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Title: Transrectal Ultrasound Guided Prostate Biopsy - An Audit
e-poster Number: EPOS 26
Category: e Poster
Author Name: Dr. Saket Patwardhan
Institute:
Co-Author Name:
Abstract :
Abstract
Introduction:
Transrectal ultrasound is a very useful modality for the diagnostic and interventional procedures related to the prostate. In the field of oncology, it is especially useful for characterising prostatic lesions and guiding prostate biopsy.
Prostate biopsy is a useful tool in the optimum management of prostate cancer as well as mimickers such as chronic granulomatous and non granulomatous prostatitis.
A prostate biopsy is at the centre of decision making in patient care. A positive biopsy is necessary for surgical or medical management of prostate cancer.
In cases of Benign masses of the prostate, TRUS is also used for drainage of abscess or collections. Recently, we have used TRUS for administering periprostatic nerve block for guiding water vapour therapy for BPH zone thermal ablation- performed the highest number of these thermal ablative procedures in India.
Case Series:
A series of 40 prostate biopsies performed at our institute is presented.
These included patients of varying age groups from 50 to 90 years. PSA levels ranged from 3.6-128 ng/ml. Procedure was done using local anaesthesia and periprostatic nerve blockade.
Success rates and complication rates were studied.
Results:
All biopsies yielded a positive result. No inadequacy of samples was noted.
26 biopsy reports were diagnostic of carcinoma prostate, 14 biopsy reports were diagnostic of benign enlargement of prostate with or without prostatitis. 8 patients had coexistent prostatitis. One case of non granulomatous prostatitis was also seen.
Complications of bleeding occurred in 1 patient. 1 patient developed urinary tract infection 3 days post biopsy. No other significant complication was seen.
Conclusions:
Prostate Biopsy is an extremely useful tool in the management of prostate cancer. It serves as a guiding modality for deciding the course of further treatment.
