Transrectal ultrasound-guided biopsy of the prostate: aspirin increases the incidence of minor bleeding complications.

Abstract:

AIM:To assess whether patients taking aspirin were more likely to experience bleeding complications after transrectal ultrasound (TRUS)-guided prostate biopsy. MATERIALS AND METHODS:Three hundred and eighty-seven patients taking aspirin who underwent prostate biopsy over a 3.5 year period and 731 patients not taking aspirin over a 2 year period returned a questionnaire assessing the incidence and severity of bleeding complications. RESULTS:Patients taking aspirin had a significantly higher cumulative incidence of haematuria and rectal bleeding, but not of haemospermia. They also had a longer mean duration of bleeding, but no increase in bleeding severity. Severe bleeding was very uncommon in both groups and no patients required intervention for bleeding complications. CONCLUSION:Aspirin exacerbates minor bleeding complications in patients undergoing TRUS guided biopsy of the prostate, but in this large group of aspirin-taking patients no dangerous bleeding complications were encountered. It may be that the risks associated with aspirin cessation outweigh the risks of haemorrhagic complications.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Halliwell OT,Yadegafar G,Lane C,Dewbury KC

doi

10.1016/j.crad.2007.09.014

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

557-61

issue

5

eissn

0009-9260

issn

1365-229X

pii

S0009-9260(07)00468-0

journal_volume

63

pub_type

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