Evidence map›Paper›PMID 31288778›Full record

Trial reportBMC urology2019

Pelvic plexus block to provide better anesthesia in transperineal template-guided prostate biopsy: a randomised controlled trial.

Xue-Fei Ding, Tian-Bao Huang, Sheng-Ming Lu, Hua-Zhi Tao, Xiao-Fang Ye, Fei Wang, Yao-Zong Xu, Jia-Nan Xu, Yu-Quan Zhou, Yang Luan

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Xue-Fei DingDepartment of Urology, Clinical Medical College, Yangzhou University, No. 98 West Nantong Road, Yangzhou, Jiangsu Province, 225001, China.
Tian-Bao HuangDepartment of Urology, Clinical Medical College, Yangzhou University, No. 98 West Nantong Road, Yangzhou, Jiangsu Province, 225001, China.
Sheng-Ming LuDepartment of Urology, Clinical Medical College, Yangzhou University, No. 98 West Nantong Road, Yangzhou, Jiangsu Province, 225001, China.
Hua-Zhi TaoDepartment of Urology, Clinical Medical College, Yangzhou University, No. 98 West Nantong Road, Yangzhou, Jiangsu Province, 225001, China.
Xiao-Fang YeDepartment of Urology, Clinical Medical College, Yangzhou University, No. 98 West Nantong Road, Yangzhou, Jiangsu Province, 225001, China.
Fei WangDepartment of Urology, Clinical Medical College, Yangzhou University, No. 98 West Nantong Road, Yangzhou, Jiangsu Province, 225001, China.
Yao-Zong XuDepartment of Urology, Clinical Medical College, Yangzhou University, No. 98 West Nantong Road, Yangzhou, Jiangsu Province, 225001, China.
Jia-Nan XuDepartment of Urology, Clinical Medical College, Yangzhou University, No. 98 West Nantong Road, Yangzhou, Jiangsu Province, 225001, China.
Yu-Quan ZhouDepartment of Urology, Clinical Medical College, Yangzhou University, No. 98 West Nantong Road, Yangzhou, Jiangsu Province, 225001, China.
Yang LuanDepartment of Urology, Clinical Medical College, Yangzhou University, No. 98 West Nantong Road, Yangzhou, Jiangsu Province, 225001, China. Luan_Y@163.com.ORCID http://orcid.org/0000-0002-6892-3544
Yangzhou University · CNFuyang City People's Hospital · CN

Funding

the Jiangsu Provincial Commission of Health and Family Planning Research Project H201550
6 · The paper itself

Abstract

backgroundTo evaluate the efficacy of pelvic plexus block (PPB) in relief pain during transperineal template-guided prostate biopsy (TTPB), compared with conventional periprostatic nerve block (PNB).

methodsFrom July 2016 to August 2017, 245 patients who were performed TTPB in Clinical Medical College of Yangzhou University were recruited. The patients were randomized into three groups using a random number table. Group-1 received prostate capsule local anesthesia with 22 ml of 1% lidocaine. Group-2 additionally received PNB on the basis of Group-1. To perform PNB, 5 ml 1% lidocaine was injected into the region of prostatic neurovascular bundle situated in the angle of prostate-bladder-seminal vesicle. Group-3 received prostate capsule local anesthesia plus PPB (5 ml of 1% lidocaine injection into the pelvic plexus which located on lateral to the bilateral seminal vesicle apex). The patients' pain and satisfaction were evaluated by visual analogue scale and visual numerical scale, respectively.

resultsThe age, total prostate volume, PSA and the number of cores were comparable among the three groups. The visual analog scale scores of group-3 were significantly lower than group-2 during biopsy (P = 0.003). Conversely, the visual numeric scale scores were higher in group-3 (P = 0.039). Both the group-2 and group-3 outperformed the group-1 in alleviating pain and had a higher quantification of satisfaction. There were no significant differences in the pain scores or the satisfaction scores at 30 min after the procedure among the three groups.

conclusionsThe analgesic efficacy of PPB guided by Doppler ultrasound in TTPB was better than that of PNB and both were superior to no nerve block.

trial registrationChiCTR-IOR-17013533 , 01/06/2016.

Indexed as

AgedAnesthesiaAutonomic Nerve BlockBiopsyHumansHypogastric PlexusMaleMiddle AgedPainPain MeasurementProspective StudiesProstateProstatic NeoplasmsUltrasonography, InterventionalBiopsyNerve blockPainProstate

Identifiers

PMID31288778
PMCPMC6617827
OpenAlexW2956346960

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.