Abstract
Transrectal ultrasound of prostate provides better visual for biopsy. Transrectal ultrasound guided prostate biopsy is usually performed in men with an abnormal digital rectal examination, and elevated prostate specific antigen (>4ng/ml) or prostate specific antigen velocity (rate of prostate specific antigen change) i.e., >0.4-0.75ng/ml/year. The aim of the study is to find out the complications of transrectal ultrasound guided prostatic biopsies. This descriptive cross-sectional study was done among 50 patients who transrectal ultrasound guided prostatic biopsies in a tertiary care hospital, from July 2017 to July 2019 after receiving ethical approval from the Institutional Review Committee of Kathmandu Medical College and teaching hospital. Convenient sampling was done. All patients were informed about the potential benefits and risks of the transrectal ultrasound guided prostate biopsy and patients signed an informed written consent form. Statistical analysis was done by using Statistical Package for Social Sciences version 16. Mean prostate specific antigen was 34.571 and mean weight of prostate was 44.6gm. Moderate to severe pain was experienced by 15 (30%), 2 (4%) had hematuria with fever accounting for 3 (6%) patients. All were managed conservatively with no mortality related to the procedure and complication. Three patients was positive for malignancy on re-biopsy. Transrectal ultrasound guided biopsy of prostate is a pioneer experience in Nepal. It has proved to be an useful tool of diagnosis of suspected carcinoma of Prostate. Use of neurovascular block may reduce the pain during the procedure.
Highlights
Transrectal ultrasound of prostate provides better visual for biopsy
Prostate imaging-reporting and data system scoring on Magnetic Resonance Imaging (MRI) may point out the presence of carcinoma.Targeted biopsy with cognitive magnetic resonance imaging and Correspondence: Dr Robin Joshi, Department of Urology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Joshi et al Transrectal Ultrasound Guided Prostatic Biopsy and its Complications: A Descriptive Cross-sectional Study suspicious hypoechoic lesions on transrectal ultrasound coupled with standard systematic prostate biopsy has shown to increase detection rate of prostate cancer.[1,10]
Summary
Transrectal ultrasound of prostate provides better visual for biopsy. The aim of the study is to find out the complications of transrectal ultrasound guided prostatic biopsies. Prostate imaging-reporting and data System scoring on Magnetic Resonance Imaging (MRI) may point out the presence of carcinoma. Prostate imaging-reporting and data system scoring on MRI may point out the presence of carcinoma.Targeted biopsy with cognitive magnetic resonance imaging and Correspondence: Dr Robin Joshi, Department of Urology, Joshi et al Transrectal Ultrasound Guided Prostatic Biopsy and its Complications: A Descriptive Cross-sectional Study suspicious hypoechoic lesions on transrectal ultrasound coupled with standard systematic prostate biopsy has shown to increase detection rate of prostate cancer.[1,10]. The aim of the study is to find out the results of Transrectal Ultrasound (TRUS) guided prostatic biopsies
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