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Prostate biopsy – common practices and differences amongst Australian and New Zealand urologists
Author(s) -
RAO R.,
THOMAS B.,
DUNGLISON N.,
GARDINER R.A.,
YAXLEY J.,
PETERS J.,
COSTELLO A.
Publication year - 2006
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2006.06085_5.x
Subject(s) - medicine , biopsy , prostate biopsy , prostate , sedation , general surgery , prostate cancer , urology , surgery , radiology , cancer
Purpose: Studies out of the United States and United Kingdom show great variability in practices relating to prostatic biopsy. This survey was performed to evaluate current practices in Australia and New Zealand. Methods: Questionnaires were sent to Australian and New Zealand Urologists and Trainees on the database of the Urological Society of Australasia. Results: Significant variability exists with regard to antibiotic prophylaxis, bowel preparation; analgesic use; number of cores taken; and repeat biopsy practices. Most urologists (91%) perform their own biopsies. 9% refer to another urologist or radiologist. Transrectal biopsy is the favoured approach in 97%. Most urologists (96%) use antibiotic prophylaxis with the quinolone antibiotics being the most commonly used. Only 42% use bowel preparation for their biopsies. Analgesia is used in 79% with equal numbers using sedation and periprostatic nerve block. 77% take 10 cores or more for first biopsy. 28% do not inform their patients of a false negative rate with TRUS biopsy of the prostate. There were 36% and 60% who would not re‐biopsy for HGPIN and ASAP respectively. Conclusions: Prostate biopsy is a commonly performed procedure to diagnose carcinoma of the prostate. Despite significant variability, most Urologists and Trainees in Australia and New Zealand have safe biopsy protocols, given the evidence that is currently available. Evidence supports the use of analgesia and repeating biopsy for HGPIN and ASAP.