The Impact of Prostate Biopsy on Patient Well-Being: A Prospective Study of Voiding Impairment

Zisman, Amnon; Leibovici, Dan; Kleinmann, Judith; Cooper, Amir; Siegel, Yoram I.; Lindner, Arie

doi:10.1016/s0022-5347(05)65543-7

Cited by 46 publications

(52 citation statements)

References 13 publications

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“…4 Recently, there have been studies investigating urinary and erectile function after prostate biopsy. 2,3,5 There are few publications on preoperative and postoperative impact of serial prostate biopsies on active surveillance patients who ultimately undergo RARP. 5 This is especially relevant as one-third of men enrolled in AS may eventually require definitive surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

The impact of multiple biopsies on outcomes of nerve-sparing robotic-assisted radical prostatectomy

et al. 2012

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Active surveillance of prostate cancer patients involves subjecting them to multiple prostate biopsies, and we sought to investigate the effects of this on functional outcomes after robotic-assisted radical prostatectomy (RARP). Between May 2009 and December 2009, 367 patients who consecutively underwent RARP by a single surgeon were divided into two groups, one that had single prostate biopsy and another multiple biopsies before RARP. The groups were matched for significant clinicopathologic preoperative variables, and only premorbidly potent low-risk cases that underwent nerve sparing were included. This left 50 and 23 patients for analysis in the single and multiple biopsy groups, respectively. The primary endpoint was potency and continence at 3 and 6 months after surgery. We found continence rates of 84% (83%) and 94% (96%) for single (multiple) biopsy groups at 3 and 6 months, respectively (P ¼ 0.88, P ¼ 0.77). Multiple biopsy patients had worse postoperative erectile function at 6 months (57% versus 80%, P ¼ 0.03). Men subject to multiple preoperative biopsies are more likely to become impotent postoperatively than those who undergo surgery after a single biopsy. This should be borne in mind when counseling men regarding repeat biopsy as part of an active surveillance strategy.

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Section: Discussionmentioning

confidence: 99%

The impact of multiple biopsies on outcomes of nerve-sparing robotic-assisted radical prostatectomy

et al. 2012

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“…15 The VAS has similarly been used to assess anxiety in men being investigated and treated for prostate cancer. 3,12 We therefore used these two questionnaires to assess stress in our patients, prior to their TRUS-B, and then in the outpatient clinic.…”

Section: Questionnairesmentioning

confidence: 99%

“…A number of validated questionnaires have been used in the assessment of psychological distress in men being investigated and treated for prostate cancer, such as the Hospital Anxiety and Depression Scale (HADS), 5,9 Impact of Event Scale, 5 General Health Questionnaire (GHQ-30), 5 State-Trait Anxiety Inventory (STAI), 11 Visual Analogue Scale (VAS) 3,12 and the prostate cancer-specific Memorial Anxiety Scale for Prostate Cancer. 13 We chose the HADS to fulfil the first two objectives for its simplicity and because it is well-validated in a number of cancers.…”

Section: Introductionmentioning

confidence: 99%

The measurement of psychological distress in men being investigated for the presence of prostate cancer

Awsare

Green

Aldwinckle

et al. 2008

Prostate Cancer Prostatic Dis

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High levels (450%) of anxiety are reported in patients undergoing screening for prostate cancer, which may affect health-related quality of life. We aimed to determine the level and prevalence of anxiety and depression and to identify those aspects of the diagnostic pathway that induce the most stress in men being investigated for prostate cancer. A total of 159 prostate-specific antigenunscreened men undergoing a transrectal ultrasound-guided biopsy of the prostate (TRUS-B) completed two questionnaires, prior to their biopsy and before receiving results, containing the Hospital Anxiety and Depression Scale (HADS) and a 10-point Visual Analogue Scale (VAS). Median scores and prevalence of anxiety (4-5, 4-7%) and depression (1-2, 1.4%) respectively were low for both questionnaires. Waiting for biopsy results received the highest median VAS score (6) and was the most stressful event in 65% of men. There is a low incidence of clinically significant anxiety and depression in men being investigated for prostate cancer but questionnaires such as HADS identify patients with psychological distress who may benefit from early counselling. Uncertainty about the future while awaiting biopsy results after TRUS-B seems to be the most stressful event in patients' lives and minimizing this wait should help optimize patient care.

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“…Nonetheless, the exact mechanism of the biopsy-related voiding impairment has not been clearly defined. However, instrumental trauma to the prostate gland during biopsy which could cause increases in bladder outlet resistance and voiding difficulty has been implicated [11,12].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Voiding Dysfunction After Finger-Guided Prostate Needle Biopsy in Nigerian Men

Adegun¹,

Gbenga²

2017

Med Surg Urol

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The Impact of Prostate Biopsy on Patient Well-Being: A Prospective Study of Voiding Impairment

Cited by 46 publications

References 13 publications

The impact of multiple biopsies on outcomes of nerve-sparing robotic-assisted radical prostatectomy

The impact of multiple biopsies on outcomes of nerve-sparing robotic-assisted radical prostatectomy

The measurement of psychological distress in men being investigated for the presence of prostate cancer

Prevalence of Voiding Dysfunction After Finger-Guided Prostate Needle Biopsy in Nigerian Men

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