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Complication rates of ultrasound‐guided prostate biopsy: A nation‐wide survey in Japan
Author(s) -
Kakehi Yoshiyuki,
Naito Seiji
Publication year - 2008
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2008.02048.x
Subject(s) - medicine , ultrasound , prostate , complication , radiology , biopsy , prostate biopsy , general surgery , surgery , cancer
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°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.