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Risk factors for infection and acute urinary retention following transperineal prostate biopsy
Purpose To calculate the frequency of infection and acute urinary retention (AUR) following transperineal (TP) prostate biopsy at a single high-volume academic institution and determine risk factors for developing these post-biopsy conditions. Methods Men undergoing TP prostate biopsy from 2012 to 2...
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| Published in: | International urology and nephrology 2024-03, Vol.56 (3), p.819-826 |
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| creator | Sandberg, Maxwell Whitman, Wyatt Greenberg, Jacob Hingu, Janmejay Thakker, Parth Rong, Anita Bercu, Caleb Dabagian, Hannah Davis, Ronald Hemal, Ashok Tsivian, Matvey Rodriguez, Alejandro R. |
| description | Purpose
To calculate the frequency of infection and acute urinary retention (AUR) following transperineal (TP) prostate biopsy at a single high-volume academic institution and determine risk factors for developing these post-biopsy conditions.
Methods
Men undergoing TP prostate biopsy from 2012 to 2022 at our institution were retrospectively identified and chart reviewed. TP biopsies were performed with TR ultrasound (TRUS) guidance with anesthesia using a brachytherapy grid template. TRUS volumes were recorded during the procedure, and magnetic resonance imaging (MRI) volumes were calculated using the ellipsoid formula. When available, MRI volume was used for all analysis, and when absent, TRUS volume was used. AUR was defined as requiring urinary catheter placement within 72 h post-biopsy for inability to urinate. Univariable analysis was performed and variables with
p
61.21 cc were three times as likely (
p
= 0.019).
Conclusion
According to our model, AUR is the greatest risk factor for infection post-TP biopsy. With regard to AUR risks, infection post-biopsy and prostate size > 61.21 cc are the greatest risk factors. |
| doi_str_mv | 10.1007/s11255-023-03854-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2884677366</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2884677366</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-36868ee8a0afb2681b0bebd81d74c5ef58eb8324da492fecf58bcf53d1c65a983</originalsourceid><addsrcrecordid>eNp9kMtKxDAUQIMozjj6Ay4k4MZNNY-mTZcivmBAEN0a0vZ26NhJapIi8_fG6fjAhZubkHvuIwehY0rOKSH5haeUCZEQxhPCpUgTsoOmVOQ8YUKmu7_uE3Tg_ZIQUkhC9tGE5wVhBcum6OWx9a-40VWwzuPGOtyaBqrQWoO1qbGuhgB4cK3Rbo0dBDCbXGO7zr63ZoGD08b3EAnQHe6d9UHHkrK1vV8for1Gdx6OtucMPd9cP13dJfOH2_ury3lS8VyEhGcykwBSE92ULJO0JCWUtaR1nlYCGiGhlJyltU4LFteLD2UMvKZVJnQh-QydjX3j_LcBfFCr1lfQddqAHbxiUqZZnvMsi-jpH3RpB2fidioq4SIXgopIsZGq4oe8g0b1rl1FB4oS9WlfjfZVtK829mOcoZNt66FcQf1d8qU7AnwEfEyZBbif2f-0_QD76pG4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2923575515</pqid></control><display><type>article</type><title>Risk factors for infection and acute urinary retention following transperineal prostate biopsy</title><source>Springer Link</source><creator>Sandberg, Maxwell ; Whitman, Wyatt ; Greenberg, Jacob ; Hingu, Janmejay ; Thakker, Parth ; Rong, Anita ; Bercu, Caleb ; Dabagian, Hannah ; Davis, Ronald ; Hemal, Ashok ; Tsivian, Matvey ; Rodriguez, Alejandro R.</creator><creatorcontrib>Sandberg, Maxwell ; Whitman, Wyatt ; Greenberg, Jacob ; Hingu, Janmejay ; Thakker, Parth ; Rong, Anita ; Bercu, Caleb ; Dabagian, Hannah ; Davis, Ronald ; Hemal, Ashok ; Tsivian, Matvey ; Rodriguez, Alejandro R.</creatorcontrib><description>Purpose
To calculate the frequency of infection and acute urinary retention (AUR) following transperineal (TP) prostate biopsy at a single high-volume academic institution and determine risk factors for developing these post-biopsy conditions.
