Complication rates of ultrasound-guided prostate biopsy: A nation-wide survey in Japan
Complication rates of ultrasound-guided prostate biopsy: A nation-wide survey in Japan
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DOI：
10.1111/j.1442-2042.2008.02048.x
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发表时间：
2008-04-01
影响因子：
2.6
通讯作者：
Naito, Seiji
中科院分区：
文献类型：
--
作者：
Kakehi, Yoshiyuki;Naito, Seiji
目的：为了评估继发于超声引导系统前列腺活检在Japanese.Methods：五百四十八个主要的泌尿外科培训机构认证的日本泌尿协会参加了调查的发病率。前列腺穿刺活检后并发症的回顾性分析carried.Results：212 065程序之间进行的2004年和2006年的医疗记录进行了审查。76%的手术是经直肠进行的，23%是经会阴进行的。血尿、直肠出血和血精的发生率分别为12%、5.9%和1.2%。1.9%的病例在活检后报告了排尿症状，1.1%的病例报告了尿潴留。发热（>38 ℃）发生率为1.1%，脓毒症发生率为0.07%。0.69%的病例需要住院治疗活检相关并发症。结论：总体而言，当代超声引导下系统前列腺活检是安全的，在日本进行。然而，轻微的并发症并不罕见，而严重的并发症仍然非常罕见，但如果发生会危及生命。因此，应向接受前列腺活检的患者提供足够的信息。
Objective: To assess the morbidity secondary to ultrasound-guided systematic prostate biopsy in Japan.Methods: Five hundred and forty-eight principal urological training institutions certified by the Japanese Urological Association participated in the survey. A retrospective analysis of complications after prostate biopsy was conducted.Results: Medical records of 212 065 procedures carried out between 2004 and 2006 were reviewed. Seventy-six percent of procedures had been carried out transrectally, and 23% transperineally. Hematuria, rectal bleeding and hematospermia occurred in 12%, 5.9% and 1.2% of cases, respectively. Voiding symptoms were reported after biopsy in 1.9% of cases and urinary retention in 1.1%. Fever (>38 degrees C) was observed in 1.1% and sepsis occurred in 0.07%. Hospitalization was required in 0.69% of cases for the treatment of biopsy-related complications.Conclusions: Overall, contemporary ultrasound-guided systematic prostate biopsy is safely carried out in Japan. However, minor complications are not infrequent, whereas major ones remain very rare but life-threatening if they occur. Thus, adequate information should be provided to patients undergoing prostate biopsy.