title: A Case of In-Bore Transperineal MRI-Guided Prostate Biopsy of a Patient with Ileal Pouch-Anal Anastomosis.
abstract: Ulcerative colitis (UC) is an inflammatory disease that specifically affects the colon. Ulcerative colitis is primarily treated medically and refractory disease is treated with proctocolectomy and ileal pouch-anal anastomosis (IPAA). Gastroenterologists advise against digital rectal exams, pelvic radiation therapy, and transrectal ultrasound (TRUS) biopsies of the prostates of ileal pouch-anal anastomosis patients. Any form of pouch manipulation can lead to severe bleeding, inflammation, and pain. Urologists are therefore faced with the challenge of doing a prostate biopsy without a transrectal ultrasound. We report the rare case of a patient with an ileal pouch-anal anastomosis who underwent in-bore transperineal MRI-guided biopsy of the prostate.
authors: Urologic Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
authors: Michael
authors: M
authors: Kongnyuy
authors: Urologic Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
authors: Thomas
authors: T
authors: Frye
authors: Urologic Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
authors: Arvin K
authors: AK
authors: George
authors: Urologic Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
authors: Amichai
authors: A
authors: Kilchevsky
authors: Urologic Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
authors: Amogh
authors: A
authors: Iyer
authors: Urologic Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
authors: Meet
authors: M
authors: Kadakia
authors: Urologic Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
authors: Akhil
authors: A
authors: Muthigi
authors: Molecular Imaging Program, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
authors: Baris
authors: B
authors: Turkbey
authors: Center for Interventional Oncology, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
authors: Brad J
authors: BJ
authors: Wood
authors: Urologic Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA; Center for Interventional Oncology, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
authors: Peter A
authors: PA
authors: Pinto