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Abstract
Background: Biopsy is the gold standard in the diagnosis of prostate cancer. In which, rectal biopsy has become the standard method in the past 30 years. We reviewed more 4098 cases of rectal biopsies to evaluate the detection rate and complication rate of this technique.
Methods: 4098 cases of transrectal prostate biopsies were performed at the Urogenital Interventional Unit under ultrasound guidance in the period 1/2018 - 6/2022. Conduct a review of records, collect histological results, evaluate complications in the first week after biopsy.
Results: The mean age was 71.7 ± 5.3 years old (the youngest patient was 32 years old, the oldest patient was 100 years old). The positive histological result were 37%. After the procedure, 7.98% of patients had anorectal bleeding, 12% had gross hematuria, 2 cases required blood transfusion, 3.1% had urinary retention, 3.98 % had fever after biopsy, 12 cases of sepsis, 1 case of septic shock, 1 case of anaphylaxis with local anesthetic. There was no death.
Conclusions: Overall, a rectal biopsy is safe and effective. Complications can be prevented by excluding contraindications, screening high-risk factors, prophylactic antibiotics, stabilizing infection, thorough disinfection, good enema and analgesics, good control biopsy needle path and carefully follow up after procedure.
References
Rebello RJ, Christoph O, Knudsen KE, Loeb S, Johnson DC, Reiter RE, et al. Prostate cancer (Primer). Nature Reviews: Disease Primers. 2021;7.
Hội Tiết Niệu Thận Học Việt Nam (2014), Hướng dẫn chẩn đoán và điều trị Ung thư tuyến tiền liệt.
Schmeusser B, Levin B, Lama D, Sidana A. Hundred years of transperineal prostate biopsy. Therapeutic Advances in Urology. 2022;14:17562872221100590.
Mottet N, van den Bergh RC, Briers E, Van den Broeck T, Cumberbatch MG, De Santis M, et al. EAU-EANMESTRO-ESUR-SIOG guidelines on prostate cancer. European urology. 2022.
Grummet J, Pepdjonovic L, Huang S, Anderson E, Hadaschik B. Transperineal vs. transrectal biopsy in MRI targeting. Translational andrology and urology. 2017;6:368.
Borghesi M, Ahmed H, Nam R, Schaeffer E, Schiavina R, Taneja S, et al. Complications after systematic, random, and image - guided prostate biopsy. European urology. 2017;71:353-365.
Namekawa T, Fukasawa S, Komaru A, Kobayashi M, Imamura Y, Ohzeki T, et al. Prospective evaluation of the safety of transrectal ultrasound-guided transperineal prostate biopsy based on adverse events. International journal of clinical oncology. 2015;20:1185-1191.
Loeb S, Vellekoop A, Ahmed HU, Catto J, Emberton M, Nam R, et al. Systematic review of complications of prostate biopsy. European urology. 2013;64:876-892.
Pinsky PF, Parnes HL, Andriole G. Mortality and complications after prostate biopsy in the Prostate, Lung, Colorectal and Ovarian Cancer Screening (PLCO) trial. BJU Int. 2014;113:254-9.
Lightner DJ, Wymer K, Sanchez J, Kavoussi L. Best practice statement on urologic procedures and antimicrobial prophylaxis. The Journal of Urology. 2020;203:351-356.
| Published | 02-01-2025 | |
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| Issue | No. 81 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.81.5 | |
| Keywords | Tuyến tiền liệt, Ung thư, Sinh thiết, Siêu âm ngã trực tràng Prostate, Cancer, Biosy, Transrectal ultrasound. |
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