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[Acceptability and safety of transrectal prostatic 8-core biopsy]
Giandomenico Passavanti1, Valerio Pizzuti, Fabio Massimo Costantini
1U.O. Urologia, Ospedale Misericordia, Grosseto.
Summary
The 8-core prostate biopsy is a safe and well-tolerated procedure, with most complications being minor and temporary. Increasing sample size enhances efficacy without significantly compromising patient safety.
Area of Science:
- Urology
- Oncology
- Surgical Procedures
Context:
- The established safety of sextant prostate biopsy necessitates evaluating newer methods.
- Increasing biopsy sample size has demonstrated improved efficacy.
- Assessing the safety and tolerability of an 8-core prostate biopsy is crucial for clinical practice.
Purpose:
- To evaluate the safety and tolerability of transrectal (TR) 8-core prostate biopsy.
- To document the incidence and nature of complications associated with this procedure.
- To compare the outcomes with previously established biopsy protocols.
Summary:
- A study of 204 patients undergoing 8-core prostate biopsy revealed generally minor complications.
- Common side effects included irritation, slight pain, hematuria, and hematospermia.
- No hospitalizations were required for complications, with only 2 patients hospitalized for sepsis.
- The procedure was considered well-tolerated, with 73% reporting mild discomfort.
Impact:
- The 8-core prostate biopsy is a safe and suitable procedure with good tolerability.
- Minor complications are common but manageable, justifying the increased efficacy.
- This study supports the use of extended core biopsies for improved prostate cancer detection.