Current routines for transrectal ultrasound-guided prostate biopsy: A web-based survey by the Swedish Urology Network
(2012) In Scandinavian Journal of Urology and Nephrology 46(6). p.405-410- 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... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3372767
- author
- Carlsson, Stefan ; Bratt, Ola LU ; Stattin, Par and Egevad, Lars
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- pathology, prostate cancer, transrectal ultrasound-guided prostate, biopsy
- in
- Scandinavian Journal of Urology and Nephrology
- volume
- 46
- issue
- 6
- pages
- 405 - 410
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000311837800003
- scopus:84870669406
- pmid:22647198
- ISSN
- 0036-5599
- DOI
- 10.3109/00365599.2012.691111
- language
- English
- LU publication?
- yes
- id
- ee9198ca-d33b-48f6-97fa-583e6ad10079 (old id 3372767)
- date added to LUP
- 2016-04-01 14:20:47
- date last changed
- 2022-05-15 18:17:15
@article{ee9198ca-d33b-48f6-97fa-583e6ad10079,
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.}},
author = {{Carlsson, Stefan and Bratt, Ola and Stattin, Par and Egevad, Lars}},
issn = {{0036-5599}},
keywords = {{pathology; prostate cancer; transrectal ultrasound-guided prostate; biopsy}},
language = {{eng}},
number = {{6}},
pages = {{405--410}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Journal of Urology and Nephrology}},
title = {{Current routines for transrectal ultrasound-guided prostate biopsy: A web-based survey by the Swedish Urology Network}},
url = {{http://dx.doi.org/10.3109/00365599.2012.691111}},
doi = {{10.3109/00365599.2012.691111}},
volume = {{46}},
year = {{2012}},
}