scholarly journals Early presentation of vertebral osteomyelitis following a transrectal ultrasound-guided prostate biopsy with delayed radiological findings

2018 ◽  
Vol 11 (1) ◽  
pp. e226343
Author(s):  
Rayko Kalenderov ◽  
Nikolas Soukratos ◽  
Prabesh Kirat Rai ◽  
Ali Warsi
Keyword(s):  
Prostate Biopsy ◽  
Rare Case ◽  
Vertebral Osteomyelitis ◽  
Transrectal Ultrasound ◽  
Ultrasound Guided ◽  
Radiological Findings ◽  
Early Presentation ◽  
Trus Biopsy ◽  
Serious Infections ◽  
Tract Infections

A transrectal ultrasound-guided (TRUS) prostate biopsy is a common diagnostic procedure which carries an expected risk of iatrogenic infections. These range from simple urinary tract infections to rare but serious infections requiring an admission to hospital. Here we present a rare case of vertebral osteomyelitis following a TRUS biopsy, with normal initial MRI and bone scintigraphy scans and delayed radiological findings on repeat MRI of the spine.

scholarly journals Vertebral osteomyelitis following transrectal ultrasound-guided

2013 ◽  
Vol 6 (1) ◽  
pp. 20 ◽  
Author(s):  
Raghav Rajgopal ◽  
Yuding Wang ◽  
Kenneth J. Faber ◽  
Jonathan I. Izawa
Keyword(s):  
Needle Biopsy ◽  
Rare Case ◽  
Hospital Admissions ◽  
Rare Complication ◽  
Vertebral Osteomyelitis ◽  
Transrectal Ultrasound ◽  
Bacterial Sepsis ◽  
Ultrasound Guided ◽  
Insidious Onset ◽  
Cancer Complications

Transrectal ultrasound-guided needle biopsy of the prostate (TRUS)is a well-tolerated and standardized procedure for the diagnosisof prostate cancer. Complications associated with TRUS requiringemergency room visits or hospital admissions are relatively low andinclude complications, such as a 1% risk of urinary retention andless than 1% chance of bacterial sepsis. Vertebral osteomyelitis isa rare complication of TRUS; there are 3 reported cases. Vertebralosteomyelitis has an insidious onset and usually resolves followingmedical intervention. We present an extremely rare case ofvertebral osteomyelitis following TRUS, its clinical outcome andmanagement.

scholarly journals Enterococcus faecalisSepticemia and Vertebral Osteomyelitis after Transrectal Ultrasound Guided Biopsy of the Prostate

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ayaz Virji ◽  
Lucio R. Minces ◽  
Zargham Abbass
Keyword(s):  
Escherichia Coli ◽  
Enterococcus Faecalis ◽  
Prostate Biopsy ◽  
Vertebral Osteomyelitis ◽  
Transrectal Ultrasound ◽  
Ultrasound Guided ◽  
Disseminated Infection ◽  
Guided Biopsy ◽  
First Case ◽  
Ultrasound Guided Biopsy

Transrectal ultrasound guided prostate biopsy (TRUS) has rarely been associated with disseminated infection, yet the occurrence appears to be increasing. Resistance to fluoroquinolones, the most commonly used prophylaxis, is one of the likely causes, withEscherichia colibeing the most commonly reported cause of these infections. Herein we present what is, to our knowledge, the first case ofEnterococcus faecalissepticemia and vertebral osteomyelitis after TRUS. Previously reported cases of this condition are referenced also.

scholarly journals Does The Use Of Povidone Iodine Suppository Decrease The Infective Complications Of TRUS Guided Prostate Biopsies? A Randomized Prospective Study

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M S Abdulbaki ◽  
A Emam ◽  
M Badawy ◽  
H S Shaker
Keyword(s):  
Antibiotic Prophylaxis ◽  
Prostate Biopsy ◽  
Povidone Iodine ◽  
Rectal Swab ◽  
Transrectal Ultrasound ◽  
Infectious Complications ◽  
Control Group ◽  
Ultrasound Guided ◽  
Tract Infections

