Prostate Cancer Clinical Trial
Official title:
Perineal Versus Rectal Approach for Prostate Biopsy to Prevent Iatrogenic Infections
Retrospective reports from literature have shown a lower rate of infections for transperineal
versus transrectal approach for prostate biopsies in the setting of prostate cancer
suspicion.
The aim of this study would be to compare in a prospective randomized trial the rate of
infection with transperineal versus transrectal approach.
Retrospective reports from literature have shown a lower rate of infections for the
transperineal versus transrectal approach for prostate biopsies in the setting of prostate
cancer suspicion.
Post-biopsy infection is becoming a more and more challenging situation due to the increase
of incidence and development of antibiotic resistant germs.
The aim of this study would be to compare in a prospective randomized trial the rate of
infection with transperineal vs transrectal approach.
Patient presenting an indication of prostate biopsy (PSA elevation, suspicious lesion at
digital rectal, suspicious lesion on MRI) would be randomized 1:1 among transrectal vs
transperineal biopsies.
Post-biopsy infection would be monitored by systemic urine analysis at one, two and four
weeks after procedure and in case of clinical symptoms.
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