Author(s): Kakehi Y, Naito S Japanese Urolog
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Abstract OBJECTIVE: To assess the morbidity secondary to ultrasound-guided systematic prostate biopsy in Japan. METHODS: Five hundred and forty-eight principal urological training institutions certified by the Japanese Urological Association participated in the survey. A retrospective analysis of complications after prostate biopsy was conducted. RESULTS: Medical records of 212 065 procedures carried out between 2004 and 2006 were reviewed. Seventy-six percent of procedures had been carried out transrectally, and 23\% transperineally. Hematuria, rectal bleeding and hematospermia occurred in 12\%, 5.9\% and 1.2\% of cases, respectively. Voiding symptoms were reported after biopsy in 1.9\% of cases and urinary retention in 1.1\%. Fever (>38 degrees C) was observed in 1.1\% and sepsis occurred in 0.07\%. Hospitalization was required in 0.69\% of cases for the treatment of biopsy-related complications. CONCLUSIONS: Overall, contemporary ultrasound-guided systematic prostate biopsy is safely carried out in Japan. However, minor complications are not infrequent, whereas major ones remain very rare but life-threatening if they occur. Thus, adequate information should be provided to patients undergoing prostate biopsy.
This article was published in Int J Urol
and referenced in Andrology-Open Access