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

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. 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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 ...