Methods
Men undergoing TP prostate biopsy from 2012 to 2022 at our institution were retrospectively identified and chart reviewed. TP biopsies were performed with TR ultrasound (TRUS) guidance with anesthesia using a brachytherapy grid template. TRUS volumes were recorded during the procedure, and magnetic resonance imaging (MRI) volumes were calculated using the ellipsoid formula. When available, MRI volume was used for all analysis, and when absent, TRUS volume was used. AUR was defined as requiring urinary catheter placement within 72 h post-biopsy for inability to urinate. Univariable analysis was performed and variables with
p
< 0.1 and/or established clinical relevance were included in a backward binary logistic regression to produce an optimized model that fit the data without collinearity between variables.
Results
A total of 767 TP biopsies were completed in the study window. The frequency of infection was 1.83% (
N
= 14/767). The total frequency of AUR was 5.48% (
N
= 42/767). On multivariable regression, patients who went into AUR were five times as likely to develop infection (
p
= 0.020). Patients with infection post-TP biopsy were four times as likely to develop AUR (
p
= 0.047) and with prostates > 61.21 cc were three times as likely (
p
= 0.019).
Conclusion
According to our model, AUR is the greatest risk factor for infection post-TP biopsy. With regard to AUR risks, infection post-biopsy and prostate size > 61.21 cc are the greatest risk factors.</description><identifier>ISSN: 1573-2584</identifier><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-023-03854-0</identifier><identifier>PMID: 37902926</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Anesthesia ; Biopsy ; Biopsy - methods ; Brachytherapy ; Humans ; Image-Guided Biopsy - adverse effects ; Infections ; Magnetic resonance imaging ; Male ; Medicine ; Medicine & Public Health ; Nephrology ; Prostate ; Prostate - pathology ; Prostatic Neoplasms - pathology ; Retrospective Studies ; Risk Factors ; Urinary retention ; Urinary Retention - epidemiology ; Urinary Retention - etiology ; Urology ; Urology - Original Paper</subject><ispartof>International urology and nephrology, 2024-03, Vol.56 (3), p.819-826</ispartof><rights>The Author(s), under exclusive licence to Springer Nature B.V. 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Nature B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-36868ee8a0afb2681b0bebd81d74c5ef58eb8324da492fecf58bcf53d1c65a983</citedby><cites>FETCH-LOGICAL-c375t-36868ee8a0afb2681b0bebd81d74c5ef58eb8324da492fecf58bcf53d1c65a983</cites><orcidid>0000-0003-2880-1857</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37902926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sandberg, Maxwell</creatorcontrib><creatorcontrib>Whitman, Wyatt</creatorcontrib><creatorcontrib>Greenberg, Jacob</creatorcontrib><creatorcontrib>Hingu, Janmejay</creatorcontrib><creatorcontrib>Thakker, Parth</creatorcontrib><creatorcontrib>Rong, Anita</creatorcontrib><creatorcontrib>Bercu, Caleb</creatorcontrib><creatorcontrib>Dabagian, Hannah</creatorcontrib><creatorcontrib>Davis, Ronald</creatorcontrib><creatorcontrib>Hemal, Ashok</creatorcontrib><creatorcontrib>Tsivian, Matvey</creatorcontrib><creatorcontrib>Rodriguez, Alejandro R.</creatorcontrib><title>Risk factors for infection and acute urinary retention following transperineal prostate biopsy</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>Purpose
To calculate the frequency of infection and acute urinary retention (AUR) following transperineal (TP) prostate biopsy at a single high-volume academic institution and determine risk factors for developing these post-biopsy conditions.
Methods
Men undergoing TP prostate biopsy from 2012 to 2022 at our institution were retrospectively identified and chart reviewed. TP biopsies were performed with TR ultrasound (TRUS) guidance with anesthesia using a brachytherapy grid template. TRUS volumes were recorded during the procedure, and magnetic resonance imaging (MRI) volumes were calculated using the ellipsoid formula. When available, MRI volume was used for all analysis, and when absent, TRUS volume was used. AUR was defined as requiring urinary catheter placement within 72 h post-biopsy for inability to urinate. Univariable analysis was performed and variables with
p
< 0.1 and/or established clinical relevance were included in a backward binary logistic regression to produce an optimized model that fit the data without collinearity between variables.
