Factors influencing urinary retention after transperineal template biopsy of the prostate: outcomes from a regional cancer centre

Kum, Francesca; Jones, Adam; Nigam, Raj

doi:10.1007/s00345-018-2390-8

Cited by 20 publications

(28 citation statements)

References 16 publications

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“…It is possible that the higher incidence of instrumentation-related trauma induced by the increased number of cores during the biopsy procedure could account for the disparity in the incidence rates. To further support this assertion, Kum et al [8] reported a postbiopsy AUR incidence rate of 12.8% in their 32-35 core biopsy, which is over three times the rate observed in this study. The marked disparity in these values could be due to the lower mean age (64.9 years) in our study compared to the result (66.2 years) of their study.…”

Section: Discussionsupporting

confidence: 78%

“…The findings of this study thus re-enforce the assertion of Bozlu et al [9] that worsening of IPSS is transient in the patients. The result of this research also revealed that the patient sub-group with moderate IPSS values (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)) at baseline had a significant increase in mean total IPSS scores 7 days after the biopsy, while those with mild or severe symptoms did not experience a significant change in their symptom score. Voiding dysfunction is defined by an IPSS voiding to storage symptoms ratio of greater than 1.0 [12].…”

Section: Discussionmentioning

confidence: 67%

“…This instrument has a set of 7 questions assessing three storage symptoms of frequency, urgency and nocturia, and four voiding symptoms of incomplete emptying, intermittency, weak stream and straining. These are scored from zero to five points with the total IPSS score ranging from 0 to 35 and its symptom severity graded as mild (0-7), moderate (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)) and severe (20-35). The eighth question in this questionnaire, known as bother score which is scored from zero to six points, evaluates the disease-specific quality of life of the patient [5].…”

Section: Study Protocolmentioning

confidence: 99%

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A prospective evaluation of the impact of trans-rectal prostate biopsy on the voiding function of patients

et al. 2020

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Background Biopsy-related inflammatory edema, urethral blood clots and sphincteric spasm could lead to post-biopsy voiding dysfunction. This study examines the impact of trans-rectal prostate biopsy on the voiding function of patients in our institution. Methods Between February 2017 and July 2018, quasi-experimental study was carried out on 68 patients with indication(s) for prostate biopsy. Prior to the biopsy, IPSS (International Prostate Symptoms Score) and Qmax (peak flow rate) of each patient were determined. These were re-assessed 7 and 14 days after biopsy, and compared to baseline data. Analysis was done using Statistical Package for Social Science with p < 0.05 considered significant. Results Post-biopsy acute urinary retention occurred in 4.4% of the patients. The total IPSS (12.5 vs. 14.7, p = 0.003), IPSS storage sub-score (6.7 vs. 8.3, p = 0.001), bother score (3.3 vs. 3.6, p = 0.025) and Qmax (18.7 vs. 15.9 ml/s, p = 0.001) significantly deteriorated from the baseline value on the 7th day post-biopsy. However, there was no significant difference in these variables in comparison with baseline by the 14th day after the biopsy. Patients with moderate IPSS and normal Qmax at baseline had significantly worsened values by the 7th post-biopsy day (p = 0.002 and p = 0.001, respectively) while those with lower baseline bother score had a higher tendency for worsening of their bother score. Conclusions Trans-rectal prostate biopsy causes significant worsening of lower urinary tract symptoms and associated deterioration in quality of life, which spontaneously resolved by the second week in the patients.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 67%

Section: Study Protocolmentioning

confidence: 99%

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A prospective evaluation of the impact of trans-rectal prostate biopsy on the voiding function of patients

et al. 2020

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“…According to Kum et al, 16 31 of the 243 patients (12.8%) developed urinary retention. In a study by Buskirk et al, 13 11.5% of the patients developed AUR within 48 hours of the biopsy.…”

Section: Discussionmentioning

confidence: 98%

“…[10][11][12][13][14][15] Additionally, studies have assessed the factors predictive of AUR after TTMB. 6,13,16 The factors identified include advanced age, large prostate volume, greater number of biopsies performed, higher severity of lower urinary tract symptoms before biopsy, and diabetes. 13,16 However, previous studies were conducted on Western populations, and there has been no study involving Korean patients.…”

Section: Introductionmentioning

confidence: 99%

Predictive Factors for Acute Urinary Retention After Transperineal Template-Guided Mapping Biopsy

