Bisacodyl rectal preparation can decrease infectious complications of transrectal ultrasound-guided prostate biopsy

被引:65
作者
Jeon, SS
Woo, SH
Hyun, JH
Choi, HY
Chai, SE
机构
[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Urol, Seoul 135710, South Korea
[2] Eulji Univ Hosp, Dept Urol, Taejon, South Korea
关键词
D O I
10.1016/S0090-4295(03)00470-9
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives. To assess whether rectal preparation before transrectal ultrasound (TRUS)-guided prostate biopsy could decrease the rate of infectious complications and to find any possible risk factors affecting the development of complications. Methods. This retrospective study included 879 cases of TRUS-guided prostate biopsy. All patients received antibiotic prophylaxis with levofloxacin or cefixime orally before biopsy and continually for 7 days after. A total of 456 patients received bisacodyl rectal preparation the night before or on the morning of the biopsy, and 423 did not. Major complications were defined as serious side effects requiring additional treatment. Infectious complications were classified as sepsis, fever (greater than 38degreesC) without sepsis, and other clinical infection. We evaluated whether rectal preparation before biopsy could decrease infectious complications. Other potential risk factors were also investigated. Results. Major complications developed in 47 cases (5.3%), including I vasovagal episode, 10 cases of urinary retention, and 46 infectious complications, of which 19 were sepsis and I I fever without sepsis. Among the potential risk factors, the number of biopsy cores and use of a rectal preparation were statistically significant risk factors influencing the development of infectious complications in multiple logistic regression analysis (P = 0.038 and P = 0.000, respectively). Conclusions. The number of biopsy cores and prebiopsy rectal preparation use were statistically significant risk factors for infectious complications after prostate biopsy in our study. Thus, we recommend a rectal preparation before prostate biopsy to minimize the risk of infectious complications.
引用
收藏
页码:461 / 466
页数:6
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