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Complications of Transrectal Ultrasound-Guided Prostate Biopsy: Impact of Prebiopsy Enema
Korean Journal of Urology ; : 732-736, 2014.
Article in English | WPRIM | ID: wpr-227272
ABSTRACT

PURPOSE:

Transrectal ultrasound (TRUS)-guided biopsy of the prostate is usually safe. However, some patients are hospitalized owing to complications from TRUS biopsy. We identified the risk factors for complications and effective preventive measures for treating complications after TRUS biopsy. MATERIALS AND

METHODS:

Medical records and radiological images of 1,083 patients who underwent TRUS biopsy of the prostate over 10 years in Gyeongsang National University Hospital were examined retrospectively to investigate the correlation between complications after TRUS biopsy and preventive antibiotics, prebiopsy enema, number of biopsy cores, and pathological findings.

RESULTS:

Complications occurred in 69 patients (6.4%). The complication rates of the 1,008 patients who received antibiotics and the 75 patients who did not were 6.3% and 8.0%, respectively (p=0.469). Complication rates of the pre-biopsy enema group (n=658) and the group without prebiopsy enema (n=425) were 4.7% and 8.9%, respectively (p=0.007). Complication rates of the 6-core biopsy group (n=41) and the 12-core biopsy group (n=955) were 7.3% and 6.3%, respectively (p=0.891). Complication rates of the prostate cancer group (n=306) and the no prostate cancer group (n=713) were 6.2% and 6.6%, respectively (p=0.740).

CONCLUSIONS:

A prebiopsy enema was associated with a reduced risk of complications after TRUS biopsy. Preventive antibiotics, number of biopsy cores, and pathological findings did not significantly influence the complication rate.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Prostatic Neoplasms / Prostatitis / Rectum / Incidence / Retrospective Studies / Risk Factors / Urinary Retention / Syncope, Vasovagal / Endosonography / Enema Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Risk factors Limits: Aged / Humans / Male Country/Region as subject: Asia Language: English Journal: Korean Journal of Urology Year: 2014 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Prostatic Neoplasms / Prostatitis / Rectum / Incidence / Retrospective Studies / Risk Factors / Urinary Retention / Syncope, Vasovagal / Endosonography / Enema Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Risk factors Limits: Aged / Humans / Male Country/Region as subject: Asia Language: English Journal: Korean Journal of Urology Year: 2014 Type: Article