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Updated: Apr 19, 2026
05:35
Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
Published on: June 6, 2025
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Intraprostatic hematoma with active bleeding post-prostate biopsy
Lan Qian Lancia Guo1, Benny Chi-Bun So1, David Sadler1
1Department of Diagnostic Imaging, Foothills Medical Centre, Calgary, AB.
Summary
We present the first documented case of a large intraprostatic hematoma with active bleeding after a transrectal ultrasound-guided prostate biopsy. This rare complication highlights potential risks associated with the procedure.
Area of Science:
- Urology
- Medical Imaging
- Surgical Complications
Background:
- Transrectal ultrasound-guided (TRUS) prostate biopsy is a standard diagnostic procedure.
- Complications, though infrequent, can occur, necessitating awareness and management strategies.
Purpose of the Study:
- To report the first known case of a large intraprostatic hematoma with active bleeding after TRUS-guided prostate biopsy.
- To raise awareness of this rare but significant complication.
Main Methods:
- A case study detailing the presentation, diagnosis, and management of a patient experiencing this complication.
- Review of relevant literature for similar occurrences.
Main Results:
- A large intraprostatic hematoma with active bleeding was identified post-biopsy.
- The patient required specific management for the bleeding and hematoma.
Conclusions:
- Intraprostatic hematoma with active bleeding is a rare but possible complication of TRUS-guided prostate biopsy.
- Vigilance and prompt management are crucial for such cases.
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