Complications and risk factors of transrectal ultrasound guided needle biopsies of the prostate evaluated by questionnaire

Ecke, Thorsten; Gunia, Sven; Bartel, Peter; Hallmann, S.; Koch, Stefan; Ruttloff, Jürgen

doi:10.1016/j.urolonc.2007.12.003

Cited by 40 publications

(28 citation statements)

References 34 publications

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“…In that study, mild persistent hematuria was the most common complication overall [12]. More recently, Ecke et al studied biopsy complications using a questionnaire in 336 patients [13]. Forty eight age.…”

Section: Resultsmentioning

confidence: 92%

825 Complications of initial prostate biopsy in a European randomized screening trial

Heuvel¹,

Loeb²,

Zhu³

et al. 2012

European Urology Supplements

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Section: Resultsmentioning

confidence: 92%

825 Complications of initial prostate biopsy in a European randomized screening trial

Heuvel¹,

Loeb²,

Zhu³

et al. 2012

European Urology Supplements

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“…TRUS-guided biopsy of the prostate is currently the gold standard in diagnosing prostate cancer. 1,2 A recent single centre experience from 1000 consecutive cases of prostate biopsy observed a 2.5% rate of major complications requiring hospital admission or an emergency room visit. 3 Indications included urosepsis (1.2%), acute urinary retention requiring urethral catheterization (0.8%) and gross hematuria requiring bladder irrigation for <24 hours Intraprostatic hematoma with active bleeding post-prostate biopsy case report Intraprostatic hematoma post-prostate biopsy (0.4%).…”

Section: Discussionmentioning

confidence: 99%

Intraprostatic hematoma with active bleeding post-prostate biopsy

Guo

So²,

Gray³

2014

CUAJ

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Cite as: Can Urol Assoc J 2014;8(11-12):e888-90. http://dx.doi.org/10.5489/cuaj.2135 Published online November 24, 2014. AbstractTo the best of our knowledge, we report the first known case of a large intraprostatic hematoma with active bleeding following transrectal ultrasound-guided prostate biopsy. Clinical presentationA 63-year-old male presented for transrectal ultrasoundguided (TRUS) prostate biopsy for a serum prostate-specific antigen (PSA) level of 5.0 ng/mL. His surgical history was unremarkable, except for prior transurethral resection of the prostate (TURP) several years ago for benign prostatic hyperplasia (BPH). His medical history included gastroesophageal reflux disease and seizure disorders, for which he was on omeprazole and lamotrigine, respectively.Prior to the procedure, his history, previous imaging, and laboratory results were carefully reviewed. Laboratory values on the morning of the biopsy, including platelet count, international normalized ratio, and partial thromboplastin time were all normal. Informed written consent was obtained after consultation with the patient, and the risks and benefits of the prostatic biopsy were discussed in detail. The patient received a standard dose of peri-procedural antibiotic prophylaxis with ciprofloxacin.The prostatic ultrasound demonstrated a TURP defect, with no other sonographic abnormality. The prostate measured 2.6 × 4.7 × 2.0 cm, with a volume of 18.2 mL and PSA density of 0.27. A spring-loaded 16-gauge core needle biopsy gun was used for the prostate biopsy via a needle guide. A systematic 12-core biopsy was performed. No immediate complications were encountered.Six hours after the biopsy, the patient presented to the local emergency department with severe rectal pain and hypotension. An intravenous contrast enhanced computed tomography of the abdomen and pelvis demonstrated a large hematoma within the prostatic parenchyma with a focus of active contrast extravasation, indicating active ongoing intraprostatic bleeding (Fig. 1, Fig. 2). The prostate was grossly enlarged, with the hematoma/prostate complex measuring 7.9 × 7.3× 12.0 cm.The patient was brought to the interventional suite for emergent angiography and embolization. Flood pelvic aortogram demonstrated a small focus of active contrast pooling within the right prostatic bed, which was confirmed on selective right internal iliac artery angiogram (Fig. 3). A microcatheter was then advanced progressively into a anterior branch of the right internal iliac artery with a series of controlled angiograms. A series of platinum fibered microcoils were deployed across the origin of the bleeding vessel, as well as the adjacent vessel to prevent collateralization (Fig. 4). Post-embolization right internal iliac angiogram demonstrated successful occlusion of the vessel with no further bleeding.We confirmed the diagnosis of large intraprostatic hematoma with active bleeding post-TRUS-guided biopsy of the prostate. DiscussionTo the best of our knowledge, we report the first known large intraprostatic ...

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“…Hematospermia is the most frequent complaint from patients (6.5% to 74.4% of cases), followed by hematuria (up to 14.5% of cases) and rectal bleeding (2.2% of cases). Such complications may persist for up to two weeks, with a progressive decrease in their intensity (40,41) .…”

Section: Minor Complicationsmentioning

confidence: 99%

Preparation and management of complications in prostate biopsies

et al. 2013

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Transrectal ultrasonography-guided biopsy plays a key role in prostate sampling for cancer detection. Among interventional procedures, it is one of the most frequent procedures performed by radiologists. Despite the safety and low morbidity of such procedure, possible complications should be promptly assessed and treated. The standardization of protocols and of preprocedural preparation is aimed at minimizing complications as well as expediting their management. The authors have made a literature review describing the possible complications related to transrectal ultrasonography-guided prostate biopsy, and discuss their management and guidance to reduce the incidence of such complications. Keywords: Prostate; Needle biopsy; Interventional ultrasonography; Complications.A biópsia transretal da próstata guiada por ultrassonografia tem papel fundamental na coleta de amostra para o diagnóstico do câncer prostático. Dentro do contexto intervencionista, constitui um dos principais procedimentos realizados pelo radiologista. Embora seja segura e com baixa morbimortalidade, complicações devem ser prontamente avaliadas e tratadas. O uso da padronização das condutas e do preparo antes do procedimento tem a finalidade de minimizar as complicações, assim como agilizar o seu tratamento. Dessa forma, o objetivo deste trabalho foi fazer uma revisão da literatura sobre as complicações relacionadas à biópsia transretal de próstata guiada por ultrassonografia, discutir seu manejo e orientações para reduzir sua incidência. Unitermos: Próstata; Biópsia por agulha; Ultrassonografia de intervenção; Complicações. AbstractResumo

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Complications and risk factors of transrectal ultrasound guided needle biopsies of the prostate evaluated by questionnaire

Cited by 40 publications

References 34 publications

825 Complications of initial prostate biopsy in a European randomized screening trial

825 Complications of initial prostate biopsy in a European randomized screening trial

Intraprostatic hematoma with active bleeding post-prostate biopsy

Preparation and management of complications in prostate biopsies

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