Local versus general anesthesia transperineal prostate biopsy: Tolerability, cancer detection, and complications.

ABSTRACT:

Objectives

To compare data on transperineal template biopsy (TPTB) under general anesthesia (GA) compared with local anesthesia (LA) procedures using the PrecisionPoint™ Transperineal Access System (PPTAS) in relation to tolerability, cancer detection rate, complications, and cost.

Methods

A prospective pilot cohort study of patients undergoing transperineal biopsy was performed. Patients were excluded if they had concurrent flexible cystoscopy or language barriers. Patients had a choice of GA or LA. A prospective questionnaire on Days 0, 1, 7, and 30 was applied. The primary outcome was patient tolerability. Secondary outcomes were cancer detection rate, complication rate, and theater utilization.

Results

This study included 80 patients (40 GA TPTB and 40 LA PPTAS).

SUBMITTER: Hogan D 

PROVIDER: S-EPMC8988812 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature