PARIS, FRANCE (UroToday.com) - In 2011, the EAUN released evidence-based guidelines on transrectal ultrasound guided biopsy of the prostate.
At the EAUN meeting in Paris, a presentation on “Introducing a Nurse-led Trans-perineal Saturation Prostate Biopsy (TPSBx) Service” was given by clinicians from Guy’s Hospital, London, UK. They reported on 100 patients who underwent a TPSBx by an advanced nurse practitioner (ANP) compared with 100 patients by a urologist and staff.
Complications were presented as follows:
| Advanced Nurse Practitioner |
Urologist | |
| Acute urinary retention | 2% | 4% |
| Clot retention | 0% | 2% |
| Haematuria | 0% | 3% |
| Proven UTI | 0% | 3% |
| Urosepsis | 0% | 0% |
| Pathology quality | 93% | 81% |
Patient satisfaction was very good as 100% agreed or strongly agreed that the nurse gave an equivalent or better consent compared to previous experiences. The presenters also provided cost-saving data as the ANP costs to the department to perform 100 TPSBx procedures was £1,287 compared to £4,273 for the urologist.
Their conclusion was that using an ANP to perform TPSBx was safe, feasible, cost-effective, and allowed the urologist to concentrate on more complex cases. But what is needed is focussed education and practical teaching for ANPs.
Presented at the 13th International European Association of Urology Nurses (EAUN) Meeting - February 24 - 28, 2012 - Le Palais des Congrès de Paris, Paris, France
View EAU 2012 Annual Meeting Coverage
