Journal
INTERNATIONAL BRAZ J UROL
Volume 41, Issue 2, Pages 337-343Publisher
BRAZILIAN SOC UROL
DOI: 10.1590/S1677-5538.IBJU.2015.02.22
Keywords
prostate; biopsy; hemostasis; gelatin sponge; Gelatin Sponge; Absorbable
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Objectives: To examine the usefulness of an absorbable hemostatic gelatin sponge for hemostasis after transrectal prostate needle biopsy. Subjects and Methods: The subjects comprised 278 participants who underwent transrectal prostate needle biopsy. They were randomly allocated to the gelatin sponge insertion group (group A: 148 participants) and to the non-insertion group (group B: 130 participants). In group A, the gelatin sponge was inserted into the rectum immediately after biopsy. A biopsy-induced hemorrhage was defined as a case in which a subject complained of bleeding from the rectum, and excretion of blood clots was confirmed. A blood test was performed before and after biopsy, and a questionnaire survey was given after the biopsy. Results: Significantly fewer participants in group A required hemostasis after biopsy compared to group B (3 (2.0%) vs. 11 (8.5%), P= 0.029). The results of the blood tests and the responses from the questionnaire did not differ significantly between the two groups. In multivariate analysis, only insertion of a gelatin sponge into the rectum emerged as a significant predictor of hemostasis. Conclusion: Insertion of a gelatin sponge into the rectum after transrectal prostate needle biopsy significantly increases hemostasis without increasing patient symptoms, such as pain and a sense of discomfort.
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