Ali Babaei Jandaghi1, Habib Habibzadeh2, Siavash Falahatkar2, Abtin Heidarzadeh3, Ramin Pourghorban4. 1. Department of Radiology, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran. 2. Urology Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran. 3. Department of Community Medicine, Guilan University of Medical Sciences, Rasht, Iran. 4. Department of Radiology, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, 19998734383, Iran. ramin_p2005@yahoo.com.
Abstract
PURPOSE: To compare the procedural time and complication rate of coaxial technique with those of noncoaxial technique in transperineal prostate biopsy. MATERIALS AND METHODS:Transperineal prostate biopsy with coaxial (first group, n = 120) and noncoaxial (second group, n = 120) methods was performed randomly in 240 patients. The procedural time was recorded. The level of pain experienced during the procedure was assessed on a visual analogue scale (VAS), and the rate of complications was evaluated in comparison of the two methods. RESULTS: The procedural time was significantly shorter in the first group (p < 0.001). In the first group, pain occurred less frequently (p = 0.002), with a significantly lower VAS score being experienced (p < 0.002). No patient had post procedural fever. Haematuria (p = 0.029) and haemorrhage from the site of biopsy (p < 0.001) were seen less frequently in the first group. There was no significant difference in the rate of urethral haemorrhage between the two groups (p = 0.059). Urinary retention occurred less commonly in the first group (p = 0.029). No significant difference was seen in the rate of dysuria between the two groups (p = 0.078). CONCLUSIONS:Transperineal prostate biopsy using a coaxial needle is a faster and less painful method with a lower rate of complications compared with conventional noncoaxial technique.
RCT Entities:
PURPOSE: To compare the procedural time and complication rate of coaxial technique with those of noncoaxial technique in transperineal prostate biopsy. MATERIALS AND METHODS: Transperineal prostate biopsy with coaxial (first group, n = 120) and noncoaxial (second group, n = 120) methods was performed randomly in 240 patients. The procedural time was recorded. The level of pain experienced during the procedure was assessed on a visual analogue scale (VAS), and the rate of complications was evaluated in comparison of the two methods. RESULTS: The procedural time was significantly shorter in the first group (p < 0.001). In the first group, pain occurred less frequently (p = 0.002), with a significantly lower VAS score being experienced (p < 0.002). No patient had post procedural fever. Haematuria (p = 0.029) and haemorrhage from the site of biopsy (p < 0.001) were seen less frequently in the first group. There was no significant difference in the rate of urethral haemorrhage between the two groups (p = 0.059). Urinary retention occurred less commonly in the first group (p = 0.029). No significant difference was seen in the rate of dysuria between the two groups (p = 0.078). CONCLUSIONS: Transperineal prostate biopsy using a coaxial needle is a faster and less painful method with a lower rate of complications compared with conventional noncoaxial technique.
Authors: Spyridon P Basourakos; Mark N Alshak; Patrick J Lewicki; Emily Cheng; Michael Tzeng; Antonio P DeRosa; Mathew J Allaway; Ashley E Ross; Edward M Schaeffer; Hiten D Patel; Jim C Hu; Michael A Gorin Journal: Eur Urol Open Sci Date: 2022-01-29