Optimizing safety and accuracy of prostate biopsy.

Abstract:

PURPOSE OF REVIEW:The objective of this article is to examine the safety of prostate biopsy and discuss the emerging role of MRI-ultrasound fusion technology in improving diagnostic accuracy. RECENT FINDINGS:Men undergoing prostate biopsy frequently experience minor complications, including hematospermia, hematuria, and infection. Quinolone-resistant bacteria are a growing concern; thus, transperineal access or modification of antibiotic prophylaxis based on local antibiograms is now used to avoid infectious complications.Multiparametric MRI allows visualization of many prostate cancers, and by fusing MRI with real-time ultrasound, a biopsy needle can be directed by a urologist into suspicious regions of interest. Using this new method, detection of clinically significant prostate cancer has increased and the incidence of falsely negative biopsies has decreased. SUMMARY:Prostate biopsy is generally a safe procedure, and with attention to local patterns of antibiotic resistance, infectious complications can be minimized. MRI-ultrasound fusion has significantly improved the accuracy of prostate biopsy, allowing tracking and targeting not previously possible.

journal_name

Curr Opin Urol

authors

Jones TA,Radtke JP,Hadaschik B,Marks LS

doi

10.1097/MOU.0000000000000310

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

472-80

issue

5

eissn

0963-0643

issn

1473-6586

journal_volume

26

pub_type

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