EAU SESSION ON PROSTATE BIOPSY 1
April 8, 2007 – 9:47 pmUroToday.com - A bill conference on “Prostate Biopsy 1″ took locate at the EAU on weekday March 22, 2007. Two posters from this conference are awninged herein.
Dr. Horninger, metropolis reportable “Complication Rates of 7,074 Transrectal Ultrasound (TRUS) Guided Biopsies of the Prostate: Results from the state protein Screening Project”. Participants in the think had sextant biopsies if performed during 1993-1995 and 10 set biopsies between 1995 and 2000. Since 2000 fivesome added targeted biopsies hit been added to the schema. All conventional protective antibiotics using antibiotic orally play digit period before the procedure. Complications were assessed by a physician in a individualized discourse or by phone. The 7,074 biopsies were performed in 5,153 men. Minor complications included symptom >1 period (13.8%), hematospermia (35.8%), and rectal injury (2.1%). Major complications were prostatitis, epididymitis, feverishness >38°C, rectal injury >2 days, and urinary retention, every <1.0%. This think validates the country of TRUS biopsy of the prostate.
Dr. Gosselaar, metropolis presented “The Value of an Additional Hypoechogenic Lesion-Directed Biopsy for the Detection of Prostate Cancer”. In 10,754 screened men, 1,849 underwent TRUS/Bx and CaP was perceived in 541 (29.3%). Of the biopsy group, 445 men (24%) had an added 7th harm directed biopsy. In these men, 230 cases of CaP were perceived (52%). The 7th biopsy showed CaP in 73%, in oppositeness to the stingy proportionality of CaP in the haphazard cores of 47%. Only in 3.5% was the harm directed set the unequalled place of CaP detection. Thus exclusive 8 patients had cancer perceived supported upon the constituent of the directed biopsy core. These 8 tumors comprised 40% of the core, 5 of 8 had a Gleason reason of 7 or higher and 3 had extracapsular spreading of their disease. The authors hold that though the CaP perceived in these 8 men was significant, the coverall spotting evaluate of 3.5% as a termination of the added 7th biopsy is small.
Reviewed by UroToday.com Contributing Editor By Christopher P. Evans, M.D., FACS
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