Prostate Biopsy Clinical Trial
— NORAPPOfficial title:
A Prospective Randomized Trial of Antibiotic Prophylaxis Versus None Before Transperineal MRI-TRUS Fusion Guided Prostate Biopsy
Verified date | December 2021 |
Source | Oslo University Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Prostate biopsy is indicated in patients with suspected prostate cancer and has been traditionally performed through the rectum using antibiotic prophylaxis. Increasing antibiotic resistance of intestinal bacteria is causing a growing number of patients to get post-biopsy infections. Sepsis rate after transrectal biopsies is approximately 4-10%. To reduce the risk of post-biopsy infections, transperineal approach in general anesthesia and antibiotic prophylaxis has been used. The investigators at Oslo University Hospital Aker developed MRI -TURS elastic image fusion guided transperineal prostate biopsy technique in local anesthesia and Bactrim prophylaxis as outpatient procedure. The investigators found 0.4% post-biopsy infection rate. Afterwards a pilot study using the same biopsy technique however without antibiotic prophylaxis was realized in 90 patients. None of these subjects experienced infection. The investigators wish to perform a prospective randomized trial of antibiotic prophylaxis versus none before transperineal MRI-TRUS fusion guided prostate biopsy in local anesthesia in outpatient clinic.
Status | Completed |
Enrollment | 550 |
Est. completion date | April 30, 2021 |
Est. primary completion date | February 28, 2021 |
Accepts healthy volunteers | No |
Gender | Male |
Age group | N/A and older |
Eligibility | Inclusion Criteria: Clinical indication for prostate cancer - Exclusion Criteria: - Patients with symptoms of urinary tract infection or positive findings on urine dipstic before biopsy - Patients with indwelling urethral catheter - Patients with immunodeficiency disorders - Patients with high risk for infective endocarditis [European Society of Cardiology] 1. Patients with a prosthetic aortic or pulmonary valve 2. Patients with previous infective endocarditis 3. Patients with congenital heart disease who are cyanotic and those who have had palliative shunts/conduits/other prostheses - Patients with a history of thromboembolic disease - Patients with a history of allergy to the study drug - Patients who do not wish to participate in the study |
Country | Name | City | State |
---|---|---|---|
Germany | Vivantes Klinikum am Urban | Berlin | |
Norway | Oslo University Hospital, Aker | Oslo |
Lead Sponsor | Collaborator |
---|---|
Oslo University Hospital | University of Oslo |
Germany, Norway,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Pain during the local anesthesia application | Patients will be asked to mention the intensity of pain during the anesthesia using Visual Analog Score for pain, range: 0 to 10, the worse is 10. | Immediately after the intervention | |
Other | Pain during the prostate biopsy | Patients will be asked to mention the intensity of pain during the prostate biopsy using Visual Analog Score for pain, range: 0 to 10, the worse is 10. | Immediately after the intervention | |
Primary | Incidence of sepsis | Post biopsy sepsis will be defined by SIRS criteria | Up to 30 days | |
Primary | Incidence of post biopsy urinary tract infection | Post biopsy urinary tract infection not demanding hospital admission within 30 | Up to 30 days |
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