Infection is most common complication of prostate biopsy

Infection is most common complication of prostate biopsy

(HealthDay)—The most common complication of prostate biopsy is infection, with mild bleeding also reported, according to an update of the American Urological Association White Paper published in the August issue of The Journal of Urology.

Michael A. Liss, M.D., from the University of Texas Health Science Center San Antonio, and colleagues conducted a literature review to examine the prevalence and prevention of common complications of prostate . They focused on , bleeding, urinary retention, needle tract seeding, and erectile dysfunction in 346 articles identified for full text review and 119 articles that were included in the final data synthesis.

The authors note that the most common complication of biopsy was infection, with a prominent role for fluoroquinolone-resistant Escherichia coli. The reported rates of infectious complications varied from 0.1 to 7.0 percent, while rates of sepsis varied from 0.3 to 3.1 percent, depending on antibiotic prophylaxis regimens. Another common complication was mild, self-limiting, and transient bleeding. Other complications were very rare.

"Risk assessment should be performed for all patients to identify known risk factors for harboring fluoroquinolone resistance," the authors write. "If infection incidence increases check the local antibiogram, current equipment and cleaning practices, and consider alternate approaches to antibiotic prevention such as needle cleaning, risk basked augmentation, rectal culture with targeted prophylaxis, and transperineal biopsy."


Explore further

Increase in prostate needle biopsy-linked infection in N.Y.

More information: Abstract
Full Text (subscription or payment may be required)
Journal information: Journal of Urology

Copyright © 2017 HealthDay. All rights reserved.

Citation: Infection is most common complication of prostate biopsy (2017, July 26) retrieved 29 February 2020 from https://medicalxpress.com/news/2017-07-infection-common-complication-prostate-biopsy.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
2 shares

Feedback to editors

User comments