MP09-07 SAFETY PROFILE OF ROBOTIC-ASSISTED TRANSPERINEAL MRI-US-FUSION GUIDED BIOPSY OF THE PROSTATE

Abstract

You have accessJournal of UrologyCME1 May 2022MP09-07 SAFETY PROFILE OF ROBOTIC-ASSISTED TRANSPERINEAL MRI-US-FUSION GUIDED BIOPSY OF THE PROSTATE Christian Wetterauer, Walter Manuel, Pawel Trotsenko, Matthias Marc, Winkel David Jean, Breit Christian, Meyer Anja, and Seifert Hans Helge Christian WetterauerChristian Wetterauer More articles by this author , Walter ManuelWalter Manuel More articles by this author , Pawel TrotsenkoPawel Trotsenko More articles by this author , Matthias MarcMatthias Marc More articles by this author , Winkel David JeanWinkel David Jean More articles by this author , Breit ChristianBreit Christian More articles by this author , Meyer AnjaMeyer Anja More articles by this author , and Seifert Hans HelgeSeifert Hans Helge More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002531.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic-assisted transperineal MRI-US-fusion guided biopsy of the prostate (RA-TP-PBx) is a novel and highly accurate procedure. The aim of this study was to evaluate the MonaLisa prostate biopsy system in terms of safety, tolerability, and patient-related outcomes. METHODS: This prospective study included 135 patients, who had undergone RA-TP-PBx at the University Hospital Basel between January 2020 and August 2021. Peri-operative side effects, functional outcomes and patient satisfaction were assessed. RESULTS: Overall, 18 of 135 patients (13.3%) developed grade I complications according to Clavien-Dindo classification. No higher-grade complications occurred. Mean pain score on the day of biopsy was 1.1 points on VAS, which remained constant on the day after biopsy. Gross haematuria, hematospermia and acute urinary retention occurred in 91/135 (68.9%), 66/135 (26.5%) and 17/135 (12.6%) patients, respectively. One patient (0.7%) developed urinary tract infection. CONCLUSIONS: RA-TP-PBx performed under general anesthesia is a safe and well tolerated procedure. This technique allows to omit perioperative prophylaxis and at the same time minimizes the risk of infectious complications. We attribute the favorable risk profile and tolerability to the minimal invasive approach via two entry points. Source of Funding: Uromed © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e137 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Christian Wetterauer More articles by this author Walter Manuel More articles by this author Pawel Trotsenko More articles by this author Matthias Marc More articles by this author Winkel David Jean More articles by this author Breit Christian More articles by this author Meyer Anja More articles by this author Seifert Hans Helge More articles by this author Expand All Advertisement PDF DownloadLoading ...