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Acta clinica Croatica, Vol. 45 No. 2, 2006.

Izvorni znanstveni članak

Complications of Transrectal Ultrasound Guided Prostate Needle Biopsy: Our Experience and Review of the Literature

Borislav Spajić
Ivica Brigić
Goran Štimac
Danijel Justinić
Božo Krušlin
Ognjen Kraus

Puni tekst: engleski pdf 434 Kb

str. 87-90

preuzimanja: 966

citiraj

Sažetak

Transrectal ultrasound guided prostate needle biopsy is the most important diagnostic procedure for early prostate cancer detection. It is a safe diagnostic tool with very few complications and well tolerated by patients. The aim of the study is to report complication rates after transrectal ultrasound guided prostate needle biopsy. All study patients, mean age 68.8 years, received antibiotic prophylaxis and a laxative was administered on the day prior to the procedure. A mean of 8.03 biopsy cores per patient were obtained. Laterally directed sextant biopsy plus two cores from transition zone of the prostate was performed along with biopsy of any hypo- or hyperechoic lesion seen on transrectal ultrasound. Results of 224 prostate biopsies performed in selected patients are reported. Biopsy proved negative in 54%, prostate cancer was confirmed in 31%, and prostatic intraepithelial neoplasia was detected in 15% of patients. Complications occurred in 35 (14%) patients: two were hospitalized for urinary retention, 15 (6.15%) patients had prolonged hematuria lasting for more than five days, and 18 patients showed clinical signs of urinary tract infection. The mean level of discomfort was 2.8 on a 10­point pain scale. Study results were generally consistent with other recent reports on complication rates, while showing a significantly lower rate of hematuria. Prostate biopsy is the only accurate method of preoperative prostate cancer detection; the more so, there is no need of hospitalization, regional or local anesthesia, and there are no false-positive results.

Ključne riječi

Biopsy - methods; Biopsy - adverse effects; Prostatic neoplasms - pathology; Prostatic neoplasms - ultrasonography; Biopsy - needle

Hrčak ID:

14053

URI

https://hrcak.srce.hr/14053

Datum izdavanja:

1.6.2006.

Podaci na drugim jezicima: hrvatski

Posjeta: 6.662 *