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• W2015777328 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Jan 2002PAIN AND MORBIDITY OF AN EXTENSIVE PROSTATE 10-BIOPSY PROTOCOL: A PROSPECTIVE STUDY IN 289 PATIENTS MICHAEL PEYROMAURE, VINCENT RAVERY, AUREL MESSAS, MARIANNE TOUBLANC, LILIANNE BOCCON-GIBOD, and LAURENT BOCCON-GIBOD MICHAEL PEYROMAUREMICHAEL PEYROMAURE More articles by this author , VINCENT RAVERYVINCENT RAVERY More articles by this author , AUREL MESSASAUREL MESSAS More articles by this author , MARIANNE TOUBLANCMARIANNE TOUBLANC More articles by this author , LILIANNE BOCCON-GIBODLILIANNE BOCCON-GIBOD More articles by this author , and LAURENT BOCCON-GIBODLAURENT BOCCON-GIBOD More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65416-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Some studies imply that increasing the number of prostate biopsy cores may improve the cancer detection rate. We performed a prospective study to evaluate pain and morbidity after an extensive transrectal ultrasound guided 10-core biopsy protocol. Materials and Methods: A total of 289 consecutive men with abnormal digital rectal examination findings and/or increased prostate specific antigen underwent extensive prostate biopsy involving 6 sextant and 4 peripheral biopsies. Each received an information leaflet a few days before the procedure. A single dose of fluoroquinolone and a rectal enema were administered before biopsy. In no case was the procedure performed using anesthesia. Immediately after biopsy patients were asked to complete a self-administered nonvalidated questionnaire evaluating the degree of pain and/or discomfort using a visual analog scale. In another questionnaire they listed the side effects noticed during month 1 after biopsy. Results: Although 48% of the 275 men who completed the initial questionnaire reported anxiety before the procedure, 78.8% of them were completely reassured by the information brochure. Of the 275 patients 47.6% described the procedure as painful, including only slightly painful (analog visual scale 3 or less) in 67.9%, while 33.8% described it as uncomfortable but not painful and 18.6% thought that it was neither painful nor uncomfortable. Of the 115 patients who engaged in sexual intercourse during month 1 after the procedure 78.3% noticed hematospermia an average of 10.9 days in duration. Of the 164 men who completed questionnaire 2, 74.4% noticed hematuria an average of 2.7 days in duration, 3.7% noticed pyrexia and 1.2% noticed acute prostatitis. In the 59 patients (36%) who reported delayed perineal pain it was slight in 64.4%, moderate in 30.5% and severe in 5.1%. No patient required hospitalization. Conclusions: Although minor complications are common, the extensive 10-core prostate biopsy protocol is associated with few major complications. The occurrence and intensity of pain and discomfort are in the range reported after the standard 6-core biopsy protocol. References 1 : Random systematic versus directed ultrasound guided transrectal core biopsies of the prostate. J Urol1989; 142: 171. Google Scholar 2 : Use of repeat sextant and transition zone biopsies for assessing extent of prostate cancer. J Urol1997; 158: 1886. Link, Google Scholar 3 : The sextant protocol for ultrasound-guided core biopsies of the prostate underestimates the presence of cancer. Urology1997; 50: 562. Crossref, Medline, Google Scholar 4 : Detection of non-palpable prostate cancer. A mathematical and laboratory model. Br J Urol1993; 71: 43. Crossref, Medline, Google Scholar 5 : Systematic 5 region prostate biopsy is superior to extant method for diagnosing carcinoma of the prostate. J Urol1997; 157: 199. Link, Google Scholar 6 : Two consecutive sets of transrectal ultrasound guided sextant biopsies of the prostate for the detection of prostate cancer. J Urol1998; 159: 471. Link, Google Scholar 7 : Extensive biopsy protocol improves the detection rate of prostate cancer. J Urol2000; 164: 393. Link, Google Scholar 8 : Results of a prospective study comparing 6, 12, and 18 transrectal, ultrasound guided, sextant biopsies in patient with elevated PSA, normal DRE and normal prostatic ultrasound. J Urol1997; 157: 59. abstract 226. Google Scholar 9 : A prospective randomized trial comparing 6 versus 12 prostate biopsy cores: impact on cancer detection. J Urol2000; 164: 388. Link, Google Scholar 10 : Pain and morbidity of transrectal ultrasound guided prostate biopsy: a prospective randomized trial of 6 versus 12 cores. J Urol2000; 163: 168. Link, Google Scholar 11 : Prediction and assessment of the severity of post-operative pain and satisfaction with management. Pain1998; 75: 177. Google Scholar 12 : Risks and complications of transrectal ultrasound guided prostate needle biopsy: a prospective study and review of the literature. J Urol1998; 160: 2115. Link, Google Scholar 13 : The impact of prostate biopsy on patient well-being: a prospective study of pain, anxiety and erectile dysfunction. J Urol2001; 165: 445. Link, Google Scholar 14 : A randomized prospective trial of intrarectal lidocaine for pain control during transrectal prostate biopsy: the Emory University experience. J Urol2000; 164: 397. Link, Google Scholar 15 : Complications of transrectal ultrasound-guided systematic sextant biopsies of the prostate: evaluation of complication rates and risk factors within a population-based screening program. Urology1997; 49: 875. Google Scholar From the Departments of Urology and Pathology, Bichat-Claude Bernard Hospital, Paris, France© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byLee H, Lee H, Byun S, Lee S, Hong S and Kim S (2007) Effect of Intraprostatic Local Anesthesia During Transrectal Ultrasound Guided Prostate Biopsy: Comparison of 3 Methods in a Randomized, Double-Blind, Placebo Controlled TrialJournal of Urology, VOL. 178, NO. 2, (469-472), Online publication date: 1-Aug-2007.AUTORINO R, DE SIO M, DI LORENZO G, DAMIANO R, PERDONÀ S, CINDOLO L and D’ARMIENTO M (2018) HOW TO DECREASE PAIN DURING TRANSRECTAL ULTRASOUND GUIDED PROSTATE BIOPSY: A LOOK AT THE LITERATUREJournal of Urology, VOL. 174, NO. 6, (2091-2097), Online publication date: 1-Dec-2005.BERGER A, GOZZI C, STEINER H, FRAUSCHER F, VARKARAKIS J, ROGATSCH H, BARTSCH G and HORNINGER W (2018) COMPLICATION RATE OF TRANSRECTAL ULTRASOUND GUIDED PROSTATE BIOPSY: A COMPARISON AMONG 3 PROTOCOLS WITH 6, 10 AND 15 CORESJournal of Urology, VOL. 171, NO. 4, (1478-1481), Online publication date: 1-Apr-2004.Peyromaure M (2018) Re: Comparison of Contrast Enhanced Color Doppler Targeted Biopsy With Conventional Systematic Biopsy: Impact on Prostate Cancer DetectionJournal of Urology, VOL. 168, NO. 4 Part 1, (1505-1506), Online publication date: 1-Oct-2002. (2018) EDITORIAL COMMENTJournal of Urology, VOL. 168, NO. 1, (120-120), Online publication date: 1-Jul-2002. Volume 167Issue 1January 2002Page: 218-221 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsmorbiditybiopsyprostatic neoplasmspainprostateMetricsAuthor Information MICHAEL PEYROMAURE More articles by this author VINCENT RAVERY More articles by this author AUREL MESSAS More articles by this author MARIANNE TOUBLANC More articles by this author LILIANNE BOCCON-GIBOD More articles by this author LAURENT BOCCON-GIBOD More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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