TO EVALUATE THE COMPLICATIONS OF TRUS GUIDED PROSTATE BIOPSY: A PROSPECTIVE OBSERVATIONAL TERTIARY CARE CENTER STUDY

The most common non-cutaneous cancer in United States is prostate cancer, And also, the second most common cause of cancer-related death. The recommended methods for screening of prostate cancer are prostate specic antigen (PSA) test and rectal examination. But prostate needle biopsy is necessary to make the diagnosis. Prostate biopsies were originally done with either digitally guided or trans-perineal biopsy trucut. But with the development of trans rectal ultrasound, all trucut biopsies have been replaced by trans rectal ultrasound (TRUS)-guided prostate biopsy . Majority of the prostate biopsy related complications are mild and self-limited but sometimes it could be severe and life threatening. Infection, bleeding, and urinary retention are the most common complications after prostate biopsy. Among Infectious complications, mild fever, febrile UTI, and sepsis are common. The aim of the study was to assess the complications following TRUS guided prostate biopsy. Our study was a prospective study done in depa Methodology : rtment of urology, Governement Medical College , Kozhikode in patients undergoing TRUS guided prostate biopsy. Patients with suspected carcinoma prostate are subjected to TRUS guided prostate biopsy and followed up for complications. All patients underwent detailed history and physical examination. Co-morbidities were assessed if any, especially diabetes mellitus. Study variables were pain, fever, hematuria, hematochezia, urinary retention and urosepsis. Results : The most common complication was hematuria , followed by fever. Positive pre-biopsy urine culture and diabetes mellitus are risk factors which should be looked into before planning prostate biopsy