Abstract
Julien Anract1,2*, David Azoulai1, Quentin Manach3, Sabine Roux1, Michael Peyromaure1,2 and Nicolas Barry Delongchamps1,2 Author Affiliations 1Department of Urology, Cochin Hospital, APHP, Paris Descartes University, Paris, France 2Inserm Unit U1151, Paris Descartes University, Paris, France 3Department of Urology, Saint Joseph Hospital, Paris, France Received: July 28, 2021 | Published: August 09, 2021 Corresponding author: Julien Anract, Department of Urology, Cochin Hospital, 123 Boulevard de Port Royal, 75014 Paris, France DOI: 10.26717/BJSTR.2021.37.006077
Highlights
Prostate biopsies (PB) are commonly performed using a transrectal approach under local anesthesia (LA)
Our initial experience suggest that transperineal PB are feasible and safe under AL
Several solutions have been proposed to reduce the risk of sepsis, such as rectal disinfection [10] or the systematic performance of prebiopsy coprocultures in order to adapt the antibiotic prophylaxis to each individual case
Summary
Prostate biopsies (PB) are commonly performed using a transrectal approach under local anesthesia (LA). The aim of our work was to evaluate the feasibility and safety of transperineal PB under LA. Since their initial description in the early 1980s [1], echoguided PB has been commonly performed by the transrectal approach. Despite antibiotic prophylaxis with oral fluoroquinolone, the main complications of transrectal PB are acute prostatitis, reported in 2.8% of cases [6]. Several solutions have been proposed to reduce the risk of sepsis, such as rectal disinfection [10] or the systematic performance of prebiopsy coprocultures in order to adapt the antibiotic prophylaxis to each individual case. The transperineal approach could be an alternative to reduce this infectious risk
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