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Prospective analysis finds pain risk factors in a diverse cohort undergoing prostate biopsy under local anesthesia, suggesting important considerations for treatment choice.
PBx under LA alone are generally well tolerated; however, there is a subset of patients who experience more pain, including Black and Latino, younger patients, and those with more MRI suspicious lesions. Discussion of these pain risk factors is important for patients when choosing to have a biopsy performed under LA versus sedation.
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Chua et al. (2026) studied this question.
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