Pathology results, complications of prostate biopsies and correlation with radical prostatectomy: analysis of 1509 patients

Abstract

The datas were collected retrospectively and evaluated in detail. Analyses were conducted and datas were compared with using Microsoft Excel 14.6.0 Pivot Analysis. Ages, serum PSA levels, DRE findings, infections, urine culture results, types of guide attachments and antibiotics were noted for the patients. Biopsy gleason scores, number of positive biopsy cores, positive biopsy lobes, radical prostatectomy(RP) pathology results(if available), Tumor node metastasis(TNM) classifications and RP gleason scores were recorded for the patients that were diagnosed as prostate cancer. Age-related PSA values ABSTRACT Aims: Prostate cancer is a global health problem and the second most common cancer in men. In this study, we aimed to analyse the pathologic results, complications of prostate biopsies and the comparison of histopathologic results with the results of radical prostatectomy. Methods: 1509 patients who underwent TRUS-guided prostate biopsy in Kecioren Training and Research Hospital between January 2008 and January 2017 were included in the study. Results: 1116 patients were diagnosed as BPH and 393 patients were as PCa. Average PSA level was 9,27ng/ml for BPH group. 52 patients had urinary tract infections after prostate biopsy for BPH group and one had severe hemorrhage. The average age of PCa group was 67,3 years. Average PSA level was 29,87ng/ml. Conclusions: Despite the importance of TRUS-guided prostate biopsy in diagnosis of PCa, the present study showed inaccuracy when compared to the result of the radical prostatectomy.