ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
The Complications Of Transrectal Ultrasound Guided Prostate Biopsy
Kamil ÇAM*, Hakan ÖZVERİ**, İbrahim ÇEVİK**, Levent TÜRKERİ***, Atıf AKDAŞ****
* Uzm.Dr., Marmara Üniversitesi Tıp Fakültesi Üroloji AD,
** Uzm.Dr., Üro-Tıp Tanı Merkezi,
*** Doç.Dr., Marmara Üniversitesi Tıp Fakültesi Üroloji AD,
**** Prof.Dr., Marmara Üniversitesi Tıp Fakültesi Üroloji AD, İSTANBUL
Purpose: Transrectal ultrasonography (TRUS) provides detailed anatomy of the prostate and can direct biopsy needle precisely into the regions of the prostate. Contemporarily, systematic prostate biopsies under TRUS guidance is the standard procedure in the diagnosis of prostate cancer. The aim of this study was to define the complications of TRUS guided biopsies performed under antibiotic prophylaxis.
Patients and Method: A total of 281 patients were admitted with lower urinary tract symptoms underwent TRUS guided prostate biopsies owing to elevated prostate specific antigen (PSA>4 ng/ml) and/or abnormal digital rectal examination findings. All biopsies were performed with a systematic random approach (3 specimens taken from the base, midgland, apex of the right and left sides of PZ) and lesion directed biopsies plus systematic random TZ biopsies (one core taken from each side). All biopsies were done as an outpatient procedure under antibiotic prophylaxis starting the day before the biopsy and continued for 4 days.
Results: Prostate cancer was detected in 89 patients (31.6%) undergoing biopsy. Overall 4 (1.4%) patients were hospitalized. Among them 3 had urinary tract infections including one with positive blood culture. All of these patients received appropriate intravenous antibiotics. The remaining patient had severe rectal bleeding which was managed conservatively. All patients were discharged without further problem.
Conclusion: In conclusion, TRUS guided prostate biopsy under antibiotic prophylaxis remains as an easy, fast, and well tolerated procedure with considerably low morbidity. However, patients should be informed about the possible complications although there is a very limited risk.Keywords: TRUS guided prostate biopsy, Complication,
Prostate cancerTurkiye Klinikleri J Med Sci 2001, 21:282-284
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