Contemporary Prostate Biopsy Complication Rates in Community-Based Urology Practice
Objectives To evaluate whether the increased number of rectal perforations associated with contemporary transrectal ultrasound-guided, 12-core prostate biopsy, with a periprostatic block, is associated with a greater rate of postprocedural complications. Methods We prospectively studied 1000 patient...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2007-09, Vol.70 (3), p.498-500 |
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| creator | Sieber, Paul R Rommel, F.M Theodoran, Chris G Hong, Robert D Del Terzo, Michael A |
| description | Objectives To evaluate whether the increased number of rectal perforations associated with contemporary transrectal ultrasound-guided, 12-core prostate biopsy, with a periprostatic block, is associated with a greater rate of postprocedural complications. Methods We prospectively studied 1000 patients undergoing contemporary transrectal ultrasound-guided prostate biopsy and compared the rates of complicated urinary tract infection and significant rectal bleeding with the rates in our previous report of complications using a then-standard, 6-core biopsy technique, without a periprostatic block. Results Three patients developed complicated urinary tract infections, two of which were with ciprofloxacin-resistant organisms. This was not a significant different statistically from our earlier report. Seven patients had significant rectal bleeding requiring endoscopic intervention. This rate also was not significantly different statistically from our earlier report. Conclusions Our infection and rectal bleeding complications associated with contemporary transrectal ultrasound-guided prostate biopsy were low. We experienced a small, nonstatistically significant, increase in the complicated urinary tract infection rate and a small, nonstatistically significant, increase in the rectal bleeding rate in association with the transition from an eight-core, no periprostatic block, technique to the contemporary technique. |
| doi_str_mv | 10.1016/j.urology.2007.04.019 |
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Methods We prospectively studied 1000 patients undergoing contemporary transrectal ultrasound-guided prostate biopsy and compared the rates of complicated urinary tract infection and significant rectal bleeding with the rates in our previous report of complications using a then-standard, 6-core biopsy technique, without a periprostatic block. Results Three patients developed complicated urinary tract infections, two of which were with ciprofloxacin-resistant organisms. This was not a significant different statistically from our earlier report. Seven patients had significant rectal bleeding requiring endoscopic intervention. This rate also was not significantly different statistically from our earlier report. Conclusions Our infection and rectal bleeding complications associated with contemporary transrectal ultrasound-guided prostate biopsy were low. We experienced a small, nonstatistically significant, increase in the complicated urinary tract infection rate and a small, nonstatistically significant, increase in the rectal bleeding rate in association with the transition from an eight-core, no periprostatic block, technique to the contemporary technique.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2007.04.019</identifier><identifier>PMID: 17905105</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anesthetics, Local ; Autonomic Nerve Block ; Biological and medical sciences ; Biopsy, Needle - adverse effects ; Biopsy, Needle - instrumentation ; Biopsy, Needle - methods ; Drug Resistance, Bacterial ; Early Intervention (Education) ; Epinephrine - therapeutic use ; Gastrointestinal Hemorrhage - epidemiology ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - prevention & control ; Humans ; Independent Practice Associations ; Lidocaine ; Male ; Medical sciences ; Nephrology. Urinary tract diseases ; Prospective Studies ; Prostate - pathology ; Rectum ; Urinary Tract Infections - epidemiology ; Urinary Tract Infections - etiology ; Urinary Tract Infections - microbiology ; Urology ; Urology - organization & administration</subject><ispartof>Urology (Ridgewood, N.J.), 2007-09, Vol.70 (3), p.498-500</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-2bac3b98ba1002bb358170ac5fdd24e2f76f893a4885e82d438f302016a43e1c3</citedby><cites>FETCH-LOGICAL-c448t-2bac3b98ba1002bb358170ac5fdd24e2f76f893a4885e82d438f302016a43e1c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.urology.2007.04.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19156742$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17905105$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sieber, Paul R</creatorcontrib><creatorcontrib>Rommel, F.M</creatorcontrib><creatorcontrib>Theodoran, Chris G</creatorcontrib><creatorcontrib>Hong, Robert D</creatorcontrib><creatorcontrib>Del Terzo, Michael A</creatorcontrib><title>Contemporary Prostate Biopsy Complication Rates in Community-Based Urology Practice</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>Objectives To evaluate whether the increased number of rectal perforations associated with contemporary transrectal ultrasound-guided, 12-core prostate biopsy, with a periprostatic block, is associated with a greater rate of postprocedural complications. Methods We prospectively studied 1000 patients undergoing contemporary transrectal ultrasound-guided prostate biopsy and compared the rates of complicated urinary tract infection and significant rectal bleeding with the rates in our previous report of complications using a then-standard, 6-core biopsy technique, without a periprostatic block. Results Three patients developed complicated urinary tract infections, two of which were with ciprofloxacin-resistant organisms. This was not a significant different statistically from our earlier report. Seven patients had significant rectal bleeding requiring endoscopic intervention. This rate also was not significantly different statistically from our earlier report. Conclusions Our infection and rectal bleeding complications associated with contemporary transrectal ultrasound-guided prostate biopsy were low. We experienced a small, nonstatistically significant, increase in the complicated urinary tract infection rate and a small, nonstatistically significant, increase in the rectal bleeding rate in association with the transition from an eight-core, no periprostatic block, technique to the contemporary technique.