Factors predicting complications following Transrectal Ultrasound guided Prostate biopsy

Nirmal Thampi John; Feroz Khan

Volume : VI, Issue : VII, July - 2016

Factors predicting complications following Transrectal Ultrasound guided Prostate biopsy

Nirmal Thampi John, Feroz Khan

Abstract :

<p>&nbsp;The aim of this study was to assess prospectively, the complications following transrectal ultrasound (TRUS) guided prostate biopsy and the risk factors for infection following the biopsy. A total of 89 patients under evaluation for suspected carcinoma prostate underwent a standard 12&ndash; core biopsy over a study period of one year. Data on 75 patients was evaluable. The mean age of patients was 60.69 years. Most common presentation was lower urinary tract symptoms. Diabetes and hypertension were the most common co&ndash;morbid illnesses. Only five patients developed fever post biopsy. One patient developed uro&ndash;sepsis and shock requiring hospitalisation. Subgroup analysis showed that presence of a positive urine culture was statistically associated with higher infection rates. The association with diabetes and indwelling catheter was not significant. TRUS guided prostate needle biopsy is safe for diagnosing prostate cancer. Treatment of infection and documentation of negative urine culture before biopsy is ideal.</p>