Abstract
Transrectal prostate biopsy (TRPBx) is the most effective method in the diagnosis of prostate cancer. However, this method can sometimes cause serious pain, anxiety, and erectile dysfunction. We aimed to investigate the effect of different patient positions on pain and anxiety erectile dysfunction in TRPBx. A total of 146 patients who underwent TRPBx in our clinic were included. The patients were divided into groups as lithotomy and left lateral decubitus (LLD) position. Pain was assessed by visual analog scale (VAS) score. The Beck Anxiety Inventory (BAI) scale was used for anxiety status. The International Index of Erectile Function (IIEF)-5 questionnaire was used to evaluate erectile function. The mean pain VAS score of lithotomy group was significantly lower than LLD group (2.9 SD0.9 vs 4.3 SD0.7, p < 0.001). Similarly, the post-biopsy BAI anxiety score was significantly lower in the lithotomy group than in the LLD group (6.1 SD2.6 vs 7.3 SD2.6, p = 0.003). In addition, satisfaction scores (7.9 SD1.6 vs 6.5 SD1.5, p < 0.001) and willingness for repeat biopsy scores (7.8 SD1.5 vs 6.3 SD1.4, p < 0.001) were significantly higher in the lithotomy group. In both groups, the mean pre-biopsy IIEF-5 score was significantly higher than the 1st month post-biopsy score, but it was similar to the post-biopsy IIEF-5 scores at the 3rd and 6th months. TRPBx applied in the lithotomy position provides better comfort in terms of pain and anxiety. However, in both positions, a temporary erectile dysfunction is observed in the early period after biopsy.
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The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.
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The Institutional Review Board (IRB) of the Siirt University confirmed the study protocol. The study was carried out at the Urology Department, Siirt Training and Research Hospital. Informed consent was obtained from all the individuals who participated in this study. All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Ok, F., Durmus, E. A Randomized Study of Transrectal Prostate Biopsy in Left Lateral Versus Lithotomy Positions on Pain, Anxiety, and Erectile Function. Indian J Surg 85, 107–112 (2023). https://doi.org/10.1007/s12262-022-03634-7
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DOI: https://doi.org/10.1007/s12262-022-03634-7