Proctoscopy following transrectal prostate biopsy can control rectal bleeding after prostate biopsy

Area of Science:

• Urology
• Gastroenterology
• Medical Devices

Background:

• Rectal bleeding is a frequent complication following transrectal ultrasound-guided prostate biopsy (TRPB).
• Massive rectal bleeding post-TRPB poses a significant life-threatening risk.
• Early identification and management of rectal bleeding are crucial for patient safety.

Purpose of the Study:

• To determine the incidence of rectal bleeding after TRPB.
• To evaluate the efficacy of proctoscopy in controlling post-biopsy rectal bleeding.
• To assess the utility of proctoscopy in managing TRPB-related hemorrhage.

Main Methods:

• A study involving 256 patients undergoing TRPB under local anesthesia.
• Post-biopsy proctoscopy was performed to grade rectal bleeding severity (G0-G3).
• Hemostasis was achieved via gauze compression or, if necessary, direct suturing of bleeding sites.

Main Results:

• Nearly half of patients (48.3%) experienced rectal bleeding requiring hemostasis (G2/G3).
• Compression successfully controlled bleeding in 121 out of 125 affected cases.
• Suturing was required in only four cases, with no reported posterior hemorrhage complications.

Conclusions:

• Proctoscopy provides precise visualization for effective pressure hemostasis.
• Direct vision suturing offers a reliable method for difficult-to-control bleeding.
• Routine proctoscopy post-TRPB can alleviate urologist apprehension regarding rectal bleeding.