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Urol Clin North Am. 2014 May;41(2):299-313. doi: 10.1016/j.ucl.2014.01.011.

Optimization of prostate biopsy: review of technique and complications.

Author information

1
Division of Urologic Oncology, Department of Urology, New York University Langone Medical Center, 32nd Street, 2nd Floor, New York, NY 10016, USA.
2
Division of Urologic Oncology, Department of Urology, New York University Langone Medical Center, 32nd Street, 2nd Floor, New York, NY 10016, USA. Electronic address: Samir.taneja@nyumc.org.

Abstract

A 12-core systematic biopsy that incorporates apical and far-lateral cores in the template distribution allows maximal cancer detection and avoidance of a repeat biopsy while minimizing the detection of insignificant prostate cancers. Magnetic resonance imaging-guided prostate biopsy has an evolving role in both initial and repeat prostate biopsy strategies, potentially improving sampling efficiency, increasing the detection of clinically significant cancers, and reducing the detection of insignificant cancers. Hematuria, hematospermia, and rectal bleeding are common complications of prostate needle biopsy, but are generally self-limiting and well tolerated. All men should receive antimicrobial prophylaxis before biopsy.

KEYWORDS:

Biopsy core number; Magnetic resonance imaging; Prostate needle biopsy; Quinolone-reistant infection

PMID:
24725491
PMCID:
PMC4151475
DOI:
10.1016/j.ucl.2014.01.011
[Indexed for MEDLINE]
Free PMC Article

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