Benli Erdal, Cirakoglu Abdullah, Ogreden Ercan, Cetinkol Yeliz, Calgin Mustafa Kerem, Ayyildiz Ali, Yüce Ahmet
Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey.
Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey.
Adv Urol. 2016;2016:6841837. doi: 10.1155/2016/6841837. Epub 2016 Dec 20.
. The aim of this study is to evaluate whether leaving the biopsy needle used during prostate needle biopsy in 10% povidone-iodine (betadine) solution affects the infectious complications forming after biopsy. . This study retrospectively evaluated the data of 176 patients with prostate biopsy performed between December 2012 and April 2014. Patients in Group 1 ( = 89) were given ofloxacin as a prophylactic antibiotic before biopsy. Patients in Group 2 ( = 87) had the biopsy needle left in povidone-iodine solution for 1 minute before each use, in addition to antibiotic prophylaxis. The two groups were compared in terms of infective complications developing after biopsy. Results were analyzed using the Mann-Whitney test and Fisher's exact test. . The distribution of infective complications after biopsy according to group was as follows. Group 1, not using betadine, had 15.7% fever, 13.5% hospital stay, 12.4% urinary retention, 10.1% prostatitis, and 5.6% sepsis. The distribution of the same complications in Group 2 using betadine was identified as 5.7% fever, 4.6% hospital stay, 3.4% urinary retention, 2.3% prostatitis, and 0% sepsis. The use of betadine was found to significantly reduce the infectious complications after biopsy compared to the control group ( < 0.05). . At the end of this study leaving the prostate needle in povidone-iodine solution before each use during prostate biopsy was found to reduce the infective complications and hospital stay after biopsy.
本研究的目的是评估在前列腺穿刺活检过程中，将活检针置于10%聚维酮碘（碘伏）溶液中是否会影响活检后感染并发症的形成。本研究回顾性评估了2012年12月至2014年4月间176例行前列腺活检患者的数据。第1组（n = 89）患者在活检前给予氧氟沙星作为预防性抗生素。第2组（n = 87）患者除预防性使用抗生素外，在每次使用前将活检针置于聚维酮碘溶液中1分钟。比较两组活检后发生的感染并发症。结果采用Mann-Whitney U检验和Fisher精确检验进行分析。根据分组情况，活检后感染并发症的分布如下。第1组未使用碘伏，发热率为15.7%，住院率为13.5%，尿潴留率为12.4%，前列腺炎率为10.1%，败血症率为5.6%。使用碘伏的第2组相同并发症的分布为发热率5.7%，住院率4.6%，尿潴留率3.4%，前列腺炎率2.3%，败血症率0%。与对照组相比，发现使用碘伏可显著降低活检后的感染并发症（P < 0.05）。在本研究结束时，发现前列腺活检过程中每次使用前将前列腺针置于聚维酮碘溶液中可减少活检后的感染并发症和住院时间。
