TY - JOUR AU - Joshi, Robin PY - 2020/01/31 Y2 - 2024/03/29 TI - Transrectal Ultrasound Guided Prostatic Biopsy and its Complications: A Descriptive Cross-sectional Study JF - Journal of Nepal Medical Association JA - J Nepal Med Assoc VL - 58 IS - 221 SE - Original Article DO - 10.31729/jnma.4843 UR - https://www.jnma.com.np/jnma/index.php/jnma/article/view/4843 SP - AB - <p><strong>Introduction:</strong> Transrectal ultrasound of prostate provides better visual for biopsy. Transrectal<br>ultrasound guided prostate biopsy is usually performed in men with an abnormal digital rectal<br>examination, and elevated prostate specific antigen (&gt;4ng/ml) or prostate specific antigen velocity<br>(rate of prostate specific antigen change) i.e., &gt;0.4-0.75ng/ml/year. The aim of the study is to find out<br>the complications of transrectal ultrasound guided prostatic biopsies.</p><p><br><strong>Methods:</strong> This descriptive cross-sectional study was done among 50 patients who transrectal<br>ultrasound guided prostatic biopsies in a tertiary care hospital, from July 2017 to July 2019 after<br>receiving ethical approval from the Institutional Review Committee of Kathmandu Medical<br>College and teaching hospital. Convenient sampling was done. All patients were informed about<br>the potential benefits and risks of the transrectal ultrasound guided prostate biopsy and patients<br>signed an informed written consent form. Statistical analysis was done by using Statistical Package<br>for Social Sciences version 16.</p><p><br><strong>Results:</strong> Mean prostate specific antigen was 34.571 and mean weight of prostate was 44.6gm.<br>Moderate to severe pain was experienced by 15 (30%), 2 (4%) had hematuria with fever accounting<br>for 3 (6%) patients. All were managed conservatively with no mortality related to the procedure and<br>complication. Three patients was positive for malignancy on re-biopsy.</p><p><br><strong>Conclusions:</strong> Transrectal ultrasound guided biopsy of prostate is a pioneer experience in Nepal. It<br>has proved to be an useful tool of diagnosis of suspected carcinoma of Prostate. Use of neurovascular<br>block may reduce the pain during the procedure.</p><p>&nbsp;</p> ER -