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Prostatic Bleeding after Prostatic Biopsy Effects Oncological Outcomes with Laparoscopic Radical Prostatectomy
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 Title & Authors
Prostatic Bleeding after Prostatic Biopsy Effects Oncological Outcomes with Laparoscopic Radical Prostatectomy
Takai, Tomoaki; Inamoto, Teruo; Komura, Kazumasa; Tsujino, Takuya; Matsunaga, Tomohisa; Yoshikawa, Yuki; Uchimoto, Taizo; Saito, Kenkichi; Tanda, Naoki; Minami, Koichiro; Uehara, Hirofumi; Ibuki, Naokazu; Takahara, Kiyoshi; Nomi, Hayahito; Kiyama, Satoshi; Azuma, Hayahito;
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 Abstract
Background: We vigorously reviewed patients` operation record who had adhesion of the Denonvilliers` fascia and found out most of these patients had prostatic bleeding after prostatic gland biopsies. We examined the magnitude of prostatic bleeding and frequency after biopsies and the relationship with oncological outcomes. Materials and Methods: A total of 285 patients were selected for the final analyses. Inclusion criteria were as follows: receiving MRI three weeks after biopsiesand laparoscopic radical prostatectomy within 300 days after biopsy. We divided the patients into two groups with (group A) or without (group B) prostatic bleeding. We examined the magnitude of prostatic bleeding after biopsies and the relationship with operation time (OT), positive surgical margin (PSM), biochemical recurrence (BCR) and other factors. Furthermore, we created a logistic-regression model to derive a propensity score for prostatic bleeding after biopsies, which included all patient and hospital characteristics as well as selected interaction terms, and we examined the relationship with PSM and BCR. Results: In all patients, the OT in the group B was shorter than the group A (p < 0.001). Prostatic bleeding was associated with PSM (p
 Keywords
Prostate cancer;laparoscopic radical prostatectomy;biopsy;MRI;bleeding;
 Language
English
 Cited by
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