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Current routines for transrectal ultrasound-guided prostate biopsy: A web-based survey by the Swedish Urology Network
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Urologi och andrologi.
2012 (engelsk)Inngår i: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, Vol. 46, nr 6, s. 405-410Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

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.

sted, utgiver, år, opplag, sider
2012. Vol. 46, nr 6, s. 405-410
Emneord [en]
pathology, prostate cancer, transrectal ultrasound-guided prostate biopsy
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-63023DOI: 10.3109/00365599.2012.691111ISI: 000311837800003OAI: oai:DiVA.org:umu-63023DiVA, id: diva2:581126
Tilgjengelig fra: 2012-12-28 Laget: 2012-12-27 Sist oppdatert: 2018-06-08bibliografisk kontrollert

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