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DOI: 10.1055/s-0028-1119724
© Georg Thieme Verlag KG Stuttgart · New York
Major rectal bleeding following transrectal needle prostate biopsy
Publication History
Publication Date:
19 June 2009 (online)
Transrectal ultrasound (TRUS)-guided prostate core biopsy is a very useful diagnostic tool in urological diseases. It constitutes a simple and safe outpatient procedure in the majority of patients, although hemorrhagic complications, ranging from transient hematuria to catastrophic rectal bleeding, may occur [1].
Rectal bleeding affects up to 50 % of patients, although only 1 % of these patients present with hemodynamic instability requiring blood transfusion support [2] [3]. Endoscopic haemostatic measures present an efficient, noninvasive method to control these kinds of serious events [2] [3] [4] [5].
References
- 1 Ghani K R, Dundas D, Patel U. Bleeding after transrectal ultrasonography-guided prostate biopsy: a study of 7-day morbidity after a six-, eight-, and twelve-core biopsy protocol. BJU Int. 2004; 94 1014-1020
- 2 Brullet E, Guevara M C, Campo R. et al . Massive rectal bleeding following transrectal ultrasound-guided prostate biopsy. Endoscopy. 2000; 32 792-795
- 3 Strate L L, O’Leary M P, Carr-Locke D L. Endoscopic treatment of massive rectal bleeding following prostate needle biopsy. Endoscopy. 2001; 33 981-984
- 4 Geraci G, Sciumé C, Pisello F. et al . Severe rectal bleeding after transrectal US-guided prostate biopsy. Case report. G Chir. 2006; 27 321-323
- 5 Witte J T, Bohlman T. Endoscopic band ligation of colonic bleeding. Gastrointest Endosc. 2000; 51 117-119
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