Abstract

"Purpose: Recently, the number of patients undergoing prostate biopsy has increased due to the development of the prostatic cancer screening test. The more common is the transrectal technique whereby following prophylactic antibiotics a core biopsy needle is passed through the rectum. Complications of prostate biopsy are perineal tenderness, hematuria, hematospermia, rectal bleeding, fever and sepsis. We estimated the clinical characteristics and pathogens of urinary tract infections (UTIs) after transrectal ultrasound guided biopsy of prostate. Method and Material: A retrospective chart review was conducted of patients who had treated for UTI after 375 prostatic biopsy between January 2001 and August 2007. We analyzed parameters including history taking, physical examination, hospitalization day, urinalysis, urine culture and blood culture. Results: 18 patients had UTI. The symptoms of UTI were dysuria and fever. The mean age was 67.61 years old. The Average days of admission was 6.07 days. E. coli was identified in 3 patients. One patient had a septic shock due to quinolones resistance E. coli infection after prostate biopsy. Conclusions: We considered that UTI was rare complication of prostatic biopsy. But life-threatened uroseptic shock was happened. Therefore, careful attention should be paid to the symptoms and treatment of UTI after prostate biopsy."

• Keywords: Prostate, Urinary tract infection, Biopsy