Safety of 12 core transrectal ultrasound guided prostate biopsy in patients on aspirin
Int. braz. j. urol
;
41(6): 1096-1100, Nov.-Dec. 2015. tab, graf
Article
Dans Anglais
| LILACS
| ID: lil-769759
ABSTRACT
Objective:
To prospectively assess safety outcome of TRUS guided prostate biopsy in patients taking low dose aspirin. Materials andmethods:
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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Prostate
/
Antiagrégants plaquettaires
/
Acide acétylsalicylique
/
Échographie interventionnelle
/
Biopsie au trocart
/
Hémorragie
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
Limites du sujet:
Adulte très âgé
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Int. braz. j. urol
Thème du journal:
Urologie
Année:
2015
Type:
Article
Pays d'affiliation:
Inde
Institution/Pays d'affiliation:
V.M. Medical College and Safdarjang Hospital/IN
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