SHORT TERM/IMMEDIATE COMPLICATIONS ASSOCIATED WITH TRANSRECTAL ULTRASOUND GUIDED OCTANT PROSTATE BIOPSY
Abstract
Objective:To determine the frequency of complications in TRUS guided prostate biopsies by octant method in patients having clinical suspicion of prostate malignancy.
Methods: This is a case series carried out in radiology department of SIUT, From June 2009 to Dec 2009. Patients were included in this study who had raised serum PSA levels (> 10ng/ml), underwent transrectal ultrasound (TRUS) guided octant prostate biopsy. Complications were defined as hematuria, rectal bleeding and hematospermia recorded on clinical follow-up till one month period. Patients having acute urinary tract infection, uncorrectable bleeding diathesis and rectal fistulas were not included in the study sample.
Results: Hematuria was seen in 49.8 % patients, rectal bleeding noted in 19.8 % and hematospermia was identified in 10.6 %. All the complications were self-limiting, did not need any interventional management or treatment.
Conclusion:Transrectal ultrasound guided octant prostate biopsy is a very important diagnostic tool for the early diagnosis of prostatic carcinoma and it has very low complication rate.
KEY WORDS: Prostatic Neoplasm, Hematuria, Hemospermia, Transrectal ultrasound, Biopsy.
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