Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29283091
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29283091
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Can+Urol+Assoc+J
2018 ; 12
(3
): E146-E153
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
The management of rectal bleeding following transrectal prostate biopsy: A review
of the current literature
#MMPMID29283091
Quinlan MR
; Bolton D
; Casey RG
Can Urol Assoc J
2018[Mar]; 12
(3
): E146-E153
PMID29283091
show ga
INTRODUCTION: Since the advent of prostate-specific antigen (PSA)-based testing,
transrectal ultrasound (TRUS)-guided prostate biopsy has become a standard part
of the diagnostic pathway for prostate cancer (PCa). Rectal bleeding is one of
the common side effects of this transrectal route. While rectal bleeding is
usually mild and self-limiting, it can be life-threatening. In this article, we
examine rectal bleeding post-TRUS-guided prostate biopsy and explore the
literature to evaluate techniques and strategies aimed at preventing and managing
this common and important complication. METHODS: A PubMed literature search was
carried out using the keywords "transrectal-prostate-biopsy-bleed." A search of
the bibliography of reviewed studies was also conducted. Additionally, papers in
non-PubMed-listed journals of which the authors were aware were appraised.
RESULTS: Numerous modifiable risk factors for this bleeding complication exist,
particularly anticoagulants/antiplatelets and the number of core biopsies taken.
Successfully described corrective measures for such rectal bleeding include
tamponade (digital/packs/catheter/tampon/condom), endoscopic
sclerotherapy/banding/clipping, radiological embolization, and surgical
intervention. CONCLUSIONS: We advocate early consultation with the
colorectal/gastroenterology and interventional radiology services and a
progressive, stepwise approach to the management of post-biopsy rectal bleeding,
starting with resuscitation and conservative tamponade measures, moving to
endoscopic hemostasis ± radiological embolization ± transanal surgical methods.
Given the infrequent but serious nature of major rectal bleeding after TRUS
biopsy, we recommend the establishment of centralized databases or registries
forthwith to prospectively capture such data. To the best of our knowledge, this
is the first comprehensive look specifically at the management of post-TRUS
biopsy rectal bleeding.