TY  - JOUR
TI  - Is prostate biopsy safe in the elderly?
AB  - Purpose: The study was aimed to investigate the safety of the transrectal ultrasound-guided prostate needlebiopsy in the elderly.Material and methods: Five hundered fifteen patients, who underwent prostate biopsy between 2017-2020,were included in the study. All patients' demographic data, comorbidities, laboratory findings, prostate volumes,prostate biopsy pathology results, and post-biopsy complications were retrospectively analyzed. The patientswere divided into 2 groups: group-1 consisting of patients under the age of 65 and group-2 with above the ageof 65.Results: There were 244 in group-1 and 271 patients in group-2. The mean age of group-1 was 59.50±3.98,group-2 was 71.45±4.57 years. In group-1, post-biopsy fever was observed in 5 (2%), hematuria in 44 (18%),hemospermia in 79 (32.4%), and rectal bleeding in 7 (2.9%) patients. In group-2, post-biopsy fever was observedin 15 (5.5%), hematuria in 69 (25.5%), hemospermia in 21 (7.7%), and rectal bleeding in 11 (4.1%) patients. Thesevere sepsis findings were observed in 2 patients (0.2%) in group-1 and 6 (2.2%) in group-2. In the logisticregression-analysis, it was determined that the risk of complication increased significantly as the age, PSA, andhigher PSA density.Conclusion: In our study, it was revealed that the risk of complications was higher in the elderly and that thecomplications observed may be more seriously. Therefore, we consider that a more careful approach should betaken in elderly patients to prevent the complications related with prostate biopsy.
AU  - Alkis, Okan
AU  - Aras, Bekir
AU  - sevim, mehmet
AU  - IVELIK, HALIL IBRAHIM
AU  - Kartal, Ibrahim
AU  - baser, aykut
DO  - 10.31362/patd.827622
PY  - 2021
JO  - Pamukkale Tıp Dergisi
VL  - 14
IS  - 2
SN  - 1309-9833
SP  - 388
EP  - 394
DB  - TRDizin
UR  - http://search/yayin/detay/423361
ER  -