Current routines for transrectal ultrasound-guided prostate biopsy: a web-based survey by the Swedish Urology Network.
OBJECTIVE
This study aimed to survey current Swedish practices for performing and handling transrectal ultrasound-guided prostate biopsies.


METHODS
A Swedish Urology Network (SUNe) was organized for the distribution of information, survey studies and research collaborations. A web-based questionnaire was distributed to the members in 2011.


RESULTS
In this first SUNe survey, 137 (91%) of the 151 members replied. All used antibiotic prophylaxis (84% ciprofloxacin, 12% trimethoprim-sulfamethoxazole), most commonly (63%) as a single dose of ciprofloxacin. Local anaesthesia was used by 87%. Half of the respondents only used a "side-fire" probe, whereas 17% always used an "end-fire" probe. Most (84%) routinely took 10 or more biopsy cores. About three-quarters started with the right base of the prostate and did not routinely take midline biopsies. More than one-third never or rarely sampled the anterior part of the prostate. There was great variability in how biopsy location was reported, but 71% considered a national standardized coordinate system desirable. Fine-needle aspiration was used occasionally by 39%, in more than 10% of cases by 6% and always by 2%. Most urologists mounted the biopsy cores on paper before fixation (78%), put only one core per jar (75%) and used flat-bottomed jars (70%).


CONCLUSIONS
Most routines for handling of prostate biopsies, antibiotic prophylaxis, local anaesthesia and number of cores were uniform. However, there is still a need for standardization of the performance of ultrasound-guided biopsies. Although the method used to specify biopsy location varied greatly, most urologists would prefer a national standardized system.
Department of Molecular Medicine and Surgery, Section of Urology Karolinska Institutet, Stockholm, Sweden. stefan.carlsson@ki.se
Stefan
S
Carlsson
Ola
O
Bratt
Pär
P
Stattin
Lars
L
Egevad
D000772:Anesthesia, Local / Q000706:statistics & numerical data*; D000890:Anti-Infective Agents / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data*; D002939:Ciprofloxacin / Q000627:therapeutic use; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000295:instrumentation / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010818:Practice Patterns, Physicians'; D011471:Prostatic Neoplasms / Q000175:diagnosis*; D013048:Specimen Handling / Q000379:methods*; D011795:Surveys and Questionnaires; D013548:Sweden; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D014572:Urology
D000890:Anti-Infective Agents; D002939:Ciprofloxacin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination