Multiple transrectal ultrasound guided prostatic biopsies: morbidity and tolerance.

Abstract:

OBJECTIVE:Early detection of prostate cancer has become a matter of vital importance in modern societies. Ultrasound guided transrectal biopsy is the current standard urological procedure to detect prostate cancer. In this study our intention was to confirm the high tolerance and low complication rate of this procedure, facts already established in urologists' minds. MATERIAL AND METHODS:In order to evaluate the morbidity as well as the acceptance of the procedure, we investigated 120 patients who underwent ultrasound guided transrectal biopsies of the prostate, in our department from September 1995 to January 1996. All patients at each biopsy underwent 6 needle passes and took periprocedural antibiotic therapy. Alongside with recording the periprocedural side effects of this method patients answered a questionnaire in order to evaluate the pain they experienced by this procedure. RESULTS:Twenty patients were found to have prostate cancer at various stages. All patients tolerated well the whole procedure. Pain was the most common complaint among patients. Several complications were recorded; the most common of all was haematuria. Only two patients required admission to hospital because they developed fever after the procedure. CONCLUSION:Ultrasound guided transrectal biopsy of the prostate is a well-tolerated and effective method for obtaining multiple biopsy specimens from the prostate with low incidence of serious complications. Its is also accurate enough, allowing its use in everyday urology, as a diagnostic procedure.

journal_name

Int Urol Nephrol

authors

Deliveliotis C,John V,Louras G,Andreas S,Alargof E,Sofras F,Goulandris N

doi

10.1023/a:1007168823851

keywords:

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

681-6

issue

5

eissn

0301-1623

issn

1573-2584

journal_volume

31

pub_type

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