Introduction of free-hand MRI-guided transperineal prostate biopsies as an outpatient procedure.
Dan Med J
; 69(11)2022 Oct 20.
Article
em En
| MEDLINE
| ID: mdl-36331154
ABSTRACT
INTRODUCTION:
Direct biopsy of the prostate is used for diagnosing prostate cancer and most prostate biopsies are performed transrectally with ultrasonic guidance (TRUS-BX). The transrectal approach carries a risk of sepsis as bacteria may transfer directly into the prostate from the rectum. Approximately 6% of the patients will be hospitalised within seven days after TRUX-BX. Increasing antibiotic resistance has spurred a renewed interest in the transperineal approach (TP-BX). Aseptic TP-BX may be performed, significantly reducing the risk of infection. We described the first Danish experience with multiparametric MRI-guided freehand TP-BX.METHODS:
Men scheduled for TP-BX were included. Patient age, prostate-specific antigen level, previous biopsy history, weight and height were recorded. We employed a visual analogue scale (VAS) for the various procedure parts and the patients rated their satisfaction. Complications and International Society of Urological Pathology scores were recorded and cancer detection rates calculated.RESULTS:
A total of 143 men had TP-BX performed in a consecutive series. The cancer detection rate was 81.8% (95% confidence interval 74.5-87.8%). The procedure was well tolerated with a median VAS of 2 (range 0-7), and patients expressed a high degree of satisfaction with the procedure. One patient was hospitalised due to infection.CONCLUSION:
TP-BX is well tolerated and feasible as an outpatient procedure performed in local anaesthesia. Transperineal biopsies have a low risk of infection.FUNDING:
none. TRIAL REGISTRATION not relevant.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Próstata
/
Neoplasias da Próstata
Tipo de estudo:
Guideline
Limite:
Humans
/
Male
Idioma:
En
Revista:
Dan Med J
Ano de publicação:
2022
Tipo de documento:
Article