THE IMPACT OF PROSTATE BIOPSY ON PATIENT WELL-BEING: : A PROSPECTIVE STUDY OF PAIN, ANXIETY AND ERECTILE DYSFUNCTION

医学 活检 前列腺活检 焦虑 勃起功能障碍 前瞻性队列研究 止痛药 前列腺 外科 泌尿科 内科学 麻醉 精神科 癌症
作者
Amnon Zisman,Dan Leibovici,JUDITH KLEINMANN,Yoram I. Siegel,Arie Lindner
出处
期刊:The Journal of Urology [Lippincott Williams & Wilkins]
卷期号:165 (2): 445-454 被引量:209
标识
DOI:10.1097/00005392-200102000-00023
摘要

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Feb 2001THE IMPACT OF PROSTATE BIOPSY ON PATIENT WELL-BEING: : A PROSPECTIVE STUDY OF PAIN, ANXIETY AND ERECTILE DYSFUNCTION AMNON ZISMAN, DAN LEIBOVICI, JUDITH KLEINMANN, YORAM I. SIEGEL, and ARIE LINDNER AMNON ZISMANAMNON ZISMAN , DAN LEIBOVICIDAN LEIBOVICI , JUDITH KLEINMANNJUDITH KLEINMANN , YORAM I. SIEGELYORAM I. SIEGEL , and ARIE LINDNERARIE LINDNER View All Author Informationhttps://doi.org/10.1097/00005392-200102000-00023AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We prospectively studied the impact of transrectal ultrasound guided prostate biopsy on patient well-being. Materials and Methods: We enrolled 211 consecutive men who underwent a total of 218 biopsy events in a questionnaire based survey focusing on pain, anxiety and erectile dysfunction risk factors. Surveys were administered before, and immediately, 1 week and 1 month after biopsy. Quantitative information on the intensity of symptoms and signs was obtained using a uniform grading system. Results: Intraoperative pain considered severe in 20% of the biopsy events was associated with pain in the first 24 hours postoperatively, leading to analgesic use in 10%. Inflammatory infiltrate in the biopsy core and younger patient age correlated with persistent pain on days 2 and 7 after biopsy, respectively. Preoperative anxiety was reported in 64% of biopsy events and predictive of intraoperative pain. Anxiety peaked before result disclosure. Erectile dysfunction attributed to anxiety in anticipation of biopsy was reported in 7% of cases. At days 7 and 30, 15% of previously potent patients reported erectile dysfunction. Conclusions: The impact of prostate biopsy on patient well-being begins while waiting for the scheduled procedure. Shortening the anticipation period before results are disclosed and administering pre-biopsy anxiety decreasing measures may benefit patients. Analgesic therapy is recommended in younger patients, those reporting moderate to severe intraoperative pain and those with known prostatic inflammatory infiltrate. The risk of acute erectile dysfunction should be discussed cautiously with patients who are potent before biopsy. References 1 : Transrectal ultrasound in the diagnosis and staging of prostatic carcinoma. Radiology1989; 170: 609. Google Scholar 2 : Palpable masses in the prostate: Superior accuracy of US-guided biopsy compared with accuracy of digitally guided biopsy. Radiology1991; 179: 41. Google Scholar 3 : Psychological reactions in men screened for prostate cancer. Br J Urol1995; 75: 631. Google Scholar 4 : Risks and complications of transrectal ultrasound guided prostate needle biopsy: a prospective study and review of the literature. J Urol1998; 160: 2115. Link, Google Scholar 5 : Complications of transrectal ultrasound-guided systematic sextant biopsies of the prostate: evaluation of complication rates and risk factors within a population-based screening program. Urology1997; 49: 875. Google Scholar 6 : Patient tolerance of transrectal ultrasound-guided biopsy of the prostate. Br J Urol1997; 79: 608. Crossref, Medline, Google Scholar 7 : Multiple transrectal ultrasound-guided prostatic biopsies–true morbidity and patient acceptance. Br J Urol1993; 71: 460. Google Scholar 8 : Side effects and patient acceptability of transrectal biopsy of the prostate. Clin Radiol1993; 47: 125. Crossref, Medline, Google Scholar 9 : Complications of ultrasound-guided transperineal prostate biopsy. A prospective study. Br J Urol1993; 72: 775. Google Scholar 10 : Prevention: how much harm? How much benefit? 