Simplified management of post-prostate biopsy rectal bleeding

Maatman, Thomas J.; Bigham, Diane; Stirling, Brian

doi:10.1016/s0090-4295(02)01772-7

Cited by 18 publications

(14 citation statements)

References 7 publications

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“…In most of these cases, haemostasis was achieved with a rectal tamponade. This rectum compression can be achieved by means of fleece tamponing [21], by a urine balloon catheter inserted and inflated in the rectum [20] or by a condom filled with fluid [19]. Even so, in the case which presented to us, just as reported by other authors [19,20], neither the rectal tamponade nor manual compression succeeded in achieving haemostasis.…”

Section: Discussionmentioning

confidence: 58%

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: 58%

Endoscopic therapy of a massive rectal bleeding after prostate biopsy

et al. 2007

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“…Frequently, the bleeding is mild, and can be controlled with digital pressure. More severe cases, or bleeding that is not controlled with conservative approaches, can be managed with rectal packing [ 80 ] using a tampon or gauze or can be addressed with endoscopic injection of vasoconstrictive agents or ligation of bleeding vessels during colonoscopy [ 81 ]. Acute urinary retention requiring catheter drainage occurs up to 0.4 % of the time [ 81 ].…”

Section: Complicationsmentioning

confidence: 99%

Application of Prostate Ultrasound for Prostate Biopsy

Porter

Pham

2014

Prostate Ultrasound

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“…In hemodynamically stable patients with active rectal bleeding, manual (digital) compression of the prostate (or compression with the sonographic transducer) is the primary strategy line. A set of gauzes applied to the rectum may be utilized (48) . As direct pressure is applied over the prostate, the vital signs of the patient are monitored and the coagulation parameters are verified and corrected as necessary.…”

Section: Major 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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Simplified management of post-prostate biopsy rectal bleeding

Cited by 18 publications

References 7 publications

Endoscopic therapy of a massive rectal bleeding after prostate biopsy

Endoscopic therapy of a massive rectal bleeding after prostate biopsy

Application of Prostate Ultrasound for Prostate Biopsy

Preparation and management of complications in prostate biopsies

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