Value of repeat ultrasonic prostatic biopsies following negative digitally directed biopsy.
OBJECTIVE: The objective of this study was to determine the benefit of repeat transrectal ultrasound-guided prostatic biopsy (TRUSBx) among men with prior benign histology on digitally guided biopsy despite suspicious digital rectal examination (DRE) findings. PATIENTS AND METHODS: From January 1, 1990 to May 30, 1993, we evaluated 130 consecutive men, referred to us with benign pathology on digitally-guided biopsy and DRE suspicious of cancer. All patients underwent systematic and directed TRUSBx. RESULTS: TRUSBx detected previously undiagnosed malignancy in 67 cases (51%). CONCLUSION: It is mandatory to reevaluate by TRUSBx, all patients with a palpable abnormality on DRE and a prior benign pathology on digitally-guided biopsy, as the likelihood of finding cancer is elevated.
Urology Resident, McGill University, Montreal, Quebec.
Pierre I.
PI
Karakiewicz
Michel
M
Bazinet
Alaa W.
AW
Meshref
Armen G.
AG
Aprikian
Claude
C
Trudel
Samuel
S
Aronson
Mahmoud
M
Nachabé
François
F
Péloquin
Michelle S.
MS
Goyal
Louis R.
LR
Bégin
Mostafa M.
MM
Elhilali