Abstract Purpose Trans rectal ultrasound guided prostate biopsy can lead to urinary tract infections in 3% to 11% and sepsis in 0.1% to 5% of patients. We investigated the prevalence of different organisms among rectal flora in our community, the virulence of the most prevalent one and the effect of combined standard antibiotic prophylaxis with the use of povidone iodine suppository prior to TRUS guided biopsy of the prostate in decreasing post biopsy infectious complications. Materials and Methods Between December 2016 and September 2017, 50 men were prospectively randomized to povidone iodine rectal cleansing (50) or no cleansing (50) before transrectal ultrasound guided prostate biopsy. Rectal swab cultures, urinalaysis, urine cultures, total leukocytic count and CRP were obtained before transrectal ultrasound guided prostate biopsy. Patients received ciprofloxacin prophylaxis and attended at 1 week follow up visit. Urinalaysis, urine cultures, total leukocytic count and CRP were obtained at follow up visit and asked about fever, UTI symptoms and examined for prostatitis and epididymo-orchitis. Results Infectious complications were observed in 5 (10%) patients, including 2 (8%) in the treatment group and 3 (12%) in the control group (p = 0.0001). No cases of sepsis were recorded. Mean increase of CRP was higher in control group (P = 0.011). 17 patients among study population had Ciprofloxacin resistant rectal organisms on rectal swab cultures (34%). Conclusion Usage of pre TRUS-Bx intrarectal povidone iodine suppository together with standard antibiotic prophylaxis with ciprofloxacin helps decrease post procedure infectious complications and proved to decrease incidence of infection among patients having ciprofloxacin resistant rectal organisms.

scholarly journals The Rectal Administration of Lignocaine Gel and Periprostatic Lignocaine Infiltration During Transrectal Ultrasound-Guided Prostate Biopsy Provides Effective Analgesia

2006 ◽  
Vol 88 (2) ◽  
pp. 218-221 ◽  
Author(s):  
EJ Siddiqui ◽  
S Ali ◽  
S Koneru
Keyword(s):  
Prostate Biopsy ◽  
Needle Biopsy ◽  
Standard Procedure ◽  
Transrectal Ultrasound ◽  
Rectal Administration ◽  
Ultrasound Guided ◽  
Prostate Needle Biopsy ◽  
Trus Biopsy ◽  
Group 2 ◽  
Probe Insertion

INTRODUCTION Transrectal ultrasound guided prostate needle biopsy (TRUS) is the standard procedure to diagnose or exclude prostate cancer. This procedure can be associated with significant discomfort, both on insertion of the ultrasound probe as well as on taking the biopsy. We evaluated a new technique for pain relief during TRUS biopsy. PATIENTS AND METHODS In Group 1 (n = 60), the biopsies were taken without any analgesia. In Group 2 (n = 60), 11 ml of Instillagel (2% lignocaine) was administered rectally prior to probe insertion and 5 ml of 1% lignocaine periprostatic injection was administered before taking the biopsy. The discomfort encountered during the procedure was graded by the patient on a scale ranging from no discomfort to mild, moderate and severe pain. RESULTS In Group 2, there was a marked reduction in the pain experienced during the procedure. The Chi-squared test for trend showed a significant association between the rectal administration of local anaesthetic gel and reduction in pain on probe insertion (P = 0.0001). There was also a significant association between the use of periprostatic lignocaine injection and reduction in pain on taking the biopsy (P < 0.0001). CONCLUSIONS The use of lignocaine gel prior to probe insertion and periprostatic infiltration of lignocaine before taking the needle biopsy significantly reduces the pain experienced by the patient during TRUS-guided prostate biopsy.

scholarly journals A rare case of delayed massive rectal bleeding, after transrectal ultrasound- guided prostate biopsy, requiring a multidisciplinary approach treatment

2019 ◽  
Vol 49 (1) ◽  
Author(s):  
Stefano Manno ◽  
Camilla Capretti ◽  
Teresa Del Giudice ◽  
Olga Bisaccia ◽  
Lucio Dell Atti
Keyword(s):  
Risk Factors ◽  
Active Surveillance ◽  
Prostate Carcinoma ◽  
Rectal Bleeding ◽  
Prostate Biopsy ◽  
Rare Case ◽  
Multidisciplinary Approach ◽  
Transrectal Ultrasound ◽  
Ultrasound Guided ◽  
Massive Rectal Bleeding

Rectal bleeding seen after a transrectal ultrasound-guided prostate biopsy is often mild and self-limiting. We report a rare case of delayed massive rectal bleeding, post transrectal ultrasound-guided biopsy, in a man in active surveillance for prostate carcinoma, without risk factors for bleeding. We managed this complication with a successfully angiographic embolization.We present this case in detail and we analyze the possible causes of this complication.

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