A prospective randomized comparison of extensive prostate biopsy to standard biopsy with assessment of diagnostic yield, biopsy pain and morbidity.

Abstract:

:In a prospective randomized study, we compare standard prostate biopsy to extensive biopsy utilizing intravenous conscious sedation (IVCS). Initial biopsy patients (n=197) were randomized to either standard biopsy using intrarectal lidocaine gel (6-12 biopsies, mean 10.1) or extensive biopsy (24 biopsies) using IVCS. Cancer detection and urinary symptoms were no different between groups. However, biopsy pain was rated significantly lower and satisfaction significantly higher in the extensive biopsy group. Temporary urinary retention occurred in 4% of the extensive biopsy group. Extended biopsy with 24 samples does not improve cancer detection compared to standard biopsy when 10 cores are obtained. Extensive biopsy is very well tolerated and associated with less pain and more satisfaction than standard biopsy.

authors

Sur RL,Borboroglu PG,Roberts JL,Amling CL

doi

10.1038/sj.pcan.4500713

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

126-31

issue

2

eissn

1365-7852

issn

1476-5608

pii

4500713

journal_volume

7

pub_type

临床试验,杂志文章,随机对照试验
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