AUA 2017: Engineering and Urology Section of the Endourological Society (EUS)

Boston, MA (UroToday.com) The technique of Prostate Fusion Biopsy is more readily used due to its increasing popularity. However, one technical difficulty this procedure encounters is fecal matter when biopsing. The aim of the study was to improve intra-operative prostate visualization and decrease fecal contamination by using a simple ileostomy adapter.

Dr. Gudeloglu and his team from Gazi University modified the technique by placing an empty condom into the rectum, filled it with 100ml ultrasound gel, and fixed it to the anus by using a standard ileostomy. The original technique just employed a 120ml filled saline condom directly placed into the rectum.

The result of the study showed a median PSA level of 5.2ng/ml and mean prostate volume of 60cm^3 when using the modified technique. In conclusion, MRI and transrectal USG guided Fusion Biopsy seems to be feasible and safe method. The modified technique employed by the authors improved intra-operative prostate visualization and able to perform prostate function biopsy without fecal content within surgical field.

Presented by: Ahmet Gudeloglu, MD

Authors: Ahmet Gudeloglu, Amirali Farahvash, Sarah Fleischman, Ali Ergen, Sinan Sozan, Cenk Bilen

Affiliation: Hacettepe University Faculty of Medicine, Department of Urology, Turkey, LOSEV Losante Hospital, Turkey, University of Florida, US, Gazi University Faculty of Medicine, Department of Urology, Turkey

Written By: Nobel Nguyen for UroToday.com

at the 2017 AUA Annual Meeting - May 12 - 16, 2017 – Boston, Massachusetts, USA

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