Results
A total of 767 TP biopsies were completed in the study window. The frequency of infection was 1.83% (
N
= 14/767). The total frequency of AUR was 5.48% (
N
= 42/767). On multivariable regression, patients who went into AUR were five times as likely to develop infection (
p
= 0.020). Patients with infection post-TP biopsy were four times as likely to develop AUR (
p
= 0.047) and with prostates > 61.21 cc were three times as likely (
p
= 0.019).
Conclusion
According to our model, AUR is the greatest risk factor for infection post-TP biopsy. With regard to AUR risks, infection post-biopsy and prostate size > 61.21 cc are the greatest risk factors.</description><subject>Anesthesia</subject><subject>Biopsy</subject><subject>Biopsy - methods</subject><subject>Brachytherapy</subject><subject>Humans</subject><subject>Image-Guided Biopsy - adverse effects</subject><subject>Infections</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephrology</subject><subject>Prostate</subject><subject>Prostate - pathology</subject><subject>Prostatic Neoplasms - pathology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Urinary retention</subject><subject>Urinary Retention - epidemiology</subject><subject>Urinary Retention - etiology</subject><subject>Urology</subject><subject>Urology - Original Paper</subject><issn>1573-2584</issn><issn>0301-1623</issn><issn>1573-2584</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kMtKxDAUQIMozjj6Ay4k4MZNNY-mTZcivmBAEN0a0vZ26NhJapIi8_fG6fjAhZubkHvuIwehY0rOKSH5haeUCZEQxhPCpUgTsoOmVOQ8YUKmu7_uE3Tg_ZIQUkhC9tGE5wVhBcum6OWx9a-40VWwzuPGOtyaBqrQWoO1qbGuhgB4cK3Rbo0dBDCbXGO7zr63ZoGD08b3EAnQHe6d9UHHkrK1vV8for1Gdx6OtucMPd9cP13dJfOH2_ury3lS8VyEhGcykwBSE92ULJO0JCWUtaR1nlYCGiGhlJyltU4LFteLD2UMvKZVJnQh-QydjX3j_LcBfFCr1lfQddqAHbxiUqZZnvMsi-jpH3RpB2fidioq4SIXgopIsZGq4oe8g0b1rl1FB4oS9WlfjfZVtK829mOcoZNt66FcQf1d8qU7AnwEfEyZBbif2f-0_QD76pG4</recordid><startdate>20240301</startdate><enddate>20240301</enddate><creator>Sandberg, Maxwell</creator><creator>Whitman, Wyatt</creator><creator>Greenberg, Jacob</creator><creator>Hingu, Janmejay</creator><creator>Thakker, Parth</creator><creator>Rong, Anita</creator><creator>Bercu, Caleb</creator><creator>Dabagian, Hannah</creator><creator>Davis, Ronald</creator><creator>Hemal, Ashok</creator><creator>Tsivian, Matvey</creator><creator>Rodriguez, Alejandro R.</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2880-1857</orcidid></search><sort><creationdate>20240301</creationdate><title>Risk factors for infection and acute urinary retention following transperineal prostate biopsy</title><author>Sandberg, Maxwell ; Whitman, Wyatt ; Greenberg, Jacob ; Hingu, Janmejay ; Thakker, Parth ; Rong, Anita ; Bercu, Caleb ; Dabagian, Hannah ; Davis, Ronald ; Hemal, Ashok ; Tsivian, Matvey ; Rodriguez, Alejandro R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-36868ee8a0afb2681b0bebd81d74c5ef58eb8324da492fecf58bcf53d1c65a983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anesthesia</topic><topic>Biopsy</topic><topic>Biopsy - methods</topic><topic>Brachytherapy</topic><topic>Humans</topic><topic>Image-Guided Biopsy - adverse effects</topic><topic>Infections</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nephrology</topic><topic>Prostate</topic><topic>Prostate - pathology</topic><topic>Prostatic Neoplasms - pathology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Urinary retention</topic><topic>Urinary Retention - epidemiology</topic><topic>Urinary Retention - etiology</topic><topic>Urology</topic><topic>Urology - Original