title: Effect of intrarectal povidone-iodine in the incidence of infectious complications after transrectal prostatic biopsy.
abstract: OBJECTIVE
  To assess the incidence of genitourinary infections associated with transrectal ultrasound-guided prostate biopsy (TRUS-BX) using endorectal povidone-iodine gel as a bactericidal agent.
  
  
  METHODS
  We prospectively studied a total of 530 patients who were given 30g of 10% povidone-iodine intrarectally before TRUS-BX. Each patient received antibiotic prophylaxis with ciprofloxacin, starting the previous day (1g/day x 3 days), as well as cleansing enemas.
  
  
  RESULTS
  One patient (0.20%) presented with an E. coli acute bacterial epididymitis after biopsy.
  
  
  CONCLUSIONS
  In our study, the intrarectal use of 10% povidone-iodine gel in TRUS-BX is associated with a much lower rate of infectious complications compared to those described in recent literature.
authors.affiliation: Urology Department, Clinic Hospital of Barcelona, Barcelona, Spain. josemariagilvernet@mac.com
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: Gil-Vernet Sedo
authors.forename: Ricardo
authors.initials: R
authors.lastname: Alvarez-Vijande García
mesh_terms: D000285:Administration, Rectal; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D001424:Bacterial Infections / Q000453:epidemiology / Q000517:prevention & control*; D001707:Biopsy, Needle / Q000009:adverse effects*; D002939:Ciprofloxacin / Q000627:therapeutic use; D006801:Humans; D015994:Incidence; D008297:Male; D052801:Male Urogenital Diseases / Q000453:epidemiology / Q000517:prevention & control*; D008875:Middle Aged; D011206:Povidone-Iodine / Q000008:administration & dosage*; D011446:Prospective Studies; D011467:Prostate / Q000473:pathology; D011471:Prostatic Neoplasms / Q000473:pathology; D018084:Ultrasonography, Interventional
chemical_list: D000891:Anti-Infective Agents, Local; D002939:Ciprofloxacin; D011206:Povidone-Iodine