Davis Michael, Sofer Mario, Kim Sandy S, Soloway Mark S
Department of Urology, University of Miami School of Medicine, Miami, Florida, USA.
J Urol. 2002 Feb;167(2 Pt 1):566-70. doi: 10.1016/S0022-5347(01)69087-6.
We surveyed urologists in community and academic practice regarding their standard approach to patient preparation and their technique of transrectal ultrasound guided prostate biopsy.
We mailed 110 surveys to community urologists in Florida and urological oncologists at academic centers across the United States. Responses were calculated per group.
Of the 88 respondents 34% were at academic centers and 66% were community urologists. Overall 79% of respondents prescribe an enema in preparation for biopsy, 81% administer an oral fluoroquinolone before biopsy, 50% give some type of analgesia, usually an oral agent, 63% obtain 8 or more cores per biopsy session, 36% biopsy the lateral and midline locations, and 83% do not use prostate specific antigen density to plan the biopsy strategy.
The majority of urologists who responded to our survey ask their patients to use an enema in preparation for a transrectal biopsy procedure, prescribe an oral antibiotic and administer some type of analgesia. Few urologists administer a periprostatic nerve block. The majority obtain at least 8 biopsies and only 17% perform sextant biopsy. Some of these practices are not consistent with the literature. This survey provides insight into the practice patterns of urologists in regard to one of the most commonly performed office procedures.
我们就社区和学术机构的泌尿科医生对患者准备的标准方法及其经直肠超声引导下前列腺活检技术进行了调查。
我们向佛罗里达州的社区泌尿科医生以及美国各地学术中心的泌尿肿瘤学家邮寄了110份调查问卷。按组计算回复率。
在88名受访者中,34%来自学术中心,66%是社区泌尿科医生。总体而言,79%的受访者在活检准备时会开灌肠剂,81%在活检前给予口服氟喹诺酮类药物,50%给予某种类型的镇痛剂,通常是口服药物,63%每次活检获取8个或更多的组织芯,36%对外侧和中线部位进行活检,83%不使用前列腺特异性抗原密度来规划活检策略。
对我们调查做出回应的大多数泌尿科医生要求患者使用灌肠剂来准备经直肠活检程序,开口服抗生素并给予某种类型的镇痛剂。很少有泌尿科医生进行前列腺周围神经阻滞。大多数人至少进行8次活检,只有17%进行六分区活检。其中一些做法与文献不一致。这项调查深入了解了泌尿科医生在最常见的门诊手术之一方面的实践模式。