Paper</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sandberg, Maxwell</creatorcontrib><creatorcontrib>Whitman, Wyatt</creatorcontrib><creatorcontrib>Greenberg, Jacob</creatorcontrib><creatorcontrib>Hingu, Janmejay</creatorcontrib><creatorcontrib>Thakker, Parth</creatorcontrib><creatorcontrib>Rong, Anita</creatorcontrib><creatorcontrib>Bercu, Caleb</creatorcontrib><creatorcontrib>Dabagian, Hannah</creatorcontrib><creatorcontrib>Davis, Ronald</creatorcontrib><creatorcontrib>Hemal, Ashok</creatorcontrib><creatorcontrib>Tsivian, Matvey</creatorcontrib><creatorcontrib>Rodriguez, Alejandro R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International urology and nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sandberg, Maxwell</au><au>Whitman, Wyatt</au><au>Greenberg, Jacob</au><au>Hingu, Janmejay</au><au>Thakker, Parth</au><au>Rong, Anita</au><au>Bercu, Caleb</au><au>Dabagian, Hannah</au><au>Davis, Ronald</au><au>Hemal, Ashok</au><au>Tsivian, Matvey</au><au>Rodriguez, Alejandro R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for infection and acute urinary retention following transperineal prostate biopsy</atitle><jtitle>International urology and nephrology</jtitle><stitle>Int Urol Nephrol</stitle><addtitle>Int Urol Nephrol</addtitle><date>2024-03-01</date><risdate>2024</risdate><volume>56</volume><issue>3</issue><spage>819</spage><epage>826</epage><pages>819-826</pages><issn>1573-2584</issn><issn>0301-1623</issn><eissn>1573-2584</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Purpose
To calculate the frequency of infection and acute urinary retention (AUR) following transperineal (TP) prostate biopsy at a single high-volume academic institution and determine risk factors for developing these post-biopsy conditions.
Methods
Men undergoing TP prostate biopsy from 2012 to 2022 at our institution were retrospectively identified and chart reviewed. TP biopsies were performed with TR ultrasound (TRUS) guidance with anesthesia using a brachytherapy grid template. TRUS volumes were recorded during the procedure, and magnetic resonance imaging (MRI) volumes were calculated using the ellipsoid formula. When available, MRI volume was used for all analysis, and when absent, TRUS volume was used. AUR was defined as requiring urinary catheter placement within 72 h post-biopsy for inability to urinate. Univariable analysis was performed and variables with
p
< 0.1 and/or established clinical relevance were included in a backward binary logistic regression to produce an optimized model that fit the data without collinearity between variables.
Results
A total of 767 TP biopsies were completed in the study window. The frequency of infection was 1.83% (
N
= 14/767). The total frequency of AUR was 5.48% (
N
= 42/767). On multivariable regression, patients who went into AUR were five times as likely to develop infection (
p
= 0.020). Patients with infection post-TP biopsy were four times as likely to develop AUR (
p
= 0.047) and with prostates > 61.21 cc were three times as likely (
p
= 0.019).
Conclusion
According to our model, AUR is the greatest risk factor for infection post-TP biopsy. With regard to AUR risks, infection post-biopsy and prostate size > 61.21 cc are the greatest risk factors.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>37902926</pmid><doi>10.1007/s11255-023-03854-0</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2880-1857</orcidid></addata></record> |
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| subjects | Anesthesia Biopsy Biopsy - methods Brachytherapy Humans Image-Guided Biopsy - adverse effects Infections Magnetic resonance imaging Male Medicine Medicine & Public Health Nephrology Prostate Prostate - pathology Prostatic Neoplasms - pathology Retrospective Studies Risk Factors Urinary retention Urinary Retention - epidemiology Urinary Retention - etiology Urology Urology - Original Paper |
| title | Risk factors for infection and acute urinary retention following transperineal prostate biopsy |
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