Prospective evaluation of the safety of transrectal ultrasound-guided transperineal prostate biopsy based on adverse events

Verfasser / Beitragende:
[Takeshi Namekawa, Satoshi Fukasawa, Atsushi Komaru, Masayuki Kobayashi, Yusuke Imamura, Takayuki Ohzeki, Kimiaki Takagi, Yosuke Sato, Koichiro Akakura, Tomohiko Ichikawa, Takeshi Ueda]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/6(2015-12-01), 1185-1191
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-015-0831-6  |2 doi 
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245 0 0 |a Prospective evaluation of the safety of transrectal ultrasound-guided transperineal prostate biopsy based on adverse events  |h [Elektronische Daten]  |c [Takeshi Namekawa, Satoshi Fukasawa, Atsushi Komaru, Masayuki Kobayashi, Yusuke Imamura, Takayuki Ohzeki, Kimiaki Takagi, Yosuke Sato, Koichiro Akakura, Tomohiko Ichikawa, Takeshi Ueda] 
520 3 |a Background: Although transperineal (TP) prostate biopsy is growing in popularity, its safety has not been evaluated based on extensive studies. We prospectively assessed the adverse events associated with transrectal ultrasound (TRUS)-guided TP 16-core prostate biopsy at a single institution. Patients and methods: We enrolled 2,086 males who underwent first-time TRUS-guided TP prostate biopsy under lumbar spinal anesthesia at Chiba Cancer Center between 2009 and 2013. Eight adverse events were assessed prospectively using a purpose-designed questionnaire. The prevalence and duration of all adverse events were evaluated. We performed subgroup analyses for hematuria and urinary retention in relation to clinical factors. Results: Questionnaires were collected from 1,663 cases (79.7%). The cancer detection rate was 53.5% in all patients. The prevalence and duration of complications were as follows: hematuria, 73.4% and 4.51±2.88days; perineal bleeding, 7.1% and 2.20±2.24days; hematospermia 14.4%; dysuria, 15.7% and 3.12±2.71days; urinary tract pain, 49.5% and 2.43±2.08days; perineal pain, 35.5% and 3.53±2.59days; fever ≥37°C, 1.7% and 1.79±1.72days; and headache, 22.1% and 3.40±2.10days. Seventeen patients (1.1%) required indwelling urethral catheterization for grade 2 urinary retention. Pre-biopsy International Prostate Symptom Score (p=0.014) was an independent related factor for hematuria. Prostate volume (p=0.001) was an independent related factor for grade 2 urinary retention. Conclusions: TRUS-guided TP prostate biopsy under lumbar spinal anesthesia can be performed safely with only minor adverse events. 
540 |a Japan Society of Clinical Oncology, 2015 
690 7 |a Adverse events  |2 nationallicence 
690 7 |a Prostate cancer  |2 nationallicence 
690 7 |a Transperineal biopsy  |2 nationallicence 
690 7 |a Questionnaire  |2 nationallicence 
700 1 |a Namekawa  |D Takeshi  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
700 1 |a Fukasawa  |D Satoshi  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
700 1 |a Komaru  |D Atsushi  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
700 1 |a Kobayashi  |D Masayuki  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
700 1 |a Imamura  |D Yusuke  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
700 1 |a Ohzeki  |D Takayuki  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
700 1 |a Takagi  |D Kimiaki  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
700 1 |a Sato  |D Yosuke  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
700 1 |a Akakura  |D Koichiro  |u Division of Urology, Japan Community Health Care Organization, Tokyo Shinjuku Medical Center, Tokyo, Japan  |4 aut 
700 1 |a Ichikawa  |D Tomohiko  |u Department of Urology, Graduate School of Medicine, Chiba University, 1-8-1 Inohana-cho, Chuo-ku, 260-8670, Chiba, Japan  |4 aut 
700 1 |a Ueda  |D Takeshi  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/6(2015-12-01), 1185-1191  |x 1341-9625  |q 20:6<1185  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-015-0831-6  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-015-0831-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Namekawa  |D Takeshi  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fukasawa  |D Satoshi  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Komaru  |D Atsushi  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kobayashi  |D Masayuki  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Imamura  |D Yusuke  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ohzeki  |D Takayuki  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takagi  |D Kimiaki  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sato  |D Yosuke  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Akakura  |D Koichiro  |u Division of Urology, Japan Community Health Care Organization, Tokyo Shinjuku Medical Center, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ichikawa  |D Tomohiko  |u Department of Urology, Graduate School of Medicine, Chiba University, 1-8-1 Inohana-cho, Chuo-ku, 260-8670, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ueda  |D Takeshi  |u Prostate Center and Division of Urology, Chiba Cancer Center, 666-2 Nitona-cho, Chuo-ku, 260-8717, Chiba, Chiba, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/6(2015-12-01), 1185-1191  |x 1341-9625  |q 20:6<1185  |1 2015  |2 20  |o 10147