3. Physical, psychological and social harm. CMAJ1996; 155: 169. Google Scholar 11 : Quality of life following a false positive mammogram. Br J Cancer1990; 62: 1018. Google Scholar 12 : Recalled anxiety: from discovery to diagnosis of a benign breast mass. Oncol Nurs Forum1994; 21: 1723. Google Scholar 13 : Psychosocial morbidity in patients awaiting breast biopsy. J Psychosom Res1988; 32: 173. Google Scholar 14 : Benign breast disease: the cost of the service and the cost to the patient. World J Surg1989; 13: 669. Google Scholar 15 : Does publicity about cancer screening raise fear for cancer? Randomized trail of the psychological effect of information about cancer screening. BMJ1999; 319: 1037. Google Scholar 16 : Pain and morbidity of transrectal ultrasound guided prostate biopsy: a prospective randomized trail of 6 versus 12 cores. J Urol2000; 163: 168. Abstract, Google Scholar 17 : The emergence of the "waiting game": a critical examination of the psychosocial issues in diagnosing breast cancer. J Adv Nurs1997; 25: 273. Google Scholar 18 : "It's only a biopsy": a personal account. J Cancer Care1993; 2: 17. Google Scholar From the Department of Urology, Assaf-Harofeh Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Zerifin, Israel© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byFainberg J, Gaffney C, Pierce H, Aboukhshaba A, Chughtai B, Christos P and Kashanian J (2020) Erectile Dysfunction is a Transient Complication of Prostate Biopsy: A Systematic Review and Meta-AnalysisJournal of Urology, VOL. 205, NO. 3, (664-670), Online publication date: 1-Mar-2021.Marra G, Zhuang J, Marquis A, Zhao X, Calleris G, Kan Y, Oderda M, Huang H, Faletti R, Zhang Q, Molinaro L, Wang W, Bergamasco L, Guo H and Gontero P (2020) Pain in Men Undergoing Transperineal Free-Hand Multiparametric Magnetic Resonance Imaging Fusion Targeted Biopsies under Local Anesthesia: Outcomes and Predictors from a Multicenter Study of 1,008 PatientsJournal of Urology, VOL. 204, NO. 6, (1209-1215), Online publication date: 1-Dec-2020.Burns J, Hurwitz L, Levie K, Caumont F, Brand T, Rosner I, Stroup S, Musser J, Cullen J and Porter C (2019) Impact of Subsequent Biopsies on Comprehensive Health Related Quality of Life in Patients with and without Prostate CancerJournal of Urology, VOL. 201, NO. 5, (916-922), Online publication date: 1-May-2019.Marzouk K, Assel M, Ehdaie B and Vickers A (2018) Long-Term Cancer Specific Anxiety in Men Undergoing Active Surveillance of Prostate Cancer: Findings from a Large Prospective CohortJournal of Urology, VOL. 200, NO. 6, (1250-1255), Online publication date: 1-Dec-2018.Pham K, Johnston R, Jeldres C, Lewinshtein D and Porter C (2014) The Impact of Multiple Prostate Needle Biopsies on Long-Term Erectile DysfunctionUrology Practice, VOL. 2, NO. 2, (85-89), Online publication date: 1-Mar-2015.Braun K, Ahallal Y, Sjoberg D, Ghoneim T, Dominguez Esteban M, Mulhall J, Vickers A, Eastham J, Scardino P and Touijer K (2013) Effect of Repeated Prostate Biopsies on Erectile Function in Men on Active Surveillance for Prostate CancerJournal of Urology, VOL. 191, NO. 3, (744-749), Online publication date: 1-Mar-2014.Hilton J, Blaschko S, Whitson J, Cowan J and Carroll P (2012) The Impact of Serial Prostate Biopsies on Sexual Function in Men on Active Surveillance for Prostate CancerJournal of Urology, VOL. 188, NO. 4, (1252-1259), Online publication date: 1-Oct-2012.Klein T, Palisaar R, Holz A, Brock M, Noldus J and Hinkel A (2010) The Impact of Prostate Biopsy and Periprostatic Nerve Block on Erectile and Voiding Function: A Prospective StudyJournal of Urology, VOL. 184, NO. 4, (1447-1452), Online publication date: 1-Oct-2010.Atan A and Tuncel A (2010) Re: Serial Prostate Biopsies are Associated With an Increased Risk of Erectile Dysfunction in Men With Prostate Cancer on Active SurveillanceJournal of Urology, VOL. 183, NO. 6, (2471-2472), Online publication date: 1-Jun-2010.Fujita K, Landis P, McNeil B and Pavlovich C (2009) Serial Prostate Biopsies are Associated