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BJU Int ; 110(3): 369-74, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22313996

RESUMO

OBJECTIVE: • To review a contemporary cohort of patients undergoing a transrectal ultrasound-guided prostate needle biopsy (TRUS PNBx) at a single centre to determine the incidence of major complications necessitating hospital admission or emergency department (ED) visits. PATIENTS AND METHODS: • The charts of 1000 consecutive patients undergoing TRUS PNBx were reviewed. • All patients received peri-procedural antibiotic prophylaxis with either ciprofloxacin or co-trimoxazole. • Hospital admission and ED visits within 30 days of the procedure were identified for indication, management and outcome. • Patient comorbidities and biopsy characteristics were reviewed for association with complications. RESULTS: • Of the 1000 patients, 25 (2.5%) had post-biopsy complications requiring hospital admission or an ED visit. • Indications included twelve patients (1.2%) with urosepsis, eight (0.8%) with acute urinary retention requiring urethral catheterization, four (0.4%) with gross haematuria requiring bladder irrigation for <24 h, and one (0.1%) with a transient ischaemia attack 1 day after biopsy. • Patients with urosepsis had an average hospitalization of 5 days, and 75% carried quinolone-resistant Escherichia coli organisms. • All patients with urinary retention had catheters removed within 10 days. No patients with haematuria required a blood transfusion. • No demographic or biopsy variables were particularly associated with development of a post-procedure complication. CONCLUSIONS: • In this large contemporary series of TRUS PNBx, we observed a 2.5% rate of major complications requiring hospital admission or an ED visit. • No clinical or biopsy variables were directly associated with development of complications. • These data may be valuable when counselling patients before biopsy.


Assuntos
Biópsia por Agulha/efeitos adversos , Hospitalização/estatística & dados numéricos , Próstata/patologia , Neoplasias da Próstata/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Anti-Infecciosos/uso terapêutico , Ciprofloxacina/uso terapêutico , Emergências , Serviço Hospitalar de Emergência/estatística & dados numéricos , Hematúria/etiologia , Hematúria/terapia , Humanos , Ataque Isquêmico Transitório/etiologia , Ataque Isquêmico Transitório/terapia , Masculino , Pessoa de Meia-Idade , Sepse/etiologia , Sepse/terapia , Combinação Trimetoprima e Sulfametoxazol/uso terapêutico , Ultrassonografia de Intervenção/efeitos adversos , Retenção Urinária/etiologia , Retenção Urinária/terapia , Infecções Urinárias/etiologia , Infecções Urinárias/terapia
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