Complication rates of ultrasound-guided prostate biopsy: A nation-wide survey in Japan

Authors

  • Yoshiyuki Kakehi,

    Corresponding author
    1. Department of Urology, Kagawa University Faculty of Medicine, Kagawa, and
      Yoshiyuki Kakehi md phd, Department of Urology, Kagawa University Faculty of Medicine, Miki-cho, Kita-gun, Kagawa 761-0793, Japan. Email: kakehi@med.kagawa-u.ac.jp
    Search for more papers by this author
  • Seiji Naito,

    1. Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
    Search for more papers by this author
  • Japanese Urological Association


Yoshiyuki Kakehi md phd, Department of Urology, Kagawa University Faculty of Medicine, Miki-cho, Kita-gun, Kagawa 761-0793, Japan. Email: kakehi@med.kagawa-u.ac.jp

Abstract

Objective:  To assess the morbidity secondary to ultrasound-guided systematic prostate biopsy in Japan.

Methods:  Five hundred and forty-eight principal urological training institutions certified by the Japanese Urological Association participated in the survey. A retrospective analysis of complications after prostate biopsy was conducted.

Results:  Medical records of 212 065 procedures carried out between 2004 and 2006 were reviewed. Seventy-six percent of procedures had been carried out transrectally, and 23% transperineally. Hematuria, rectal bleeding and hematospermia occurred in 12%, 5.9% and 1.2% of cases, respectively. Voiding symptoms were reported after biopsy in 1.9% of cases and urinary retention in 1.1%. Fever (>38°C) was observed in 1.1% and sepsis occurred in 0.07%. Hospitalization was required in 0.69% of cases for the treatment of biopsy-related complications.

Conclusions:  Overall, contemporary ultrasound-guided systematic prostate biopsy is safely carried out in Japan. However, minor complications are not infrequent, whereas major ones remain very rare but life-threatening if they occur. Thus, adequate information should be provided to patients undergoing prostate biopsy.

Ancillary