Hemosepermia after transrectal ultrasound-guided prostatic biopsy: A prospective study

Abdelkhalek, Mohamed; Abdelshafy, Mahmoud; El-Helaly, Hesham Abdel-Azim; Kamal, Mohamed M.

doi:10.4103/0974-7796.106963

Cited by 8 publications

(4 citation statements)

References 16 publications

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“…They determined that only calculus of prostate and abnormal digital rectal examination findings were the risk factors for hemospermia. Abdelkhalek et al [13] emphasised that the incidence of hemospermia was detected incorrectly in the literature since men who could not achieve ejaculation were not excluded. In our study, it was determined hemospermia was significantly higher in patients under 65 years of age.…”

Section: Discussionmentioning

confidence: 99%

Prostat biyopsisi yaşlılarda güvenli mi?

Alkış¹,

Başer²,

İvelik³

et al. 2021

Pamukkale Medical Journal

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The study was aimed to investigate the safety of the transrectal ultrasound-guided prostate needle biopsy in the elderly. Material and methods: Five hundered fifteen patients, who underwent prostate biopsy between 2017-2020, were included in the study. All patients' demographic data, comorbidities, laboratory findings, prostate volumes, prostate biopsy pathology results, and post-biopsy complications were retrospectively analyzed. The patients were divided into 2 groups: group-1 consisting of patients under the age of 65 and group-2 with above the age of 65. Results: There were 244 in group-1 and 271 patients in group-2. The mean age of group-1 was 59.50±3.98, group-2 was 71.45±4.57 years. In group-1, post-biopsy fever was observed in 5 (2%), hematuria in 44 (18%), hemospermia in 79 (32.4%), and rectal bleeding in 7 (2.9%) patients. In group-2, post-biopsy fever was observed in 15 (5.5%), hematuria in 69 (25.5%), hemospermia in 21 (7.7%), and rectal bleeding in 11 (4.1%) patients. The severe sepsis findings were observed in 2 patients (0.2%) in group-1 and 6 (2.2%) in group-2. In the logisticregression-analysis, it was determined that the risk of complication increased significantly as the age, PSA, and higher PSA density. Conclusion:In our study, it was revealed that the risk of complications was higher in the elderly and that the complications observed may be more seriously. Therefore, we consider that a more careful approach should be taken in elderly patients to prevent the complications related with prostate biopsy.

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Section: Discussionmentioning

confidence: 99%

Prostat biyopsisi yaşlılarda güvenli mi?

Alkış¹,

Başer²,

İvelik³

et al. 2021

Pamukkale Medical Journal

View full text Add to dashboard Cite

show abstract

“…Their study showed a significant difference in the duration of symptoms of chronic prostatitis between prostatic calculi and non-calculi groups, but did not show a significant difference in the white blood cells count in the prostatic secretions. Abdelkhalek et al ( 19 ) referred that after biopsy, the bacteria in calcifications may be disseminated by biopsy needle, then produced local inflammation, further quickly leading to more severe edema. The local inflammation and more severe edema can cause hematospermia.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound detection of prostatic calculi as a parameter to predict the appearance of hematospermia after a prostate biopsy

Dell’Atti

2017

Int. braz j urol.

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Purpose:We evaluated the correlation between prostate calculi and hematospermia in patients undergoing prostate biopsy, and its impact on sexual activity of patients.Materials and Methods:A single-center prospective randomized study of 212 patients referred for transrectal ultrasound-guided prostate biopsy (TRUSBx) was performed. All patients were divided into two groups: Group A (GA), 106 patients with moderate/marked presence of prostatic calculi visualized by TRUS; Group B (GB), 106 patients with absence/scarce of prostatic calcifications. Patients were handed questionnaires to obtain a validated data on the duration and impact of hematospermia on sexual activity. The anxiety scores were recorded using a visual analogue scale.Results:No significant difference was noted between the two groups when comparing age, preoperative PSA level, prostate volume, and biopsy number, except for digital rectal examination (DRE) findings. Post-biopsy results of patients included in GA revealed that the complication of hematospermia was present in 65.1%, while in GB was present in 39.7% (p<0.001).On multivariate analysis for identifying significant preoperative predictors of hematospermia, which included variables of age, PSA, prostate volume, and prostate cancer were not shown to be significant predictors of hematospermia, except DRE and prostate calculi (p<0.001).The mean anxiety score was 3.7±2.8 in GA and 2.3±1.9 in GB, respectively (p<0.001).Conclusions:Prostatic calculi are an independent predictive factor of severe hematospermia after TRUSBx on the basis of multivariate analysis, but don't affect the positive rate of prostate cancer. Patients should be adequately counselled before TRUSBx to avoid undue anxiety and alterations in sexual activity.

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“…Prostate biopsy, used in the diagnosis of prostate cancer, has become the iatrogenic reason of hematospermia, which occurred more frequently in the last years (5). It is not possible to estimate the period of hematospermia on these patients (6). In order to foresee malign conditions age of the patient, coexistence of hematuria and type of hematospermia, persistent or recurrent, can be taken into consideration.…”

Section: Discussionmentioning

confidence: 99%