</description><subject>Anesthetics, Local</subject><subject>Autonomic Nerve Block</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle - adverse effects</subject><subject>Biopsy, Needle - instrumentation</subject><subject>Biopsy, Needle - methods</subject><subject>Drug Resistance, Bacterial</subject><subject>Early Intervention (Education)</subject><subject>Epinephrine - therapeutic use</subject><subject>Gastrointestinal Hemorrhage - epidemiology</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - prevention & control</subject><subject>Humans</subject><subject>Independent Practice Associations</subject><subject>Lidocaine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Prospective Studies</subject><subject>Prostate - pathology</subject><subject>Rectum</subject><subject>Urinary Tract Infections - epidemiology</subject><subject>Urinary Tract Infections - etiology</subject><subject>Urinary Tract Infections - microbiology</subject><subject>Urology</subject><subject>Urology - organization & administration</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUGL1TAQx4Mo7tvVj6D0orfWSZq0yUVxH64KC4rrgreQplPJs21q0gr99qa8woIXT4HkN5P5_4aQFxQKCrR6cyqW4Hv_cy0YQF0AL4CqR-RABatzpZR4TA4ACnLOlLgglzGeAKCqqvopuaC1AkFBHMjd0Y8zDpMPJqzZ1-DjbGbMrp2f4pod_TD1zprZ-TH7lh5i5sbtdlhGN6_5tYnYZvfnQVK1sbOz-Iw86Uwf8fl-XpH7mw_fj5_y2y8fPx_f3-aWcznnrDG2bJRsDAVgTVMKSWswVnRtyziyrq46qUrDpRQoWctL2ZXAUnjDS6S2vCKvz32n4H8vGGc9uGix782Ifom6kiWTFasTKM6gTfliwE5PwQ0psKagN5v6pHeberOpgetkM9W93D9YmgHbh6pdXwJe7YCJ1vRdMKN18YFTVFQ1Z4l7d-Yw6fjjMOhoHY4WWxfQzrr17r-jvP2ng-3dmFbT_8IV48kvYUyuNdWRadB32-q3zUMNIID9KP8CWbqrUw</recordid><startdate>20070901</startdate><enddate>20070901</enddate><creator>Sieber, Paul R</creator><creator>Rommel, F.M</creator><creator>Theodoran, Chris G</creator><creator>Hong, Robert D</creator><creator>Del Terzo, Michael A</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070901</creationdate><title>Contemporary Prostate Biopsy Complication Rates in Community-Based Urology Practice</title><author>Sieber, Paul R ; Rommel, F.M ; Theodoran, Chris G ; Hong, Robert D ; Del Terzo, Michael A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-2bac3b98ba1002bb358170ac5fdd24e2f76f893a4885e82d438f302016a43e1c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Anesthetics, Local</topic><topic>Autonomic Nerve Block</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle - adverse effects</topic><topic>Biopsy, Needle - instrumentation</topic><topic>Biopsy, Needle - methods</topic><topic>Drug Resistance, Bacterial</topic><topic>Early Intervention (Education)</topic><topic>Epinephrine - therapeutic use</topic><topic>Gastrointestinal Hemorrhage - epidemiology</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - prevention & control</topic><topic>Humans</topic><topic>Independent Practice Associations</topic><topic>Lidocaine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Prospective Studies</topic><topic>Prostate - pathology</topic><topic>Rectum</topic><topic>Urinary Tract Infections - epidemiology</topic><topic>Urinary Tract Infections - etiology</topic><topic>Urinary Tract Infections - microbiology</topic><topic>Urology</topic><topic>Urology - organization & administration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sieber, Paul R</creatorcontrib><creatorcontrib>Rommel, F.M</creatorcontrib><creatorcontrib>Theodoran, Chris G</creatorcontrib><creatorcontrib>Hong, Robert D</creatorcontrib><creatorcontrib>Del Terzo, Michael A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sieber, Paul R</au><au>Rommel, F.M</au><au>Theodoran, Chris G</au><au>Hong, Robert D</au><au>Del Terzo, Michael A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contemporary Prostate Biopsy Complication Rates in Community-Based Urology Practice</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2007-09-01</date><risdate>2007</risdate><volume>70</volume><issue>3</issue><spage>498</spage><epage>500</epage><pages>498-500</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>Objectives To evaluate whether the increased number of rectal perforations associated with contemporary transrectal ultrasound-guided, 12-core prostate biopsy, with a periprostatic block, is associated with a greater rate of postprocedural complications. Methods We prospectively studied 1000 patients undergoing contemporary transrectal ultrasound-guided prostate biopsy and compared the rates of complicated urinary tract infection and significant rectal bleeding with the rates in our previous report of complications using a then-standard, 6-core biopsy technique, without a periprostatic block. Results Three patients developed complicated urinary tract infections, two of which were with ciprofloxacin-resistant organisms. This was not a significant different statistically from our earlier report. Seven patients had significant rectal bleeding requiring endoscopic intervention. This rate also was not significantly different statistically from our earlier report. Conclusions Our infection and rectal bleeding complications associated with contemporary transrectal ultrasound-guided prostate biopsy were low. We experienced a small, nonstatistically significant, increase in the complicated urinary tract infection rate and a small, nonstatistically significant, increase in the rectal bleeding rate in association with the transition from an eight-core, no periprostatic block, technique to the contemporary technique.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17905105</pmid><doi>10.1016/j.urology.2007.04.019</doi><tpages>3</tpages></addata></record> |
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| subjects | Anesthetics, Local Autonomic Nerve Block Biological and medical sciences Biopsy, Needle - adverse effects Biopsy, Needle - instrumentation Biopsy, Needle - methods Drug Resistance, Bacterial Early Intervention (Education) Epinephrine - therapeutic use Gastrointestinal Hemorrhage - epidemiology Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - prevention & control Humans Independent Practice Associations Lidocaine Male Medical sciences Nephrology. Urinary tract diseases Prospective Studies Prostate - pathology Rectum Urinary Tract Infections - epidemiology Urinary Tract Infections - etiology Urinary Tract Infections - microbiology Urology Urology - organization & administration |
| title | Contemporary Prostate Biopsy Complication Rates in Community-Based Urology Practice |
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