Effect on hemostasis of an absorbable hemostatic gelatin sponge after transrectal prostate needle biopsy
Int. braz. j. urol
;
41(2): 337-343, Mar-Apr/2015. tab, graf
Artículo
en Inglés
| LILACS
| ID: lil-748301
ABSTRACT
Objectives To examine the usefulness of an absorbable hemostatic gelatin sponge for hemostasis after transrectal prostate needle biopsy. Subjects and Methods The subjects comprised 278 participants who underwent transrectal prostate needle biopsy. They were randomly allocated to the gelatin sponge insertion group (group A 148 participants) and to the non-insertion group (group B 130 participants). In group A, the gelatin sponge was inserted into the rectum immediately after biopsy. A biopsy-induced hemorrhage was defined as a case in which a subject complained of bleeding from the rectum, and excretion of blood clots was confirmed. A blood test was performed before and after biopsy, and a questionnaire survey was given after the biopsy. Results Significantly fewer participants in group A required hemostasis after biopsy compared to group B (3 (2.0%) vs. 11 (8.5%), P=0.029). The results of the blood tests and the responses from the questionnaire did not differ significantly between the two groups. In multivariate analysis, only “insertion of a gelatin sponge into the rectum” emerged as a significant predictor of hemostasis. Conclusion Insertion of a gelatin sponge into the rectum after transrectal prostate needle biopsy significantly increases hemostasis without increasing patient symptoms, such as pain and a sense of discomfort. .
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
ARN
/
Telómero
/
Telomerasa
/
Polimorfismo de Nucleótido Simple
/
Glioma
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Humanos
Idioma:
Inglés
Revista:
Int. braz. j. urol
Asunto de la revista:
Urología
Año:
2015
Tipo del documento:
Artículo
País de afiliación:
Japón
Institución/País de afiliación:
Hiroshima City Asa Hospital/JP
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