Untitled

Deliveliotis, Ch.; John, Veena; Louras, G.; Scherer, Andreas; Alargof, E.; Sofras, Frank; Goulandris, N.

doi:10.1023/a:1007168823851

Cited by 25 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, 16 patients (4.56%) presented with urinary retention, a number significantly greater than those seen in comparable studies. Only in the study of Deliveliotis et al ( 27 ) occurred a similar rate (4.6%) of urinary retention. The cause of urinary retention can be explained perhaps by collecting fragments in transition zones near the prostatic urethra, prostate volume, lower urinary tract symptoms (LUTS) pre biopsy or the number of cores collected.…”

Section: Discussionmentioning

confidence: 74%

Short-term prophylaxis with ciprofloxacin in extended 16-core prostate biopsy

et al. 2015

View full text Add to dashboard Cite

Objective To evaluate the safety, efficacy and possible complications of 16-core transrectal prostate biopsies using two doses of ciprofloxacin for prophylaxis of infectious complications.Materials and Methods Sixteen-core prostate biopsies were performed on a number of patients with different signs of potential prostate cancer. Complications were assessed both during the procedure and one week later. After the procedure, urine samples were collected for culture. The rate of post-biopsy complications, hospital visits and hospitalizations were also analyzed. Ciprofloxacin (500 mg) was administered two hours before, and eight hours after the procedure.Results The overall rate of post-biopsy complications was 87.32%, being 5.4% of those considered major complications due to hemorrhage, or to urinary retention. Eight patients required hospital treatment post-biopsy. Fever occurred in just one patient (0.29%). There was no incidence of orchitis, epididymitis, prostatitis, septicemia, hospitalization, or death. The urine culture showed positive results in five patients (2.15%).Conclusion One-day prophylaxis with ciprofloxacin proved to be safe and effective in the prevention of infectious complications following 16-core prostate biopsies.

show abstract

Section: Discussionmentioning

confidence: 74%

Short-term prophylaxis with ciprofloxacin in extended 16-core prostate biopsy

et al. 2015

View full text Add to dashboard Cite

show abstract

“…As per the results of our analysis, the rate of rectal bleeding demonstrated a remarkable heterogeneity, ranging from 0% to 37.1% ( Table 1 ). 13 - 39 Notably, the clear stratification between mild, moderate, and severe bleeding in individual studies was not clearly delineated. However, most patients experienced minor bleeding episodes that were amenable to traditional conservative measures.…”

Section: Resultsmentioning

confidence: 99%

Endoscopic Therapy in the Management of Patients With Severe Rectal Bleeding Following Transrectal Ultrasound-Guided Prostate Biopsy: A Case-Based Systematic Review

Malik

Ishtiaq

Goraya

et al. 2021

Journal of Investigative Medicine High Impact Case Reports

View full text Add to dashboard Cite

Rectal bleeding is a known complication of transrectal ultrasound-guided prostate biopsy. It is usually mild and resolves spontaneously. However, massive life-threatening hemorrhage can also rarely occur in this setting, potentially presenting a therapeutic conundrum. We hereby delineate the case of a patient who experienced severe intermittent lower gastrointestinal bleeding following a transrectal ultrasound-guided prostate biopsy. Traditional tamponade methods failed to control the hemorrhage. Subsequently, an urgent flexible sigmoidoscopy revealed an anterior rectal wall prominence with biopsy punctures as the possible source of bleeding. Endoclip was successfully applied at the bleeding site, achieving permanent hemostasis. The patient had an uneventful recovery and was discharged from the hospital. While the use of endoclipping has been widely reported in gastrointestinal endoscopy, its application remains exceedingly rare in this group of patients. To our knowledge, this case represents only the third report of endoclipping alone to treat massive rectal bleeding follwing a prostate biopsy procedure. In addition, we systematically review published medical literature to evaluate endoscopic techniques aimed at managing this important complication. This article illustrates that endoscopic therapy may present an efficient, noninvasive method to deal with severe post-biopsy rectal hemorrhage. Therefore, prompt consultation with the gastroenterology service should be advocated.

show abstract

“…6 The situation has recently been amplified by findings such as those from the prostate cancer prevention trial (PCPT), 12 indicating that historical cutoff levels for prostate cancer screening using a PSA level of 4 ng/mL may no longer be appropriate, particularly among younger men. Lastly, the decision to biopsy needs to be weighed against the complication rates of TRUS-BX, [13][14][15][16][17][18][19] particularly with more recent understanding of the frequency of serious infectious complications requiring hospitalization.…”

Section: Introductionmentioning

confidence: 99%

Variations in prostate biopsy practice: A quantitative questionnaire-based study

Lipinski

Groome

2013

CUAJ

View full text Add to dashboard Cite

original research E732Cite as: Can Urol Assoc J 2013;7(11-12):e732-9. http://dx.doi.org/10.5489/cuaj.372 Published online November 8, 2013. AbstractBackground: The ambivalent results of recent large randomized prostate cancer studies have added a significant layer of uncertainty for clinicians and patients contemplating investigation of early disease. This uncertainty and lack of prescriptive recommendations from professional organizations has led to significant variation in practice in North America. The purpose of this study was to determine the extent of variation in biopsy recommendations by urologists and to discern factors predictive for these recommendations. Methods: An anonymous, cross-sectional, self-report questionnaire was sent to all active members of the Canadian Urological Association practicing in Ontario. The survey consisted of demographic data and 10 closed-ended questions designed to capture biopsy preferences in ambiguous clinical situations. Respondent preferences for recommending a prostate biopsy were compared to a guideline-informed study standard. Descriptive and correlative statistics were used to analyze the responses. Results: The response rate to the survey was 74%. The responses showed considerable variability in recommendations for or against biopsy. While most of the urologists concurred with the research team's study standard recommendations, only 4 scenarios had over 80% concurrence and 1 scenario, which centered on the utility of free PSA, had only had 42% concurrence. None of the respondent's descriptors were associated with trends to recommend biopsy other than the number of biopsies performed per year (p = 0.04). Interpretation: This self-report survey investigating prostate biopsy thresholds identifies considerable variation in practicing urologists in Ontario. The drivers of biopsy recommendations in these relatively ambiguous clinical situations appeared to be age, suspicious rectal examinations, and total PSA.

show abstract

Untitled

Abstract: Ultrasound guided transrectal biopsy of the prostate is a well-tolerated and effective method for obtaining multiple biopsy specimens from the prostate with low incidence of serious complications. Its is also accurate enough, allowing its use in everyday urology, as a diagnostic procedure.

Cited by 25 publications

References 10 publications

Short-term prophylaxis with ciprofloxacin in extended 16-core prostate biopsy

Short-term prophylaxis with ciprofloxacin in extended 16-core prostate biopsy

Endoscopic Therapy in the Management of Patients With Severe Rectal Bleeding Following Transrectal Ultrasound-Guided Prostate Biopsy: A Case-Based Systematic Review

Variations in prostate biopsy practice: A quantitative questionnaire-based study

Contact Info

Product

Resources

About