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[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.

Il Giornale Di Chirurgia
|October 27, 2006
PubMed
Summary

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Severe rectal bleeding after prostate biopsy is a rare but serious complication. Endoscopic treatment successfully stopped bleeding, with no recurrence after one year.

Area of Science:

  • Urology
  • Gastroenterology

Background:

  • Transrectal ultrasound-guided prostate biopsy is a common procedure for prostate cancer screening.
  • Rectal bleeding is a potential complication, though typically mild.

Observation:

  • This case details severe rectal bleeding following a prostate biopsy.
  • Initial conservative measures and mechanical hemostatic maneuvers were unsuccessful.

Findings:

  • Emergency colonoscopy was performed, achieving hemostasis through sclerotherapy, heat bipolar probe, and Argon Plasma Coagulation.
  • The patient experienced complete recovery with immediate cessation of bleeding.

Implications:

  • Severe rectal bleeding post-prostate biopsy, while rare, can be life-threatening.

Related Experiment Videos

  • Standardized diagnostic and treatment protocols are needed to manage this complication effectively.
  • Prostate biopsy remains a crucial tool for prostate cancer screening when combined with PSA testing.