Advanced SearchSearch Tips
Prostatic Bleeding after Prostatic Biopsy Effects Oncological Outcomes with Laparoscopic Radical Prostatectomy
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
 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;
  PDF(new window)
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
Prostate cancer;laparoscopic radical prostatectomy;biopsy;MRI;bleeding;
 Cited by
Abbou CC, Salomon L, Hoznek A, et al (2000). Laparoscopic radical prostatectomy: preliminary results. Urol, 55, 630-4. crossref(new window)

Amling CL, Riffenburgh RH, Sun L, et al (2004). Pathologic variables and recurrence rates as related to obesity and race in men with prostate cancer undergoing radical prostatectomy. J Clin Oncol, 22, 439-45. crossref(new window)

Boczko J, Madeb R, Golijanin D, et al (2006). Robot-assisted radical prostatectomy in obese patients. Can J Urol, 13, 3169-73.

Boorjian SA, Crispen PL, Carlson RE, et al (2008). Impact of obesity on clinicopathologic outcomes after robot-assisted laparoscopic prostatectomy. J Endourol, 22, 1471-6. crossref(new window)

Brown JA, Rodin DM, Lee B, et al (2005). Laparoscopic radical prostatectomy and body mass index: an assessment of 151 sequential cases. J Urol, 173, 442-5. crossref(new window)

Chang IH, Byun SS, Hong SK, et al (2007). Assessing the body mass index of patients might help to predict blood loss during radical retropubic prostatectomy in Korean men. BJU Int, 99, 570-4. crossref(new window)

Chang SS, Duong DT, Wells N, et al (2004). Predicting blood loss and transfusion requirements during radical prostatectomy: the significant negative impact of increasing body mass index. J Urol, 171, 1861-5. crossref(new window)

D'Alonzo RC, Gan TJ, