Pain Comparison Whit Visual Analog Scale (EVA) Between Four Analgesic Methods During Trans Rectal Prostatic Biopsy

NCT ID: NCT03442075

Last Updated: 2018-03-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-05-01

Study Completion Date

2017-07-31

Brief Summary

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Define the best analgesic method between peri prostatic blockage, analgesic suppository, oral analgesic and topic anesthetic gel, during trans rectal prostate biopsy

Detailed Description

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Comparison between four analgesic methods during trans rectal prostatic biopsy.

OBJECTIVE: To define the best analgesic method between the peri-prostatic block, the analgesic suppository, the oral analgesic, the final anesthetic gel, during the trans rectal prostate biopsy determined at the end of the procedure with a visual analogue scale for pain (VAS pain) in a Interview 15 to 30 minutes at the end of the procedure.

METHODS: experimental, retrospective, longitudinal, comparative, during May to July 2017, 350 trans rectal prostate biopsies were performed, all cases were randomly assigned to one of the four study groups. The data analysis will be performed by calculating measures of central tendency and dispersion for quantitative variables and ANOVA test, for qualitative variables Chi square to determine statistical differences between the three moments of pain in the parameters of introduction of the ultrasound transducer, sampling of Prostate of the minimum 12 biopsies and discomfort in general of the procedure

Conditions

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Cancer of Prostate

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Group 1

Group 1 an analgesic suppository was applied

No interventions assigned to this group

Group 2

Group 2 was administered analgesic orally

No interventions assigned to this group

Group 3

Group 3 was given trans rectal gel

No interventions assigned to this group

Group 4

Group was performed peri prostatic infiltration.

No interventions assigned to this group

Group 5

Group was performed by placebo oral

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Male patients older than 18 years with indication for trans rectal prostate biopsy

Exclusion Criteria

* Bad intestinal preparation.
* Painful anorectal pathologies.
* Clotting disorders without previous assessment by hematology.
* Acute prostatitis
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Instituto Mexicano del Seguro Social

OTHER_GOV

Sponsor Role lead

Responsible Party

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EDGAR BELTRAN-SUAREZ

Dr Edgar Beltran-Suarez

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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EDGAR BELTRAN-SUAREZ, MD

Role: PRINCIPAL_INVESTIGATOR

HOSPITAL OF SPECIALTIES OF THE NATIONAL MEDICAL

Locations

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Edgar Beltran-Suarez

Mexico City, Aztcapotzalco, Mexico

Site Status

Countries

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Mexico

References

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Attard G, Parker C, Eeles RA, Schroder F, Tomlins SA, Tannock I, Drake CG, de Bono JS. Prostate cancer. Lancet. 2016 Jan 2;387(10013):70-82. doi: 10.1016/S0140-6736(14)61947-4. Epub 2015 Jun 11.

Reference Type BACKGROUND
PMID: 26074382 (View on PubMed)

Lowrance WT, Roth BJ, Kirkby E, Murad MH, Cookson MS. Castration-Resistant Prostate Cancer: AUA Guideline Amendment 2015. J Urol. 2016 May;195(5):1444-1452. doi: 10.1016/j.juro.2015.10.086. Epub 2015 Oct 20.

Reference Type BACKGROUND
PMID: 26498056 (View on PubMed)

Loeb S, Vellekoop A, Ahmed HU, Catto J, Emberton M, Nam R, Rosario DJ, Scattoni V, Lotan Y. Systematic review of complications of prostate biopsy. Eur Urol. 2013 Dec;64(6):876-92. doi: 10.1016/j.eururo.2013.05.049. Epub 2013 Jun 4.

Reference Type BACKGROUND
PMID: 23787356 (View on PubMed)

Mottet N, Bellmunt J, Bolla M, Joniau S, Mason M, Matveev V, Schmid HP, van der Kwast T, Wiegel T, Zattoni F, Heidenreich A. [EAU guidelines on prostate cancer. Part II: treatment of advanced, relapsing, and castration-resistant prostate cancer]. Actas Urol Esp. 2011 Nov-Dec;35(10):565-79. doi: 10.1016/j.acuro.2011.03.011. Epub 2011 Jul 14. Spanish.

Reference Type BACKGROUND
PMID: 21757258 (View on PubMed)

Herranz Amo F, Diez Cordero JM, Cabello Benavente R. [Evolution of the transrectal ultrasound guided prostatic biopsy technique]. Arch Esp Urol. 2006 May;59(4):385-96. Spanish.

Reference Type BACKGROUND
PMID: 16800136 (View on PubMed)

Sahin A, Ceylan C, Gazel E, Odabas O. Three different anesthesia techniques for a comfortable prostate biopsy. Urol Ann. 2015 Jul-Sep;7(3):339-44. doi: 10.4103/0974-7796.152014.

Reference Type BACKGROUND
PMID: 26229322 (View on PubMed)

Related Links

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http://www.cancer.gov/research/progress/snapshots/prostate

National Cancer Institute. A Snapshot of Prostate Cancer: Incidence and Mortality

http://globocan.iarc.fr/Pages/fact_sheets_population.aspx

WHO \| GLOBOCAN 2012 Estimated Cancer Incidence, Mortality and Prevalence Worlwide in 2012 \[Internet\]. 2015 \[cited 2016 Mar 21\]. p. 3. Available from:

Other Identifiers

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R-2017-3501-61

Identifier Type: -

Identifier Source: org_study_id

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