Complications of Trans-Rectal Ultrasound-Guided Prostate Biopsy: A Single-Centre Experience from Sindh Institute of Urology and Transplantation
DOI:
https://doi.org/10.51985/JBUMDC2025686Abstract
Objective: To evaluate the frequency, severity, and types of complications associated with TRUS-guided prostate biopsy in patients at the Sindh Institute of Urology and Transplantation (SIUT) over an 18-month period.
Study Design and Setting: This observational study included 302 male patients who underwent TRUS-guided prostate biopsy between January 2023 and June 2024.
Methodology: Pain severity was measured using the Visual Analog Scale (VAS). Complications such as haematuria, urinary tract infections, hematospermia, rectal bleeding, acute urinary retention, and epididymo-orchitis were documented. Descriptive statistics were used for data analysis.
Results: Acute urinary retention (6,2%) , urinary tract infection (6.2%) , visible haematuria (8.5%)and probe-related pain (VAS 9= 11.8%) were observed in patient underwent TRUS-guided biopsy. Hematospermia and epididymo-orchitis were seen in 10.2% and 15.8% of cases. Rectal bleeding was least common (3.3%).
Conclusion: TRUS-guided prostate biopsy is associated with significant procedural discomfort and a notable incidence of post-procedure complications. Enhanced pain management protocols and infection prevention strategies are essential to improve patient outcomes and procedural safety.
Keywords: Trans rectal ultrasound guided prostate biopsy, Infection, Acute urinary retention
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