Intraperitoneal Bleeding After Ultrasound-Guided Transperineal Prostate Biopsy

Area of Science:

• Urology
• Oncology
• Medical Imaging

Background:

• Transperineal prostate biopsy is increasingly utilized for prostate cancer diagnosis.
• Common complications include urethral bleeding and urinary retention.
• Prior focal therapy can alter prostate anatomy and potentially increase procedural risks.

Observation:

• A patient with a history of focal therapy for prostate cancer developed symptoms hours after a transperineal biopsy.
• Symptoms included dizziness, abdominal pain, and tenderness.
• Computed tomography (CT) confirmed intraperitoneal bleeding.

Findings:

• Intraperitoneal bleeding is a rare but possible complication following transperineal prostate biopsy.
• This complication may be more likely in patients with smaller prostates or post-procedural scarring.
• Conservative management was successful in this case, avoiding surgical intervention or blood transfusion.

Implications:

• Clinicians should be aware of the potential for rare complications like intraperitoneal bleeding after transperineal biopsy.
• Patient history, including prior treatments like focal therapy, may influence risk assessment.
• Further research may be warranted to identify risk factors and optimize patient selection for transperineal biopsies.