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Forschungsdatenbank PMU-SQQUID

Prostate biopsy in Central Europe: results of a survey of indication, patient preparation and biopsy technique.
Fink, KG; Schmid, HP; Paras, L; Schmeller, NT
UROL INT. 2007; 79(1): 60-66.
Originalarbeiten (Zeitschrift)

PMU-Autor/inn/en

Milinovic Ljiljana

Abstract

Objective: We surveyed urologists in Austria, Germany and Switzerland regarding their standard approach to prostate biopsy. Methods: Participants of Austrian and German urological meetings were asked to fill out a survey form; additionally, this was mailed to all Swiss urologists. Results: 304 surveys are available for analysis. 97% of participants perform a biopsy if digital rectal examination is abnormal. 63% use 4 ng/ml PSA (prostate-specific antigen) as cut-off. Agerelated reference ranges are used by 54%, free PSA by 57%. 22% use PSA density, 55% PSA velocity. Overall 61% require a written consent, with 85, 86 and 25% in Austria, Germany and Switzerland. 96% of the urologists prescribe a quinolone antibiotic with a wide range regarding the start and end of drug therapy. 77% offer some kind of anaesthesia. Periprostatic injection of a local anaesthetic drug is used by 36%, lidocaine gel by 27%. 91% perform the biopsies transrectally under ultrasound guidance. Digitally guided biopsies are used by 11%. Only 3 participants perform perineal biopsies. The mean number of cores per biopsy session is 9.2, the maximum number of cores is 15.3 as a mean. Participants will stop performing any further biopsies if the patient already had a mean of 3.5 biopsy sessions. Conclusions: The majority of urologists in Central Europe prescribe a quinolone antibiotic and recommend some type of analgesia. The majority has abandoned the sextant technique and increases the number of cores in the case of rebiopsy. Biopsies are stopped after a mean of 3.5 sessions.


Useful keywords (using NLM MeSH Indexing)

Austria

Biopsy/methods

Germany

Humans

Male

Physician"s Practice Patterns

Prostate/pathology*

Prostatic Neoplasms/pathology*

Questionnaires

Switzerland


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