Clinical Analysis of Infectious Complication after Transrectal Prostatic Biopsy_West China Medical Journal

Authors：

 YANGDong-yuan ¹ ,  ZHAOMeng ²

1. Department of Urinary Surgery;the Fourth People's Hospital of Sichuan Province, Chengdu, Sichuan 610016, P. R. China;
2. Department of Ultrasonography;the Fourth People's Hospital of Sichuan Province, Chengdu, Sichuan 610016, P. R. China;

Corresponding author：

ZHAOMeng, Email: xyx1110@163.com

Keywords：

Transrectal ultrasound; Transrectal prostatic biopsy; Infection

DOI：

10.7507/1002-0179.20140510

Video：

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Objective To explore the incidence of and relative factors for infectious complications after transrectal prostatic biopsy. Methods We retrospectively analyzed the clinical data of 238 patients who underwent prostate puncture biopsy via rectum between January 2008 and December 2013, and analyzed the rate of infectious complications. At the same time, we compared the data of infection group and non-infection group to analyze the risk factors for infection. Results Among the 238 patients, infectious complication was found in 25 cases (10.5%), and there was no significant difference between infection and non-infection group in age and pathological results (P>0.05). However, diabetes history and the increased number of puncture needles may increase the risk of infection (P<0.05). Conclusion Though transrectal prostatic biopsy is considered simple and safe, infectious complications may happen during the application. Reasonable evaluation, adequate preparation before biopsy and appropriate number of puncture needles are recommended to decrease the incidence of infections.

Citation： YANGDong-yuan, ZHAOMeng. Clinical Analysis of Infectious Complication after Transrectal Prostatic Biopsy. West China Medical Journal, 2014, 29(9): 1670-1673. doi: 10.7507/1002-0179.20140510 Copy

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1. 李发友,吴凤林,龚渭冰.经直肠超声引导前列腺穿刺活检技术的研究进展[J].临床超声医学杂志,2009,40(3):181-183.
2. 魏若晶,杨文增,周洪月,等.血清PSA 4~10 μg/L患者前列腺穿刺活检的临床意义[J].山东医药,2010,50(10):80.
3. Djavan B,Waldert M,Zlotta A,et al.Safety and morbidity of first and repeat transrectal ultrasound guided prostate needle biopsies:results of a prospective European prostate cancer detection study[J].J Urol,2001,166(3):856-860.
4. Tal R,Livne PM,Lask DM,et al.Empirical management of urinary tract infections complicating transrectal ultrasound guided prostate biopsy[J].J Urol,2003,169(5):1762-1765.
5. 那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南[M].北京:人民卫生出版社,2013:142-143.
6. Heidenreich A,Aus G,Bolla M,et al.EAU guidelines on prostate cancer[J].Eur Urol,2008,53(1):68-80.
7. 吴在德,吴肇汉.外科学[M].7版.北京:人民卫生出版社,2008:694-695.
8. 范海涛,王尧,王凯臣,等.经直肠B超引导下前列腺穿刺活检在前列腺癌诊断中的应用价值(附658例报告)[J].临床泌尿外科杂志,2007,25(6):435-437.
9. 徐初亮,李志荣,杨柳平,等.单剂量环丙沙星加甲硝唑预防前列腺穿刺活检术后感染的临床观察[J].医学临床研究,2008,25(12):2138-2140.
10. 李岩密,唐杰,费翔,等.经直肠超声引导前列腺穿刺的感染并发症及其处理[J].中国医学影像技术,2009(5):884-886.
11. European Association of Urology.Proslate cancer[M]//European Association of Urology,European Association of Urology Guidelines.Arnhem:2010:1-110.
12. Kang MY,Park JH,Kwak C,et al.Transrectal needle biopsy of the prostate:the efficacy of a prebiopsy enema[J].Korean J Urol,2008,49(3):248-251.
13. Lindert KA,Kabalin JN,Terris MK.Bacteremia and bacteriuria after transrectal ultrasound guided prostate biopsy[J].J Urol,2000,164(1):76-80.
14. Naughton CK,Ornstein DK,Smith DS,et al.Pain and morbidity of transrectal ultrasound guided prostate biopsy:a prospective randomized trial of 6 versus 12 cores[J].J Urol,2000,163(1):168-171.
15. Nam RK,Saskin R,Lee Y,et al.Increasing hospital admission rates for urological complications after transrectal ultrasound guided prostate biopsy[J].J Urol,2010,183(3):963-968.
16. 陈功泉,刘琨.体积大于50 mL的前列腺穿刺阳性率与穿刺针数的关系探讨[J].微创医学,2009,4(5):479-480.
17. Ouzzane A,Puech P,Lemaitre L,et al.Combined multiparametric MRI and targeted biopsies improve anterior prostate cancer detection,staging,and grading[J].Urology,2011,78(6):1356-1362.
18. 杨文增,崔振宇,张伟,等.9+X法直肠超声引导下经会阴前列腺穿刺活检420例分析[J].中华男科学杂志,2010,16(7):627-630.

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