OBJECTIVES: Trans-rectal ultrasound (TRUS) is a safe, cost-effective, radiation-free imaging modality for evaluation of prostate.
But unfortunately, hemospermia is known to be associated with TRUS-guided prostate biopsy. The aim of this study is to measure the incidence and risk factors of hemospermia in patients undergoing TRUS.
PATIENTS AND METHODS: A prospective observational study involving patients undergoing TRUS for suspected prostate cancer has been conducted at Al-Hussein and Sayed Galal Hospitals. Forty patients were included in the study.
RESULTS: Most men (90% = 36 patient) undergoing TRUS-guided prostatic biopsy, who were able to ejaculate, experienced hemospermia, which was associated with some degree of anxiety. The mean duration of hemospermia was 4 (±1.4) weeks. The number of ejaculations before the complete resolution of hemospermia was 6 (±5.6). None of the clinical and pathological factors was a significant predictor of the duration of hemospermia.
CONCLUSION: Patients should be adequately counseled before TRUS-guided prostatic biopsy to avoid anxiety and alterations in sexual activity.
Written by:
Abdelkhalek M, Abdelshafy M, Elhelaly H, Kamal M. Are you the author?
Department of Urology, Al-Azhar University, Cairo, Egypt.
Reference: Urol Ann. 2013 Jan;5(1):30-3.
doi: 10.4103/0974-7796.106963
PubMed Abstract
PMID: 23662007
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