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Scand J Urol Nephrol. 2012 Dec;46(6):405-10. doi: 10.3109/00365599.2012.691111. Epub 2012 May 31.

Current routines for transrectal ultrasound-guided prostate biopsy: a web-based survey by the Swedish Urology Network.

Author information

1
Department of Molecular Medicine and Surgery, Section of Urology Karolinska Institutet, Stockholm, Sweden. stefan.carlsson@ki.se

Abstract

OBJECTIVE:

This study aimed to survey current Swedish practices for performing and handling transrectal ultrasound-guided prostate biopsies.

MATERIAL AND METHODS:

A Swedish Urology Network (SUNe) was organized for the distribution of information, survey studies and research collaborations. A web-based questionnaire was distributed to the members in 2011.

RESULTS:

In this first SUNe survey, 137 (91%) of the 151 members replied. All used antibiotic prophylaxis (84% ciprofloxacin, 12% trimethoprim-sulfamethoxazole), most commonly (63%) as a single dose of ciprofloxacin. Local anaesthesia was used by 87%. Half of the respondents only used a "side-fire" probe, whereas 17% always used an "end-fire" probe. Most (84%) routinely took 10 or more biopsy cores. About three-quarters started with the right base of the prostate and did not routinely take midline biopsies. More than one-third never or rarely sampled the anterior part of the prostate. There was great variability in how biopsy location was reported, but 71% considered a national standardized coordinate system desirable. Fine-needle aspiration was used occasionally by 39%, in more than 10% of cases by 6% and always by 2%. Most urologists mounted the biopsy cores on paper before fixation (78%), put only one core per jar (75%) and used flat-bottomed jars (70%).

CONCLUSIONS:

Most routines for handling of prostate biopsies, antibiotic prophylaxis, local anaesthesia and number of cores were uniform. However, there is still a need for standardization of the performance of ultrasound-guided biopsies. Although the method used to specify biopsy location varied greatly, most urologists would prefer a national standardized system.

PMID:
22647198
DOI:
10.3109/00365599.2012.691111
[Indexed for MEDLINE]

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