Complications of transrectal biopsy of the prostate


Cite item

Full Text

Abstract

The aim of the study was to assess frequency of various complications of transrectal multifocal biopsy of the prostate (TMBP), to specify prophylactic measures against such complications. Primary TMBP under US guidance was made in 612 patients (mean age 65,8 years, mean level of PSA 12.6 ng/ml). TMBP complications include: hematuria (220 patients, 35.9%), hemospermia (166 patients, 27.1%), pain in the perineum and the rectum (189, 30.9%), acute prostatitis (21 patients, 3.4%), acute orchiepididymitis (7 patients, 1.1%), acute urine retention (9 patients, 1.5%), long-term rectal hemorrhage (13 patients, 2.1%), loss of consciousness during the biopsy (7 patients, 1.1%). The analysis of TMBP complications leads to the conclusion that adequate preparation of the patients and accurate conduction of the prostatic biopsy technique under US guidance make this invasive manipulation diagnostically effective and safe.

About the authors

D Yu Pushkar

A V Govorov

References

  1. Manseck A., Guhr К., Froehner M. et al. Morbidity and discomfort of tencore biopsy of the prostate valuated by questionnaire. Urol. Int. 2001; 66(4): 197-200.
  2. Ravery V., Fontaine E., Villers A. Biopsies prostatiques: modalites techniques et conditions de l'examen. Progr. Urol. 2000; 10: 1271-1276.
  3. Brullet E., Guevara M. C., Campo R. et al. Massive rectal bleeding following transrectal ultrasound-guided prostate biopsy. Endoscopy 2000; 32 (10): 792-795.
  4. Lindert К. A., Kabalin J. N., Terris M. К. Bacteriemia and bacteriuria after transrectal ultrasound guided prostate biopsy. J. Urol. (Baltimore) 2000; 164 (1): 76-80.
  5. Rodriguez L. V., Ferris M. K. Risks and complications of transrectal ultrasound guided prostate needle biopsy: a prospective study and review of the literature. J. Urol. (Baltimore) 1998; 160 (6): 2115-2120.
  6. Borer A., Gilad J., Sikuler E. et al. Fatal Clostridium sordelli ischio-rectal abscess with septicaemia complication ultrasoundguided transrectal prostate biopsy. J. Infect. 1999; 38 (2): 128- 129.
  7. Faylo H. M., Bingham J. B. The use of prophylactic antibiotics in ultrasound-guided transrectal prostate biopsy. Clin. Radiol. 1997; 52 (10): 787-790.
  8. Isen K., Kupeli В., Sinik Z. et al. Antibiotic prophylaxis for transrectal biopsy of the prostate: a prospective randomized study of the prophylactic use of single dose oral fluoroquinolone versus trimethoprim-sulfamethoxazole. Int. Urol. Nephrol. 1999; 31 (4): 491-495.
  9. Carey J. M., Korman H. J. Transrectal ultrasound guided biopsy of the prostate. Do enemas decrease clinically significant complications? J. Urol. (Baltimore) 2001; 166 (1): 82-85.
  10. Rodriguez A., Kyriakou G., Leray E. et al. Prospective study comparing two methods of anaesthesia for prostate biopsies: apex periprostatic nerve block versus intrarectal lidocaine gel: review of the literature. Eur. Urol. 2003; 44 (2): 195-200.
  11. Wu С. L., Carter H. В., Naquibuddin M. et al. Effect of local anaesthetics on patient recovery after transrectal biopsy. Urology 2001; 57 (5): 925-929.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies