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Hemosepermia after transrectal ultrasound-guided prostatic biopsy: A prospective study.

作者信息

Abdelkhalek M, Abdelshafy M, Elhelaly H, Kamal M

机构信息

Department of Urology, Al-Azhar University, Cairo, Egypt.

出版信息

Urol Ann. 2013 Jan;5(1):30-3. doi: 10.4103/0974-7796.106963.

Abstract

OBJECTIVES

Trans-rectal ultrasound (TRUS) is a safe, cost-effective, radiation-free imaging modality for evaluation of prostate. But unfortunately, hemospermia is known to be associated with TRUS-guided prostate biopsy. The aim of this study is to measure the incidence and risk factors of hemospermia in patients undergoing TRUS.

PATIENTS AND METHODS

A prospective observational study involving patients undergoing TRUS for suspected prostate cancer has been conducted at Al-Hussein and Sayed Galal Hospitals. Forty patients were included in the study.

RESULTS

Most men (90% = 36 patient) undergoing TRUS-guided prostatic biopsy, who were able to ejaculate, experienced hemospermia, which was associated with some degree of anxiety. The mean duration of hemospermia was 4 (±1.4) weeks. The number of ejaculations before the complete resolution of hemospermia was 6 (±5.6). None of the clinical and pathological factors was a significant predictor of the duration of hemospermia.

CONCLUSION

Patients should be adequately counseled before TRUS-guided prostatic biopsy to avoid anxiety and alterations in sexual activity.

摘要

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本文引用的文献

1
Cystic lesions of the prostate gland: an ultrasound classification with pathological correlation.
J Urol. 2009 Feb;181(2):647-57. doi: 10.1016/j.juro.2008.10.006. Epub 2008 Dec 16.
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Hemospermia following transrectal ultrasound-guided prostate biopsy: a prospective study.
Prostate Cancer Prostatic Dis. 2007;10(3):283-7. doi: 10.1038/sj.pcan.4500955. Epub 2007 Feb 20.
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Complication rate of transrectal ultrasound guided prostate biopsy: a comparison among 3 protocols with 6, 10 and 15 cores.
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