@Article{,
AUTHOR = {Aalya Hamouda, Ahmed Ibrahim, Nicholas Corsi,
Dean S. Elterman, Bilal Chughtai, Naeem Bhojani,
Kevin C. Zorn},
TITLE = {Peri-prostatic nerve block using Clarius EC7 HD<sub>3</sub> handheld ultrasound guidance},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {30},
YEAR = {2023},
NUMBER = {6},
PAGES = {11741--11746},
URL = {http://www.techscience.com/CJU/v30n6/59658},
ISSN = {1488-5581},
ABSTRACT = {Transrectal ultrasound (TRUS) is a common modality
used during urological procedures that require real-time
visualization of the prostate, such as prostate biopsy and
peri-prostatic nerve blocks (PNB) for surgical procedures.
Current practice for TRUS-guided PNB requires use of
costly, fixed, and non-portable ultrasound machinery that
can often limit workflow. The Clarius endocavity EC7
probe, a digital, handheld and pocket-sized endocavity
ultrasound (US) device, is an alternative, portable
technology which was recently shown to accurately
visualize and measure prostate dimensions and volume.
Moreover, in recent years, there has been a renaissance of
office-based treatments for minimally invasive surgical
therapies (MIST) for the treatment of benign prostate
hyperplasia (BPH). More specifically, the Rezūm procedure has been demonstrated to offer men a short,
outpatient therapy with excellent 5-year outcomes in
durability and preservation of antegrade ejaculation.
While other anesthetic techniques have been described for
Rez ūm, including inhaled methoxyflurane (Penthrox),
nitrous oxide, IV sedation and general anesthesia (which
often mandate the presence of an anesthesiology team),
US-guided local blocks offer the urologist an independent
method for pain management. While most urologists
may not have direct access to expensive, cart-based
ultrasound systems, point of care ultrasound (POCUS)
technology, such as Clarius (Vancouver, BC, Canada) and
Butterfly (Butterfly Network, Inc, Guilford, CT, USA),
can provide high-resolution imaging in combination with
smart phone technology. Herein, we sought to describe
the technique for using Clarius EC7 for TRUS-guided
PNB and its use in urological application with the Rezūm
BPH procedure.},
DOI = {}
}