RESUMO
Objective: To prospectively assess safety outcome of TRUS guided prostate biopsy in patients taking low dose aspirin. Materials and methods: Consecutive patients, who were planned for 12 core TRUS guided prostate biopsy and satisfied eligibility criteria, were included in the study and divided into two Groups: Group A: patients on aspirin during biopsy, Group B: patients not on aspirin during biopsy, including patients in whom aspirin was stopped prior to the biopsy. Parameters included for statistical analysis were: age, serum prostate specific antigen (PSA), prostate volume, hemoglobin (Hb %), number of hematuria episodes, number of patient reporting hematuria, hematuria requiring intervention, number of patient reporting hematospermia and number of patient reporting rectal bleeding. Results: Of 681 eligible patients, Group A and B had 191 and 490 patients respectively. The mean age, prostate volume, serum PSA and pre-biopsy hemoglobin were similar in both Groups with no significant differences noted between them. None of the post-biopsy complications, including number of hematuria episodes (p=0.83), number of patients reporting hematuria (p=0.55), number of patients reporting hematospermia (p=0.36) and number of patients reporting rectal bleeding (p=0.65), were significantly different between Groups A and B respectively. None of the hemorrhagic complication in either group required intervention and were self limiting. Conclusion: Continuing low dose aspirin during TRUS guided prostate biopsy neither alters the minor bleeding episodes nor causes major bleeding complication. So, discontinuation of low dose aspirin prior to TRUS guided prostate biopsy is not required.
Assuntos
Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Aspirina/administração & dosagem , Biópsia com Agulha de Grande Calibre/métodos , Hemorragia/prevenção & controle , Inibidores da Agregação Plaquetária/administração & dosagem , Próstata/patologia , Ultrassonografia de Intervenção/métodos , Biópsia com Agulha de Grande Calibre/efeitos adversos , Hemorragia/etiologia , Contagem de Plaquetas , Estudos Prospectivos , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/prevenção & controle , Antígeno Prostático Específico/sangue , Neoplasias da Próstata/patologia , Reprodutibilidade dos Testes , Fatores de Risco , Reto , Ultrassonografia de Intervenção/efeitos adversosRESUMO
Endoscopic Retrograde Cholangio Pancreatography(ERCP) is increasing in popularity due to its obvious advantages. Therefore, as treating physicians and surgeons, we ought to be aware of not only its common but also uncommon complications. We report here a case of post-ERCP surgical emphysema on the right side extending from the umbilicus to the face.