Department of Surgery, College of Medicine, University of Lagos; Urology Unit, Department of Surgery, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
Urology Unit, Department of Surgery, Federal Medical Centre, Ebute-Metta, Lagos, Nigeria.
Niger Postgrad Med J. 2020 Oct-Dec;27(4):377-383. doi: 10.4103/npmj.npmj_297_20.
Prostate biopsy (PB) is one of the most commonly performed procedures by urologists in our practice. It is the confirmatory diagnosis of the most common malignancy in elderly men. Currently, there is no national guideline on PB in Nigeria; hence, practices vary among urologists and institutions. The sudy aim was to highlight the various PB practices among Nigerian urologists with a view to determining the gap between our practice and evidenced-based global practice.
A descriptive cross-sectional study which utilised self-administered questionnaires distributed among urologists who participated at the Nigerian Association of Urological Surgeons' (NAUS) Conference in Lagos in 2014.
The total number of respondents was 102, distributed across 26 states and various levels of the hospital. All respondents stated that they always perform biopsy if prostate-specific antigen (PSA) was >10 ng/ml. Seventy-nine (77.5%) respondents routinely rely on PSA kinetics in taking a decision on PB. About four-fifth routinely discontinue aspirin before the biopsy. All respondents administer antibiotics with a preference for the parenteral route in 74.5%. Anaesthesia employed for PB included, regional by 52 respondents (50.9%), local by 39 respondents (38.2%), and general by 1 respondent (1.0%), respectively. Transrectal route was preferred by 96 (94.1%). Majority (74.6%) still practice digitally-guided biopsy, whereas 25.4% perform the transrectal ultrasound-guided biopsy. The number of cores commonly taken for systematic technique ranges from 6 to 18. About a quarter (25.5%) had personal or institutional publication (s) on PB.
PB practice vary among Nigerian urologists. The variability depends on individual training, preference and available institutional facilities. We recommend that NAUS should provide a guideline for the practices of PB in Nigeria.
前列腺活检 (PB) 是我们实践中泌尿科医生最常进行的程序之一。它是老年男性最常见恶性肿瘤的确诊诊断方法。目前，尼日利亚没有关于 PB 的国家指南；因此，泌尿科医生和机构之间的做法各不相同。本研究旨在强调尼日利亚泌尿科医生的各种 PB 做法，以确定我们的实践与循证全球实践之间的差距。
这是一项描述性的横断面研究，使用问卷调查表在 2014 年拉各斯举行的尼日利亚泌尿科医师协会 (NAUS) 会议上向泌尿科医生分发。
共有 102 名受访者，分布在 26 个州和各级医院。所有受访者均表示，如果前列腺特异性抗原 (PSA) > 10 ng/ml，他们总是进行活检。79 名（77.5%）受访者通常依靠 PSA 动力学来决定是否进行 PB。大约四分之三的人在活检前常规停用阿司匹林。所有受访者都常规使用抗生素，其中 74.5% 的人首选静脉途径。用于 PB 的麻醉包括 52 名受访者（50.9%）选择区域麻醉、39 名受访者（38.2%）选择局部麻醉和 1 名受访者（1.0%）选择全身麻醉。96 名受访者（94.1%）首选经直肠途径。大多数（74.6%）仍进行数字引导活检，而 25.4%的人进行经直肠超声引导活检。系统技术常用的活检芯数量范围为 6 到 18 个。约四分之一（25.5%）有个人或机构发表的 PB 相关文章。
尼日利亚泌尿科医生的 PB 实践存在差异。这种差异取决于个人培训、偏好和可用的机构设施。我们建议 NAUS 应为尼日利亚的 PB 实践提供指南。
