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  • Title: Complications following combined transrectal aspiration and core biopsy of the prostate.
    Author: Gustafsson O, Norming U, Nyman CR, Ohström M.
    Journal: Scand J Urol Nephrol; 1990; 24(4):249-51. PubMed ID: 2274747.
    Abstract:
    Ultrasound guided biopsy of the prostate with fine needle (22G) as well as trucut needle (18G) was performed in 145 patients with a suspicion of prostate cancer. After three weeks all patients were interviewed about complications associated with the biopsy. Hematuria and/or hemospermia occurred in 2/3 of the patients. None of the hemorrhages was severe and all ceased spontaneously. E. coli infection of the urinary tract occurred in 9 cases (6.2%). Five of the infections caused high fever and necessitated hospital care with parenteral antibiotics for 1 to 8 days. The patients with infection had no signs of immunological defects by which they might have been identified before the biopsy. As a consequence of these observations we now use prophylactic antibiotics when core biopsy of the prostate is performed transrectally.
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