Periprostatic nerve block during biopsy

Hi folks,

I have a confirmatory biopsy coming up in a couple of weeks, and out of the five biopsies I've had so far, only the last one reached a higher level of discomfort -- the last few shots of the 14 from the "staple gun" (I know, I know... it just sounds like that!) felt more like kicks to the ace. I'd never felt that previously.

For the upcoming biopsy, I asked about periprostatic nerve block and was told: "1% lidocaine will be used periprostatic nerve block."

I'd surely like to hear opinions on whether you think I should request something different or if this lidocaine option is just what it should be.

Thanks!

Sounds good to me. Make sure they give it a little time to deaden all the nerves before plunging in. There's also a "pelvic plexus nerve block" which may be even better.

Propofol and or demerol - if I could ever have another biopsy I would insist that I remember nothing of the experience, just like a colonoscopy.

The trick, as my urologist explained it, is to spread some lidocaine gel on first, and then inject some lidocaine starting at the rectal wall, and then slowly keep injecting as they work there way to the nexus of the periprostatic nerves. I never felt any of the injections or the biopsy needles. And it is so nice to be able to get up and walk away without the grogginess of general anesthesia.