Outcome analysis and patient satisfaction following octant transrectal ultrasound-guided prostate biopsy: a prospective study comparing consultant urologist, specialist registrar and nurse practitioner in urology.
OBJECTIVE
To determine whether transrectal ultrasound-guided biopsy of the prostate is equally reliable and acceptable if performed by urology nurse practitioner or urologist.


METHODS
Octant biopsies were taken by each operator (consultant urologist n=2, urology specialist registrar n=1 and urology nurse practitioner n=2) from 50 consecutive unselected patients and demographics and cancer detection rate were compared between the groups. A postal survey was performed following nurse practitioner biopsy to assess patient satisfaction and acceptance of nurse practitioner biopsy.


CONCLUSIONS
Transrectal ultrasound-biopsy of prostate whether performed by nurse practitioner or urologist is equally reliable if adequate training is provided. Patients are happy to undergo prostate biopsy and receive information about the diagnosis from an appropriately trained prostate cancer nurse specialist.
Henderson
A
A
Frimley Park Hospital, Frimley, Surrey, UK. AliHenderson@Freenet.co.uk
Andrich
D E
DE
Pietrasik
M E
ME
Higgins
D
D
Montgomery
B
B
Langley
S E M
SE
D000368:Aged; D001706:Biopsy / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners; D015588:Observer Variation; D017060:Patient Satisfaction; D011446:Prospective Studies; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000473:pathology; D012007:Rectum / Q000000981:diagnostic imaging; D012680:Sensitivity and Specificity; D018084:Ultrasonography, Interventional; D014572:Urology / Q000592:standards*