title: Are complications of transrectal ultrasound-guided biopsies of the prostate gland increasing?
abstract: Although transrectal ultrasound-guided biopsies (TRUSB) of the prostate gland are generally considered to be low-risk procedures, a study from Canada reported that there had been a significant increase in the percentage of hospital admissions following TRUSBs between 1996 and 2005 (1.0% to 4.1%). The authors speculated that the increase may be secondary to the emergence of antibiotic-resistant enteric bacteria or the result of an increasing number of cores taken with each TRUSB. In a chart review, we retrospectively evaluated complications from 2,080 consecutive TRUSBs performed by one urology group in Connecticut between January 2003 and August 2010. We identified seven patients (0.34%) who were admitted to an acute-care hospital for infectious complications and three patients (0.14%) who were admitted for bleeding. The risk of serious infections and bleeding did not significantly rise during the study period despite a significant increase in the mean number of biopsy cores taken.
authors: Norwalk Hospital, USA.
authors: Peter R
authors: PR
authors: Dodds
authors: Jonathan D
authors: JD
authors: Boucher
authors: Dennis E
authors: DE
authors: Shield
authors: Jonathan E
authors: JE
authors: Bernie
authors: Stephen J
authors: SJ
authors: Batter
authors: Scott R
authors: SR
authors: Serels
authors: Jon H
authors: JH
authors: Dodds
mesh_terms: D001424:Bacterial Infections / Q000453:epidemiology* / Q000209:etiology; D044963:Biopsy, Fine-Needle / Q000009:adverse effects* / Q000379:methods / Q000706:statistics & numerical data; D003237:Connecticut / Q000453:epidemiology; D019317:Evidence-Based Medicine; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D015994:Incidence; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D008499:Medical Records; D011467:Prostate / Q000000981:diagnostic imaging* / Q000473:pathology*; D011471:Prostatic Neoplasms / Q000175:diagnosis; D012189:Retrospective Studies; D018084:Ultrasonography, Interventional