Prostate biopsy anesthesia MedDRA version: 18.1 Level: LLT Classification code 10004825 Term: Biopsy of prostate System Organ Class: 100000004848
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Male patient -Persistence of suspected prostate cancer by altering the prostatic specific antigen and / or digital rectal examination. -Two previous negative prostate biopsies . -Age =65 years) yes F.1.3.1 Number of subjects for this age range 70
Exclusion criteria
Exclusion criteria: -Age > 75 years. -Absence of consent or refusal to the study . -Presence of prostate cancer in previous biopsy observation . -Medical-surgical patient's problems, absolutely contraindicating biopsy under local anesthesia. -Presence of any allergies to medications involved in the study . -Patient's clinical situation that does not allow an outpatient operation and aftercare required . -Medical condition of the patient, preventing the realization of outpatient biopsy. -No companion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the effectiveness of two anesthetic techniques by measuring the pain through visual analog scale (VAS ), to obtain saturation prostate biopsies .;Secondary Objective: To assess the safety of the procedure and complications in the use of each of the anesthetic techniques during saturation prostate biopsy;Primary end point(s): To determinate a difference in pain of 1.4 ± 2.5 on the visual analog scale (pain under sedation 0.5 vs. 1.9 with locoregional), with 80 % power and 95 % confidence .;Timepoint(s) of evaluation of this end point: Basal time: Pain at baseline , before any anesthetic procedure or urological manipulation. Scale of 0-10 . End time: Pain after the procedure, the patient leaving the operating room. Scale of 0-10 . | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Presence of medication side effects of the procedure : nausea or vomiting , hypotension or hypertension and / or bradycardia or tachycardia . - Presence of secondary complications to the procedure : hematuria , urinary difficulty, urinary retention, urinary tract infection and / or sepsis . The use of additional pain medication in the post- procedure is also measured.;Timepoint(s) of evaluation of this end point: Time interval between final procedure and 24 hours after the procedure. | — |
Countries
Spain
Contacts
Jose Luis Ponce Díaz-Reixa