Our experience on developing urinary tract infections after transrectal prostate biopsy

• Main Authors: Gülay Dede, İrfan Şencan, Onur Dede, Gönül Şentürk, Aslı Haykır
• Format: Article
• Language: English
• Published: Dicle University Medical School 2014-03-01
• Series: Dicle Medical Journal
• Subjects: Transrectal prostate needle biopsy; prophylaxis
• Online Access: http://www.diclemedj.org/upload/sayi/31/Dicle%20Med%20J-01903.pdf

Objective: Prostate cancer is a common disease in men proportionally with age. For the diagnosis of prostate cancer, prostate biopsy be performed routinely in all centers so it has become today. Complications after prostate biopsy is a surgical procedure can be seen. The most important complications are urinary tract infection and sepsis. The use of prophylactic antibiotics before the procedure reduces the risk of infectious complications. In this study, infectious complications after transrectal prostate needle biopsy were evaluated for risk reduction practices are discussed. Methods: We evaluated infective complications after transrectal prostate needle biopsy in 276 patients admitted to our hospital in October 2009- October 2011 with high level of prostate-specific antigen, abnormal signs in transrectal ultrasound, abnormal digital rectal examination due to done transrectal prostate needle biopsy. Results: Transrectal prostate needle biopsy was performed to 276 cases and 59 (21%) cases with hematuria, 21 (7%) cases with hematospermia, 23 (8%) cases with rectal bleeding, 6 (2.1%) cases with asymptomatic bacteriuria, 12 (5.3%) cases with in complicated urinary tract infection was detected. Three patients (1%) had sepsis. 21 (7.3%) patients had positive urine culture. Of them there were 20 positive cultures of E. coli and one Klebsiella spp. respectively. All of the bacteria cultured in twenty-one patients resistant to ciprofloxacin, while 90% to amikacin, 10% to amoxicillin-clavulanate, 35% to cefuroxime sodium and 40% were susceptible to ceftriaxone. Conclusion: Transrectal prostate needle biopsies of 276 patients, 21 (7.3%) patients had positive urine culture. The most frequent complication was hematuria. The most serious complication of sepsis detected in three (1%) patients.