Madej Adam, Wilkosz Jacek, Różański Waldemar, Lipiński Marek
2 Department of Urology, Medical University of Łódź, Poland.
Cent European J Urol. 2012;65(3):116-8. doi: 10.5173/ceju.2012.03.art3. Epub 2012 Sep 4.
A PROSTATE BIOPSY CAN RESULT IN SUCH COMPLICATIONS AS: hematuria, rectal bleeding, pain in hypogastrium, perineum or urethra, fever, nausea, vomiting, retention of urine or other adverse events. The aim of this research was to estimate complication rates after a prostate biopsy based on the number of cores.
The complication rate was evaluated on the basis of questionnaires filled out by patients. Questions were related to the occurrence of mentioned complications on the first and second day after prostate biopsy. Patients were divided into two groups: 1(st) group (41 patients) 5-8 cores and 2(nd) group (73 patients) 12 or more cores.
There was no significant statistical difference in the occurrence of complications mentioned in the questionnaires in both groups. The biggest difference was recorded for hematuria - 1(st) day: 39% in the 1st and 53% in the 2nd group (p = 0.1398); 2(nd) day: 15% in the 1(st) and 30% in the 2(nd) group (p = 0.0650). Rectal bleeding on the 1(st) day also seems to vary: 12% in the 1st and 26% in the 2(nd) group (p = 0.0835). Other complications occurred in 3-8% of patients. 32% of patients in the 1(st) and 29% in the 2(nd) group (p = 0.7419) had no complications at all.
The most common complications after a prostate biopsy are hematuria and rectal bleeding. Other complication rates are low. In general, complication rates after a prostate biopsy procedure are not related to the number of sampled cores.
前列腺活检可能导致以下并发症：血尿、直肠出血、下腹部、会阴部或尿道疼痛、发热、恶心、呕吐、尿潴留或其他不良事件。本研究的目的是根据活检的组织芯数量评估前列腺活检后的并发症发生率。
根据患者填写的问卷评估并发症发生率。问题涉及前列腺活检后第一天和第二天上述并发症的发生情况。患者分为两组：第一组（41例患者），活检组织芯数量为5 - 8个；第二组（73例患者），活检组织芯数量为12个或更多。
两组问卷中提及的并发症发生率无显著统计学差异。血尿的差异最为明显——第一天：第一组为39%，第二组为53%（p = 0.1398）；第二天：第一组为15%，第二组为30%（p = 0.0650）。第一天的直肠出血情况似乎也有所不同：第一组为12%，第二组为26%（p = 0.0835）。其他并发症发生在3% - 8%的患者中。第一组32%的患者和第二组29%的患者（p = 0.7419）完全没有并发症。
前列腺活检后最常见的并发症是血尿和直肠出血。其他并发症发生率较低。总体而言，前列腺活检术后的并发症发生率与活检组织芯数量无关。