Sung

Lee

Chung

et al. 2021

Korean J Urol Oncol

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Purpose: We investigated the predictive factors for acute urinary retention (AUR) after transperineal template-guided mapping biopsy (TTMB).Materials and Methods: We retrospectively reviewed the records of 459 patients who had undergone TTMB between May 2017 and July 2020. Overall complications after TTMB were analyzed and categorized according to the Clavien-Dindo classification. Factors that were likely to affect AUR were analyzed using a logistic regression model.Results: Overall complications after TTMB were observed in 95 of the 459 patients (20.7%), of which AUR was the most commonly reported (17.4%, n=80), followed by hematuria (3.1%, n=14). Hematuria in one patient was categorized as Clavien-Dindo grade IIIa. All remaining complications were Clavien-Dindo grade I. In the multivariate regression model, age ≥65 (odds ratio, 2.44; 95% confidence interval [CI], 1.42–4.17; p=0.001), prostate volume ≥30 mL (odds ratio, 3.72; 95% CI, 1.19–11.62; p<0.02), and number of biopsy cores ≥30 (odds ratio, 2.89; 95% CI, 1.29–6.43; p=0.01) were identified as the predictors for AUR after TTMB.Conclusions: AUR is the most common complication after TTMB. Age ≥65 years, prostate volume ≥30 mL, and number of biopsy cores ≥30 were significant predictors of AUR following TTMB.

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Evaluation of the optimal strategy in men with a single unilateral suspicious lesion on MRI undergoing transperineal MRI/ultrasound fusion prostate biopsy

Yusim,

Mazor,

Frumkin

et al. 2023

The Prostate

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BackgroundTargeting biopsy (TBx) of suspicious lesions combined with random systematic biopsy (SBx) improves detection rates of prostate cancer (PCa) during magnetic resonance imaging (MRI)/ultrasound (US) fusion prostate biopsy. However, this combination increases the number of biopsy cores, prolongs the procedure time, and increases complications and costs, leading to the overdiagnosis of clinically insignificant PCa (ciPCa). This study aims to evaluate the optimal sampling design to achieve a detection rate of clinically significant PCa (csPCa) equal to standard TBx with SBx with fewer biopsy cores.Materials and MethodsOf 508 consecutive men who underwent transperineal MRI/US fusion prostate biopsy at our center between January 2020 and December 2022, 364 patients with a single unilateral suspicious lesion on MRI were included in the study. Three biopsy strategies were randomly selected to evaluate the diagnostic accuracy of PCa detection: (1) TBx with ipsilateral SBx, (2) TBx with contralateral SBx, and (3) TBx only. The PCa detection sensitivity for selected biopsy strategies was compared with the reference standards. The significance of differences in cancer detection between sampling schemes was determined using McNemar's test.ResultsPCa was diagnosed in 182 of 364 men using TBx with bilateral SBx. International Society of Urological Pathology grade group (ISUP GG) ≥ 2 and ISUP GG ≥ 3 PCa was detected in 84/364 (23.1%) and 42/364 (11.5%), respectively, while ISUP GG 1 PCa was diagnosed in 98/364 (26.9%). Combining TBx with ipsilateral SBx detected 94.5% of all, 98.8% of ISUP GG ≥ 2, 100% of ISUP GG ≥ 3, and 89.8% of ISUP GG 1 PCa. TBx with contralateral SBx detected fewer csPCa (91.7% vs. 98.8%, p = 0.03), as did TBx alone (90.5 vs. 98.8, p = 0.008).ConclusionsOur study demonstrates that TBx with ipsilateral SBx performed around the multiparametric MRI‐suspected lesion in transperineal MRI/US biopsy of the prostate achieves a very high detection rate for csPCa (ISUP ≥ 2) without compromising the detection of increased risk PCa (ISUP ≥ 3). In addition, this strategy reduces the number of biopsy cores by 8–10 per patient, procedure time, and pathology processing costs and decreases ciPCa detection.

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Factors influencing urinary retention after transperineal template biopsy of the prostate: outcomes from a regional cancer centre

Cited by 20 publications

References 16 publications

A prospective evaluation of the impact of trans-rectal prostate biopsy on the voiding function of patients

A prospective evaluation of the impact of trans-rectal prostate biopsy on the voiding function of patients

Predictive Factors for Acute Urinary Retention After Transperineal Template-Guided Mapping Biopsy

Evaluation of the optimal strategy in men with a single unilateral suspicious lesion on MRI undergoing transperineal MRI/ultrasound fusion prostate biopsy

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