Lycopodium spores in transrectal ultrasound-guided core biopsies of the prostate

T C Andersen1, G W Jürgensen, E Christensen

  • 1Department of Surgery, Glostrup Hospital, Denmark.

Insights

Lycopodium clavatum (LC) spores in prostate biopsies were traced to condom coatings. Using LC spore-free condoms can prevent diagnostic confusion and prostate inflammation.

Area of Science:

  • Urology
  • Pathology
  • Microbiology

Background:

  • Transrectal ultrasound-guided prostate biopsies are a standard diagnostic procedure.
  • Accurate histological analysis is crucial for diagnosing prostate conditions.

Observation:

  • Lycopodium clavatum (LC) spores were unexpectedly identified in two prostate core biopsy samples.
  • The spores were traced to the lubricating coating of standard ultrasound probe covers.

Findings:

  • The presence of LC spores can mimic or obscure pathological findings in prostate biopsies.
  • Misidentification of spores may lead to unnecessary investigations or misdiagnosis, potentially causing prostate inflammation or granulomas.

Implications:

  • The use of LC spore-free condoms is recommended for transrectal ultrasound-guided prostate biopsies.
  • Implementing spore-free materials can enhance diagnostic accuracy and patient safety in urological procedures.