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Complications After Systematic, Random, and Image-guided Prostate Biopsy

Borghesi, Marco ; Ahmed, Hashim ; Nam, Robert ; Schaeffer, Edward ; Schiavina, Riccardo ; Taneja, Samir ; Weidner, Wolfgang ; Loeb, Stacy

European urology, 2017-03, Vol.71 (3), p.353-365 [Periódico revisado por pares]

Switzerland: Elsevier B.V

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Título:
Complications After Systematic, Random, and Image-guided Prostate Biopsy
Autor: Borghesi, Marco ; Ahmed, Hashim ; Nam, Robert ; Schaeffer, Edward ; Schiavina, Riccardo ; Taneja, Samir ; Weidner, Wolfgang ; Loeb, Stacy
Assuntos: Biopsy - methods ; Complications ; Endosonography ; Erectile Dysfunction - epidemiology ; Hematuria - epidemiology ; Hemospermia - epidemiology ; Hospitalization ; Humans ; Image-Guided Biopsy - methods ; Infection ; Lower Urinary Tract Symptoms - epidemiology ; Magnetic Resonance Imaging ; Male ; Mortality ; MRI-guided biopsy ; Postoperative Complications - epidemiology ; Postoperative Hemorrhage - epidemiology ; Prostate - diagnostic imaging ; Prostate - pathology ; Prostate biopsy ; Prostatic Neoplasms - diagnostic imaging ; Prostatic Neoplasms - pathology ; Recovery of Function ; Rectal Diseases - epidemiology ; Surgical Wound Infection - epidemiology ; Urinary Retention - epidemiology ; Urology
É parte de: European urology, 2017-03, Vol.71 (3), p.353-365
Notas: SourceType-Scholarly Journals-1
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ObjectType-Undefined-1
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ObjectType-Review-2
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Descrição: Abstract Context Prostate biopsy (PB) represents the gold standard method to confirm the presence of cancer. In addition to traditional random or systematic approaches, a magnetic resonance imaging (MRI)–guided technique has been introduced recently. Objective To perform a systematic review of complications after transrectal ultrasound (TRUS)–guided, transperineal, and MRI-guided PB. Evidence acquisition We performed a systematic literature search of Web of Science, Embase, and Scopus databases up to October 2015, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Complications and mortality following random, systematic, and image-guided PBs were reviewed. Eighty-five references were included. Evidence synthesis The most frequent complication after PB was minor and self-limiting bleeding (hematuria and hematospermia), regardless of the biopsy approach. Occurrence of rectal bleeding was comparable for traditional TRUS-guided and image-guided PBs. Almost 25% of patients experienced lower urinary tract symptoms, but only a few had urinary retention, with higher rates after a transperineal approach. Temporary erectile dysfunction was not negligible, with a return to baseline after 1–6 mo. The incidence of infective complications is increasing, with higher rates among men with medical comorbidities and older age. Transperineal and in-bore MRI–targeted biopsy may reduce the risk of severe infectious complications. Mortality after PB is uncommon, regardless of biopsy technique. Conclusions Complications after PB are frequent but often self-limiting. The incidence of hospitalization due to severe infections is continuously increasing. The patient's general health status, risk factors, and likelihood of antimicrobial resistance should be carefully appraised before scheduling a PB. Patient summary We reviewed the variety and incidence of complications after prostate biopsy. Even if frequent, complications seldom represent a problem for the patient. The most troublesome complications are infections. To minimize this risk, the patient's medical condition should be carefully evaluated before biopsy.
Editor: Switzerland: Elsevier B.V
Idioma: Inglês

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Complications After Systematic, Random, and Image-guided Prostate Biopsy

Borghesi, Marco ; Ahmed, Hashim ; Nam, Robert ; Schaeffer, Edward ; Schiavina, Riccardo ; Taneja, Samir ; Weidner, Wolfgang ; Loeb, Stacy

Switzerland: Elsevier B.V

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