INVITED RESEARCH HIGHLIGHT
Year : 2014  |  Volume : 16  |  Issue : 3  |  Page : 415-417

Morbidity and psychological impact of prostate biopsy: the future calls for a change


Department of Urology, University of Florence, Careggi Hospital, Florence, Italy

Correspondence Address:
Andrea Minervini
Department of Urology, University of Florence, Careggi Hospital, Florence
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1008-682X.126388

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Currently transrectal ultrasound-guided prostate biopsy (TRUS-Bx) is one of the most common urological procedures, with more than 1 million performed per year in Europe and the United States. [1] Among patients undergoing TRUS-Bx, approximately one-third will receive a diagnosis of prostate cancer (PCa), while two-thirds receive a negative result on initial biopsy. Negative biopsy patients maintain an estimated risk of repeated biopsy of 12% at 1 year and 38% at 5 years. [2] Standard TRUS-Bx is likely to systematically miss significant tumors, particularly in the anterior and apical parts of the gland. [3] A crucial aim of urologists in the next decade is to increase the accuracy of the procedure and avoid the use of inappropriate biopsies.


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