History of Urinary Retention Is a Risk Factor for Infection after Prostate Biopsy: A Nationwide, Population-Based Cohort Study.

Abstract:

BACKGROUND AND AIM:Infection or bleeding after transrectal prostate biopsy remains a concern of both patients and urologists. We explored the risk of association of certain co-morbidities with both complications. PATIENTS AND METHODS:Using the Taiwan National Health Insurance Research Database, we identified patients undergoing prostate biopsy from 2000 to 2013. We used logistic multivariable regression to search for associations between post-biopsy hospitalization and the two co-morbidities within a year after biopsy. RESULTS:Among 3,601 prostate biopsies, 100 infections (3.77%) and 52 (1.44%) bleeding-related emergency room visits and hospitalizations were recorded within 30 days after biopsy. The group having the biopsy as an inpatient exhibited older age (p < 0.0001) and a higher percentage of having diabetes mellitus (p = 0.015) than patients without either complication. The logistic multivariable regression analysis showed that urinary retention, freedom from diabetes, and performance as an outpatient procedure were independent risk factors for infection-related hospitalization (odds ratios 1.81, 1.96, and 1.72; p values 0.031, 0.037, and 0.010, respectively). CONCLUSION:Patients with a recent history of urinary retention have a higher probability of infection-related hospitalization after prostate biopsy.

journal_name

Surg Infect (Larchmt)

journal_title

Surgical infections

authors

Lin SL,Lin CT,Huang WT,Jou YC,Tzai TS,Tsai YS

doi

10.1089/sur.2018.174

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

202-207

issue

3

eissn

1096-2964

issn

1557-8674

journal_volume

20

pub_type

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