Does a previous prostate biopsy-related acute bacterial prostatitis affect the results of radical prostatectomy?

Vol. 43 (x): 2017 November 11.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2017.0270


ORIGINAL ARTICLE

Hakan Türk 1, Sitki Ün 2, Erkan Arslan 3, Ferruh Zorlu 4
1 Department of Urology, Kutahya, Dumlupinar University Evliya Celebi training and Research Hospital, Turkey; 2 Department of Urology, Sivas State of Hospital, Sivas, Turkey; 3 Department of Urology, Harran University Medical School, Sanliurfa, Turkey; 4 Senior Urologist, Izmir, Turkey

ABSTRACT

Objective: To The standard technique for obtaining a histologic diagnosis of prostatic carcinomas is transrectal ultrasound guided prostate biopsy. Acute prostatitis which might develop after prostate biopsy can cause periprostatic inflammation and fibrosis. In this study, we performed a retrospective review of our database to determine whether ABP history might affect the outcome of RP.

Materials and Methods: 441 RP patients who were operated in our clinic from 2002 to 2014 were included in our study group. All patients’ demographic values, PSA levels, biopsy and radical prostatectomy specimen pathology results and their perioperative/ postoperative complications were evaluated.

Results: There were 41 patients in patients with acute prostatitis following biopsy and 397 patients that did not develop acute prostatitis. Mean blood loss, transfusion rate and operation period were found to be significantly higher in ABP patients. Hospitalization period and reoperation rates were similar in both groups. However, post-op complications were significantly higher in ABP group.

Conclusion: Even though it does not affect oncological outcomes, we would like to warn the surgeons for potential complaints during surgery in ABP patients.

Keywords: Prostatitis; Prostate; Prostatectomy

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