With an Increased Risk of Erectile Dysfunction in Men With Prostate Cancer on Active SurveillanceJournal of Urology, VOL. 182, NO. 6, (2664-2669), Online publication date: 1-Dec-2009.Cam K, Sener M, Kayikci A, Akman Y and Erol A (2008) Combined Periprostatic and Intraprostatic Local Anesthesia for Prostate Biopsy: A Double-Blind, Placebo Controlled, Randomized TrialJournal of Urology, VOL. 180, NO. 1, (141-145), Online publication date: 1-Jul-2008.AUTORINO R, DE SIO M, DI LORENZO G, DAMIANO R, PERDONÀ S, CINDOLO L and D'ARMIENTO M (2018) HOW TO DECREASE PAIN DURING TRANSRECTAL ULTRASOUND GUIDED PROSTATE BIOPSY: A LOOK AT THE LITERATUREJournal of Urology, VOL. 174, NO. 6, (2091-2097), Online publication date: 1-Dec-2005.HAQ A, PATEL H, HABIB M, DONALDSON P and PARRY J (2018) DICLOFENAC SUPPOSITORY ANALGESIA FOR TRANSRECTAL ULTRASOUND GUIDED BIOPSIES OF THE PROSTATE: A DOUBLE-BLIND, RANDOMIZED CONTROLLED TRIALJournal of Urology, VOL. 171, NO. 4, (1489-1491), Online publication date: 1-Apr-2004.JONES J, ODER M and ZIPPE C (2018) Saturation Prostate Biopsy With Periprostatic Block Can be Performed in OfficeJournal of Urology, VOL. 168, NO. 5, (2108-2110), Online publication date: 1-Nov-2002.LEIBOVICI D, ZISMAN A, SIEGEL Y, SELLA A, KLEINMANN J and LINDNER A (2018) LOCAL ANESTHESIA FOR PROSTATE BIOPSY BY PERIPROSTATIC LIDOCAINE INJECTION: A DOUBLE-BLIND PLACEBO CONTROLLED STUDYJournal of Urology, VOL. 167, NO. 2 Part 1, (563-565), Online publication date: 1-Feb-2002.TAVERNA G, MAFFEZZINI M, BENETTI A, SEVESO M, GIUSTI G and GRAZIOTTI P (2018) A SINGLE INJECTION OF LIDOCAINE AS LOCAL ANESTHESIA FOR ULTRASOUND GUIDED NEEDLE BIOPSY OF THE PROSTATEJournal of Urology, VOL. 167, NO. 1, (222-223), Online publication date: 1-Jan-2002.PEYROMAURE M, RAVERY V, MESSAS A, TOUBLANC M, BOCCON-GIBOD L and BOCCON-GIBOD L (2018) PAIN AND MORBIDITY OF AN EXTENSIVE PROSTATE 10-BIOPSY PROTOCOL: A PROSPECTIVE STUDY IN 289 PATIENTSJournal of Urology, VOL. 167, NO. 1, (218-221), Online publication date: 1-Jan-2002.COURSEY J, MOREY A, McANINCH J, SUMMERTON D, SECREST C, WHITE P, MILLER K, PIECZONKA C, HOCHBERG D and ARMENAKAS N (2018) ERECTILE FUNCTION AFTER ANTERIOR URETHROPLASTYJournal of Urology, VOL. 166, NO. 6, (2273-2276), Online publication date: 1-Dec-2001.ZISMAN A, LEIBOVICI D, KLEINMANN J, COOPER A, SIEGEL Y and LINDNER A (2018) THE IMPACT OF PROSTATE BIOPSY ON PATIENT WELL-BEING: A PROSPECTIVE STUDY OF VOIDING IMPAIRMENTJournal of Urology, VOL. 166, NO. 6, (2242-2246), Online publication date: 1-Dec-2001. Volume 165Issue 2February 2001Page: 445-454 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.KeywordsprostatebiopsyanxietyimpotencepainMetricsAuthor Information AMNON ZISMAN More articles by this author DAN LEIBOVICI More articles by this author JUDITH KLEINMANN More articles by this author YORAM I. SIEGEL More articles by this author ARIE LINDNER More articles by this author Expand All Advertisement PDF downloadLoading ...
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
高高高完成签到 ,获得积分10
3秒前
彪壮的亦瑶完成签到 ,获得积分10
4秒前
科研通AI2S应助科研通管家采纳,获得10
6秒前
Perry应助科研通管家采纳,获得60
6秒前
Akim应助科研通管家采纳,获得10
6秒前
鱼雷完成签到,获得积分10
7秒前
廿伊发布了新的文献求助10
9秒前
我是125完成签到,获得积分10
11秒前
依人如梦完成签到 ,获得积分10
12秒前
13秒前
PDIF-CN2完成签到,获得积分10
17秒前
雪雪完成签到 ,获得积分10
18秒前
19秒前
Willow完成签到,获得积分10
22秒前
研研研完成签到,获得积分10
23秒前
大橙子发布了新的文献求助10
25秒前
dejiangcj完成签到 ,获得积分10
26秒前
无味完成签到,获得积分10
27秒前
大气的尔蓝完成签到,获得积分10
28秒前
科研通AI5应助普鲁卡因采纳,获得10
29秒前
略略略完成签到 ,获得积分10
31秒前
zqlxueli完成签到 ,获得积分10
35秒前
无语的断缘完成签到,获得积分10
37秒前
hdx完成签到 ,获得积分10
38秒前
健壮的涑完成签到 ,获得积分10
39秒前
量子星尘发布了新的文献求助10
43秒前
普鲁卡因发布了新的文献求助10
43秒前
高大绝义完成签到,获得积分10
45秒前
47秒前
黄超超发布了新的文献求助10
48秒前
ZEcholy完成签到 ,获得积分20
48秒前
大橙子发布了新的文献求助10
49秒前
小幸运完成签到,获得积分10
51秒前
淡然一德完成签到,获得积分10
54秒前
咖啡豆完成签到 ,获得积分10
55秒前
56秒前
龙猫爱看书完成签到,获得积分10
56秒前
you完成签到,获得积分10
57秒前
黄超超完成签到,获得积分10
59秒前
玄音完成签到,获得积分10
1分钟前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038128
求助须知:如何正确求助?哪些是违规求助? 3575831
关于积分的说明 11373827
捐赠科研通 3305610
什么是DOI,文献DOI怎么找? 1819255
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022