Endoscopic Treatment of Massive Rectal Bleeding Following Prostate Needle Biopsy

Strate, Lisa L.; O’Leary, Michael P.; Carr‐Locke, David L.

doi:10.1055/s-2001-17920

Cited by 19 publications

(20 citation statements)

References 6 publications

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“…There are a few reports of fulminant bleeding, with incidences of between 0 [2] and 1% [3] quoted in the literature. All in all, we were able to find six publications describing fulminant rectal bleeding occurring after transrectal prostate biopsy with a blood transfusion requirement [3,5,6,[18][19][20]. In most of these cases, haemostasis was achieved with a rectal tamponade.…”

Section: Discussionmentioning

confidence: 93%

“…Treatment of this life-threatening complication generally consists of rectum tamponing as the initial and simplest conservative procedure or, where necessary, balloon compression by means of a transrectally inserted catheter. Where it has not been possible to still rectal bleeding, endoscopic intervention with injection has been reported to be successful in some cases [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic therapy of a massive rectal bleeding after prostate biopsy

et al. 2007

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We report on the case of a 65-year-old man with an indication for a transrectal multibiopsy of the prostate based on a PSA value of 4.5 ng/ml. A massive haemoglobin effective rectal bleeding occurred post-intervention, which due to haemodynamic instability required the administration of erythrocyte concentrates. Both manual compression and rectal tamponade failed to stop the bleeding, and immediate haemostasis was achieved through an endoscopic injection of adrenaline. We present this case in detail and additionally describe current data on the complications of the ultrasound-guided transrectal biopsy of the prostate and the options for treating the fulminant rectal bleeding that is a consequence of this procedure.

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Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Endoscopic therapy of a massive rectal bleeding after prostate biopsy

et al. 2007

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“…[10][11][12][13][14][15][16] Most of them resolved with conservative therapy. Severe rectal bleeding is usually managed conservatively by the urologist with rectal tamponade.…”

Section: Discussionmentioning

confidence: 99%

Massive rectal bleeding after prostate biopsy controlled by endoclipping in a patient using ASA

Özveren

Türkeri

2013

CUAJ

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A case of severe rectal bleeding following transurethral ultrasound (TRUS)-guided prostate biopsy is reported. Rectal bleeding is considered a minor, transient complication of this standard diagnostic procedure that can usually be controlled successfully by conservative measures. In this case where the patient had been taking acetylsalicylic acid (ASA), massive bleeding required hospitalization and blood transfusions. Conservative treatment attempts were not succesful, and profuse rectal bleeding was eventually treated by colonoscopy and endoclipping of the bleeding vessel. Although generally regarded as a less significant complication, rectal bleeding may rarely be encountered as a life-threatening situation. Furthermore, conservative therapeutic approach to this minor complication may be ineffective in patients taking ASA. Early endoscopic intervention may be necessary to prevent blood transfusion and prolonged hospitalization in severe rectal bleeding after TRUS biopsy.

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“…In most of the cases, hemostasis was achieved with rectal tamponade by means of fleece tamponing, by urine balloon catheter inserted and inflated in the rectum by a condom filled with fluid in the rectal cavity, or after endoscopic intervention with injection of adrenaline or sclerosing solutions (polidocanol or pure ethanol), thermocoagulation and band ligation [9][10][11][12][13]25] . In our case, neither rectal tamponade nor manual compression of bleeding sites by a urologist succeeded in achieving hemostasis.…”

Section: Discussionmentioning

confidence: 99%

“…Severe rectal bleeding is traditionally managed by the urologist, with rectum tamponade as the initial and simplest conservative method, or, when necessary, balloon compression by means of a transrectally inserted catheter [8] . Endoscopic intervention with injection of adrenaline and sclerosing solutions, thermocoagulation and band ligation have also been used successfully in some cases [9][10][11][12][13] . We describe, possibly for the first time, the use of endoclipping for the treatment of severe rectal bleeding following TRUSguided prostate multiple biopsy.…”

Section: Introductionmentioning

confidence: 99%

Endoclipping treatment of life-threatening rectal bleeding after prostate biopsy

Katsinelos¹,

Kountouras²,

Dimitriadis³

et al. 2009

WJG

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Rectal bleeding is frequently seen in patients undergoing transrectal ultrasound (TRUS)-guided multiple biopsy of the prostate, but is usually mild and stops spontaneously. We report what is believed to be the first case of life-threatening rectal bleeding following this procedure, which was successfully treated by endoscopic intervention through placement of three clips on the sites of bleeding. This case emphasizes endoscopic intervention associated with endoclipping as a safe and effective method to achieve hemostasis in massive rectal bleeding after prostate biopsy. Additionally, current data on the complications of the TRUS-guided multiple biopsy of the prostate and the options for treating fulminant rectal bleeding, a consequence of this procedure, are described.

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Endoscopic Treatment of Massive Rectal Bleeding Following Prostate Needle Biopsy

Cited by 19 publications

References 6 publications

Endoscopic therapy of a massive rectal bleeding after prostate biopsy

Endoscopic therapy of a massive rectal bleeding after prostate biopsy

Massive rectal bleeding after prostate biopsy controlled by endoclipping in a patient using ASA

Endoclipping treatment of life-threatening rectal bleeding after prostate biopsy

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