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Complications of Transrectal Ultrasound—Guided Prostate Biopsy

  • Chapter
Prostate Biopsy

Part of the book series: Current Clinical Urology ((CCU))

Abstract

Refinements in transrectal ultrasound biopsy over the last 25 years have led to improved cancer detection, fewer risks, and reduced morbidity. Hematuria, hematospermia, hematochezia, and rectal bleeding are common, but generally resolve without treatment. Anticoagulant medications should be stopped before planned biopsy unless contraindicated. For patients taking antithrombolytic therapy after cardiac stenting, the urologist should consult with the patient’s cardiologist to determine the best course of treatment. Infection complications are significantly reduced with prophylactic antibiotics. However, clinical studies show wide variances for optimal antibiotic regimen. Pain is a source of anxiety for many patients. Periprostatic nerve block is an established method for reducing discomfort. Patients should be educated about common postbiopsy conditions with low morbidity and be able to differentiate these from medical emergencies.

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Author information

Authors and Affiliations

  1. Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, TN

    Sam S. Chang MD & Michael S. Cookson MD

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  1. Sam S. Chang MD
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  2. Michael S. Cookson MD
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Editors and Affiliations

  1. Department of Regional Urology, Cleveland Clinic Glickman Urological and Kidney Institute, USA

    J. Stephen Jones MD (Chairman, Associate Professor of Surgery (Urology) (Chairman, Associate Professor of Surgery (Urology)

  2. Cleveland Clinic Lerner College of Medicine at CWRU, Cleveland, OH, USA

    J. Stephen Jones MD (Chairman, Associate Professor of Surgery (Urology) (Chairman, Associate Professor of Surgery (Urology)

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© 2008 Humana Press, a part of Springer Science+Business Media, LLC

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Chang, S.S., Cookson, M.S. (2008). Complications of Transrectal Ultrasound—Guided Prostate Biopsy. In: Jones, J.S. (eds) Prostate Biopsy. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-60327-078-6_18

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  • DOI: https://doi.org/10.1007/978-1-60327-078-6_18

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-790-7

  • Online ISBN: 978-1-60327-078-6

  • eBook Packages: MedicineMedicine (R0)

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