Complicaciones infecciosas de la biopsia transrectal de próstata con preparación intestinal a base de levofloxacino y aceite mineral

Abstract

IntroductionTransrectal prostate biopsy (TRPB) is considered the appropriate procedure for making prostate cancer diagnosis, but possible infectious complications include fever, orchiepididymitis, prostatitis, and sepsis. AimsThe aim of our study was to report the frequency of infectious complications following TRPB. Material and methodsA retrospective, analytic, cross-sectional study was conducted on patients that underwent TRPB within a 3-year time frame at a hospital in Mexico City. The data were obtained through telephone interviews. The descriptive statistics of means and percentages of the complications resulting from this procedure were carried out. ResultsThe study included 505 patients with a mean age of 65 years and a mean prostate-specific antigen level of 49.7ng/ml. There were 14 complications: 10 patients presented with fever, 2 with urosepsis, and 2 with prostatitis. DiscussionAntibiotic administration and bowel preparation are routinely used to reduce infectious complications and currently there is no criterion standard in this respect. Our results coincided with those reported in the medical literature. ConclusionsTRPB has a low frequency of infectious complications. Though definitely not free from them, the benefits of the procedure outweigh the risks. Bowel preparation based on levofloxacin and mineral oil is an option for reducing infectious complications resulting from TRPB.