Patients' tolerance and early complications of transrectal sonographically guided prostate biopsy: Prospective study of 300 patients

Abstract

TRS-guided prostate biopsy can be performed without local anesthesia in 90% of patients. Prophylactic antibiotics are mandatory to minimize approximately infectious complications.

Complications and limitations related to periprostatic local anesthesia before TRUS‐guided prostate biopsy

“…However, vasovagal reactions during TRUS-guided prostate biopsy without the use of local anesthetic has been reported in 1 out of 300 men. 20 In our study, symptoms associated with systemic lidocaine toxicity occurred in 2% of patients. There is an abundance of vessels in the area targeted for local anesthetic infiltration.…”

Endoscopic therapy of a massive rectal bleeding after prostate biopsy

“…It is relatively uncomplicated, can be carried out in most cases as an outpatient procedure and Sheikh et al reported that the frequency of pain in their patient cohort was 57.3%, although in most cases it was described as being mild to tolerable; only 3.3% of the patients reported a pain so intense that the procedure had to be aborted [7]. Other researchers have reported intense to intolerable pain at frequencies varying from 22 to 30% [8][9][10].…”

“…A precise comparison of the rate of infection in the literature is difficult since the definitions of an infection differ among studies. Fever is quoted as occurring at an incidence of 1.5 [12] and 1.7% [7,8], respectively.…”

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

“…Sheikh and colleagues recommend transperineal removal of tissue rather than a transrectal biopsy in patients with severe hemorrhoids. 5 Any abnormality that may increase the risk of bleeding should be routinely evaluated by history-taking and brief proctological examination before starting the procedure. In our case, the patient had no history of perianal pathology or bleeding diathesis.…”