TY - JOUR T1 - Assessment and clinical factors associated with pain in patients undergoing transrectal prostate biopsy JO - Actas Urológicas Españolas (English Edition) T2 - AU - Gómez-Gómez,E. AU - Ramírez,M. AU - Gómez-Ferrer,A. AU - Rubio-Briones,J. AU - Iborra,I. AU - Carrasco-Valiente,J. AU - Campos,J.P. AU - Ruiz-García,J. AU - Requena-Tapia,M.J. AU - Solsona,E. SN - 21735786 M3 - 10.1016/j.acuroe.2015.06.005 DO - 10.1016/j.acuroe.2015.06.005 UR - https://www.elsevier.es/en-revista-actas-urologicas-espanolas-english-392-articulo-assessment-clinical-factors-associated-with-S2173578615001079 AB - ObjectivesTo quantify the degree of pain experienced by patients who undergo ultrasound-guided transrectal prostate biopsy in standard clinical practice and assess the clinical factors associated with increased pain. Material and methodsAnalysis of a multicenter series of patients with prostate biopsy was done according to standard clinical practice. The biopsy was performed transrectally with a protocol of local anesthesia on the posterolateral nerve bundle. The pain was assessed at 20min into the procedure using the visual analog scale (0–10). The degree of pain was analyzed, and the association was studied using a univariate/multivariate analysis of selected clinical variables and the degree of pain. ResultsA total of 1188 patients with a median age of 64 years were analyzed. Thirty percent of the biopsies were diagnosed with a tumor. The median pain score was 2, with 65% of the patients reporting a pain score ≤2. The multivariate analysis showed that the prostate volume (RR, 1.34; 95% CI 1.01–1.77; p=0.04), having a previous biopsy (RR, 2.25; 95% CI 1.44–3.52; p<0.01), age (RR, 0.63; 95% CI 0.47–0.85; p<0.01) and feel palpation (RR, 1.95; 95% CI 1.28–2.96; p<0.01) were factors independently associated with greater pain during the procedure. ConclusionsTransrectal biopsy with local anesthesia is a relatively painless technique. Factors such as age, a previous biopsy, pain on being touched and prostate volume were associated with the presence of greater pain during the procedure. ER -