[Complications of prostatic biopsies. Analysis of a series of 4,764 biopsies]

J Aubert1

  • 1Pavillon Camille Guérin, Hôpital de la Mileterie, Poitiers.

Insights

Prostate biopsies can cause complications like infections and sepsis, even with antibiotics. Many minor issues may go unreported, suggesting a need for better complication monitoring.

Area of Science:

  • Urology
  • Infectious Diseases
  • Medical Complications

Context:

  • Retrospective analysis of 4,764 prostate biopsies across multiple centers.
  • Investigating the incidence and nature of complications following prostatic biopsy.

Purpose:

  • To determine the complication rate of prostatic biopsies.
  • To identify the most frequent complications and assess the efficacy of antibiotic prophylaxis.
  • To understand complications occurring after negative biopsies.

Summary:

  • A total of 89 complications (1.86%) were recorded in 4,764 prostatic biopsies.
  • Infectious complications, including 10 cases of sepsis, were most common, indicating limitations of antibiotic prophylaxis.
  • 33 complications occurred post-biopsy even with negative results, and minor complications may be underreported.

Impact:

  • Highlights the risk of infectious complications, including sepsis, after prostatic biopsy.
  • Suggests that current antibiotic prophylaxis may not fully prevent infectious complications.
  • Underscores potential underreporting of minor complications, impacting accurate incidence assessment.

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