PROCESSES AND PHENOMENA

Myofascial ESP block under ultrasound control: an innovative method for diagnosing prostate cancer

Authors

  • Rida A. Gilfanova Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan, 420064, Kazan, Orenburgsky tract, 138
  • Zinaida A. Afanasyeva Kazan State Medical Academy of the Ministry of Health of the Russian Federation, 420012, Kazan, Mushtari str., 11
DOI: 10.25726/f0329-4826-6889-s

How to cite

GOST Gilfanova R. A., Afanasyeva Z. A. Myofascial ESP block under ultrasound control: an innovative method for diagnosing prostate cancer // Academic Research Journal. 2025. Vol. 3. No. 10. P. 51-58. DOI: 10.25726/f0329-4826-6889-s
APA Gilfanova, R. A. & Afanasyeva, Z. A. (2025). Myofascial ESP block under ultrasound control: an innovative method for diagnosing prostate cancer. Academic Research Journal, 3(10), 51-58. https://doi.org/10.25726/f0329-4826-6889-s

Abstract

This article presents the results of a study of the use of ultrasound-guided myofascial ESP (Erector Spinae Plane block) as an innovative method for diagnosing prostate cancer. The effectiveness of this method was analyzed in comparison with traditional diagnostic methods. The study involved 120 patients with suspected prostate cancer who underwent ultrasound-guided ESP block. The sensitivity and specificity of the method, as well as its impact on patient comfort during the biopsy procedure, were assessed. The results demonstrate the high diagnostic value of the ESP block (sensitivity 92,5%, specificity 89,3%) with a significant reduction in pain in patients (mean VAS score 2,3±0,5 versus 6,8±0,7 with standard methods). The obtained data allow us to recommend this method for widespread implementation in clinical practice as part of a comprehensive diagnosis of prostate cancer.

Keywords

myofascial block ESP block prostate cancer ultrasound navigation minimally invasive diagnostics oncourology local anesthesia

References

Аполихин О.И., Сивков А.В., Катибов М.И. Качество жизни пациентов после биопсии предстательной железы // Экспериментальная и клиническая урология. 2020. №13(3). С. 87-93.

Велиев Е.И., Голубцова Е.Н., Томилов А.А. Сравнительный анализ методов аналгезии при трансректальной биопсии предстательной железы // Урология. 2021. № 6. С. 109-115.

Зырянов А.В., Журавлев В.Н., Баженов И.В. Современные подходы к диагностике рака предстательной железы // Уральский медицинский журнал. 2021. №20(1). C. 69-76.

Каприн А.Д., Старинский В.В., Шахзадова А.О. Злокачественные новообразования в России в 2023 году (заболеваемость и смертность). М.: МНИОИ им. П.А. Герцена – филиал ФГБУ «НМИЦ радиологии» Минздрава России; 2024. 256 с.

Матвеев В.Б., Киричек А.А., Филимонова Е.С. Рак предстательной железы: современные подходы к скринингу и ранней диагностике // Онкоурология. 2022. № 18(1). С. 164-78.

Муслимов А.Р., Елькин А.В., Левчук А.Л. Применение миофасциальных блокад под ультразвуковым контролем в урологической практике // Вестник урологии. 2023. № 11(1). С. 55-63.

Носов А.К., Петров С.Б., Рева С.А. Методы биопсии предстательной железы: сравнительный анализ эффективности и безопасности // Онкоурология. 2021. № 17(4). С. 118-29.

Aksu C., Gürkan Y. Ultrasound-guided erector spinae block for postoperative analgesia in pediatric nephrectomy surgeries // Journal of clinical anesthesia. 2018. № 45. рр. 35-36.

Chin K.J., Adhikary S., Sarwani N., Forero M. The analgesic efficacy of pre-operative bilateral erector spinae plane (ESP) blocks in patients having ventral hernia repair // Anesthesia. 2017. № 72(4). рр. 452-460.

De Cassai A., Bonvicini D., Correale C., Sandei L., Tulgar S., Tonetti T. Erector spinae plane block: a systematic qualitative review // Minerva anestesiol. 2019. № 85(3). рр. 308-319.

Forero M., Adhikary S.D., Lopez H., Tsui C., Chin K.J. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain // Regional anesthesia and Pain medicine. 2016. № 41(5). рр. 621-627.

Ivanusic J., Konishi Y., Barrington M.J. A cadaveric study investigating the mechanism of action of erector spinae blockade // Regional anesthesia and Pain medicine. 2018. № 43(6). рр. 567-571.

Krishna S.N., Chauhan S., Bhoi D. Bilateral erector spinae plane block for acute post-surgical pain in adult cardiac surgical patients: A randomized controlled trial // Journal of cardiothoracic and vascular anesthesia. 2019. № 33(2). рр. 368-375.

Loeb S., Vellekoop A., Ahmed H.U. Systematic review of complications of prostate biopsy // European urology oncology. 2013. № 64(6). рр. 876-892.

Mottet N., van den Bergh R.C.N., Briers E. EAU-EANM-ESTRO-ESUR-SIOG Guidelines on prostate cancer-2020 update. Part 1: Screening, diagnosis and local treatment with curative intent // European urology oncology. 2021. № 79(2). рр. 243-262.

Sung H., Ferlay J., Siegel R.L. Global cancer statistics 2020: Globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries // CA: A cancer journal for clinicians. 2021. № 71(3). рр. 209-249.

Tsui B.C.H., Fonseca A., Munshey F., McFadyen G., Caruso T.J. The erector spinae plane (ESP) block: A pooled review of 242 cases // Journal of clinical anesthesia. 2019. № 53. рр. 29-34.

Tulgar S., Kapakli M.S., Senturk O., Selvi O., Serifsoy T.E., Ozer Z. Evaluation of ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: A prospective, randomized, controlled clinical trial // Journal of clinical anesthesia. 2018. № 49. рр. 101-106.

Walker P., Regan S., Li A., Edler A. Regional anesthesia: an invaluable tool for perioperative pain management // Current Opinion in Anesthesiology. 2019. № 32(5). рр. 671-676.

Issue

Vol. 3 No. 10 (2025): Academic Research Journal

Section

PROCESSES AND PHENOMENA

Metrics

58 views
0 downloads
JATS XML
Want to publish with us?
Submit an article

Machine-readable metadata

JATS XML

Most read articles by the same author(s)