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Updated: Jul 19, 2026
Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
Published on: September 21, 2015
[Severe rectal bleeding after transrectal US-guided prostate biopsy. Case report]
G Geraci1, C Sciumè, F Pisello
1Universita degli Studi di Palmero Azienda Ospedaliero Universitaria Policlinico "Paolo Giaccone" Dipartmento di Chirurgia Generale, d'Urgenza e dei Trapianti d'Organo Unità Operativa di Chirurgia Generale ad Indirizzo Toracico, Italy.
Case:
The Authors report their experience about a case of severe rectal bleeding after transrectal ultrasound-guided prostate biopsy.
Intervention:
After correct and sure diagnosis, the patient was submitted to resolutive endoscopic haemostatic treatment (failure of haemostatic mechanical manoeuvres, emergency colonscopy, haemostasis with sclerotherapy, heat bipolar probe and Argon Plasma Coagulation).
Results:
Complete recovery (immediate stop bleeding). Follow-up (1 year) negative.
Conclusions:
Rectal bleeding after prostate biopsy is a important but rare complication of prostate cancer screening, potentially lethal. Best knowledge of causes and risk factors may improve the diagnosis and standardize the treatment. The prostatic biopsy is surely the best procedure for the screening of prostate cancer in the population, associated with PSA dosage.
