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.