomly divided into 2 groups equally. In group 1, the patients received the standard peri- prostatic nerve block (PPNB) consisting of 10ml of 1% lignocaine. In group 2, the patients received peri- prostatic nerve block consisting of 10ml 1% lignocaine and in addition of voltaren suppository 100mg which was administered 1 hour before the procedure. During procedure, the patients were assessed on their pain score using numerical pain score 0-10 during insertion of transrectal probe, administration of peri- prostatic nerve block, during biopsy and 1- hour post- biopsy.
Results: There was significant lower pain score in with regard to group 2 patients during probe insertion, PPNB administration and during biopsy. Pain score 1 hour post- procedure was not significant as the pain score in both groups were generally low.
Conclusions: We believe that by adding voltaren suppository 100mg 1 hour before the procedure would be an advantage for patients as this study had shown significant lower pain score throughout the procedure with no increase in morbidity.
Keywords: TRUS, PPNB, voltaren suppository