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A questionnaire survey of patient preparation and techniques for prostate biopsy among urologists in the Kyushu and Okinawa regions of Japan

International Journal of Clinical Oncology volume 11, pages 390–395 (2006)Cite this article

Abstract

Background

We surveyed urologists in the Kyushu and Okinawa regions of Japan regarding their standard approach to patient preparation and their prostate biopsy technique.

Methods

A total of 155 survey questionnaires were prepared and mailed to community and academic urologists in the Kyushu and Okinawa regions. Incidences were derived from the total numbers of responses, by item, divided by the total number of responses per practice type.

Results

There were 27 responses from clinics (17.4%), 115 from general hospitals (74.2%), and 13 from university hospitals or cancer centers (8.4%). Most urologists performed biopsy in patients with prostate-specific antigen (PSA) levels greater than 4 ng/ml when digital rectal examination (DRE) and/or transrectal ultrasound (TRUS) results were normal. Of the urologists, 83% reported performing the procedure with hospitalization; 51% of urologists do not advocate enema use, 69% performed the procedure under spinal anesthesia or a sacral block, 53% reported the combined administration of antibiotics orally and intramuscularly or intravenously, 70% used only the transrectal route for prostate biopsy, and 86.5% performed six or more biopsy cores at the initial prostate biopsy session.

Conclusion

This survey shows substantial variation in the prostate biopsy protocols among urologists in the Kyushu and Okinawa regions in Japan, and suggests that national, evidence-based, guidelines are required, particularly as to antibiotic prophylaxis and the number of biopsy cores.

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Author information

Affiliations

  1. Department of Urology, Kurume University School of Medicine, 67 Asahi-machi, Kurume, 830-0011, Japan

    Masanori Noguchi & Kei Matsuoka

  2. Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan

    Hirofumi Koga & Seiji Naito

  3. Division of Nephro-Urology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan

    Hiroshi Kanetake

  4. Department of Urology, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan

    Masayuki Nakagawa

Authors
  1. Masanori Noguchi
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  2. Kei Matsuoka
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  3. Hirofumi Koga
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  4. Hiroshi Kanetake
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  5. Masayuki Nakagawa
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  6. Seiji Naito
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Corresponding author

Correspondence to Masanori Noguchi.

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Cite this article

Noguchi, M., Matsuoka, K., Koga, H. et al. A questionnaire survey of patient preparation and techniques for prostate biopsy among urologists in the Kyushu and Okinawa regions of Japan. Int J Clin Oncol 11, 390–395 (2006). https://doi.org/10.1007/s10147-006-0592-3

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  • DOI: https://doi.org/10.1007/s10147-006-0592-3

Key words

  • Prostate
  • Biopsy
  • Questionnaires