The use of a urinary catheter and rectal sponge to tamponade severe bleeding following TRUS prostate biopsy

Bekarma, HJ; Cj, Smart

doi:10.1308/rcsann.2014.96.7.555

Cited by 2 publications

(2 citation statements)

References 2 publications

(4 reference statements)

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“…One such technique involved a 28Fr Foley UC passed through a rectal sponge and inserted with finger-guidance into the rectum -the UC balloon was inflated with 20ml of water to provide effective tamponade. 49 Baum's UC technique involves putting the patient in the supine position, passing a UC per rectum and inflating it with 45mls of water before connecting it to straight drainage. 20 Traction is applied for 45 minutes with the UC taped to the inner thigh.…”

Section: Quinlan Et Al Rectal Bleeding Post-trus Prostate Biopsymentioning

confidence: 99%

The management of rectal bleeding following transrectal prostate biopsy: A review of the current literature

Quinlan

Bolton

Casey³

2017

CUAJ

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We advocate early consultation with the colorectal/gastroenterology and interventional radiology services and a progressive, stepwise approach to the management of post-biopsy rectal bleeding, starting with resuscitation and conservative tamponade measures, moving to endoscopic hemostasis ± radiological embolization ± transanal surgical methods. Given the infrequent but serious nature of major rectal bleeding after TRUS biopsy, we recommend the establishment of centralized databases or registries forthwith to prospectively capture such data. To the best of our knowledge, this is the first comprehensive look specifically at the management of post-TRUS biopsy rectal bleeding.

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Section: Quinlan Et Al Rectal Bleeding Post-trus Prostate Biopsymentioning

confidence: 99%

The management of rectal bleeding following transrectal prostate biopsy: A review of the current literature

Quinlan

Bolton

Casey³

2017

CUAJ

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“…This is probably related to the tamponade effect by the prostatic capsule and the periprostatic tissues (6). Most symptomatic rectal bleedings are easily stopped by digital or balloon rectal compression, or using a rectal sponge too (7). Instead, significant hemorrhages are very rare and they require transfusions and surgical or radiointerventistic procedures (8).…”

Section: Discussionmentioning

confidence: 99%

Rare Complication after a Transrectal Ultrasound Guided Prostate Biopsy: A Giant Retroperitoneal Hematoma

Chiancone

Mirone

Fedelini³

et al. 2015

Urologia

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Common complications related to transrectal ultrasound (TRUS) guided prostatic needle biopsy are hematuria, hematospermia, and hematochezia. To the best of our knowledge, we report the second case of a very large hematoma extending from the pelvis into the retroperitoneal space in literature.A 66-year-old man with a serum prostate-specific antigen (PSA) of 5.4 ng/ml was admitted to our department for a TRUS-guided prostatic needle biopsy. Laboratory values on the day before biopsy, including coagulation studies, were all normal. The patients did not take any anticoagulant drugs. No immediate complications were encountered. Nevertheless, 7 hours after the biopsy, the patient reached our emergency department with severe diffuse abdominal pain, hypotension, tachycardia, and confusional state. He underwent an ultrasonography and then a computed tomography (CT) scan that showed "a blood collection in the pelvis that extending to the lower pole of left kidney associated with a focus of active contrast extravasation, indicating active ongoing prostate bleeding." Consequently, he underwent a diagnostic angiography that showed no more contrast extravasation, without the need of embolization. Management of hematoma has been conservative and hematoma was completely reabsorbed 4 months later.

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The use of a urinary catheter and rectal sponge to tamponade severe bleeding following TRUS prostate biopsy

Cited by 2 publications

References 2 publications

The management of rectal bleeding following transrectal prostate biopsy: A review of the current literature

The management of rectal bleeding following transrectal prostate biopsy: A review of the current literature

Rare Complication after a Transrectal Ultrasound Guided Prostate Biopsy: A Giant Retroperitoneal Hematoma

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