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Source CiteSeerX
Content type Text
File Format PDF
Subject Domain (in DDC) Computer science, information & general works ♦ Data processing & computer science
Subject Keyword Risk Factor ♦ Prostate Cancer ♦ Urinary Tract Infection ♦ Rectal Preparation ♦ Consultant Urolo-gists ♦ Anal Pain ♦ Effective Diagnostic Tool ♦ Acute Urinary Retention ♦ Transrectal Ultrasound ♦ Ng Ml ♦ Trus-guided Prostate Biopsy ♦ Six-core Transrectal Biopsy ♦ Forty-seven Patient ♦ Major Complication ♦ Minor Complication ♦ Mean Prostate-specific Antigen ♦ Complication Rate ♦ Gross Hematuria ♦ Anal Bleeding ♦ Major Sequela ♦ Diagnostic Procedure ♦ Prostate Needle Biopsy ♦ Patient Underwent Sextant Prostate Biopsy ♦ Study Demonstrate ♦ Transrectal Ultrasound Guidance ♦ Prostate Volume ♦ Trus-guided Prostate Needle Biopsy
Abstract Background: Transrectal ultrasound (TRUS) guided prostate needle biopsy is a commonly used diagnostic procedure. We determined associated risk factors for patients who suffered major complications and required hospitalization after TRUS-guided prostate biopsy. Methods: A total of 1,529 patients, 27 to 92 years old (mean 67.6 years) were included in this study conducted between January 2003 and July 2006. Each patient underwent sextant prostate biopsy under transrectal ultrasound guidance. Six-core transrectal biopsies were performed by urologists, consultant urolo-gists and residents in training. Results: The mean prostate-specific antigen (PSA) level and prostate volume were 113.2 ng/ml and 46.2 grams, respectively. One hundred forty-seven patients had complications. Some patients may have had more than one complication, but no major sequelae were seen immediately after biopsy. Sixty-two (4.1%) of these patients had gross hematuria, while 26 (1.7%) had acute urinary retention, 21 (1.4%) had urinary tract infection, 17 (1.1%) had hematosper-mia, 14 (0.9%) had anal bleeding and 7 (0.5%) had anal pain. Urinary tract infection and rectal preparation were found significantly associated with complications. Conclusions:The results of our study demonstrate that minor complications occur without sequelae. Thus, TRUS-guided prostate needle biopsy is a safe and effective diagnostic tool. Urinary tract infection and rectal preparation might affect the complication rate.
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Research
Education Level UG and PG ♦ Career/Technical Study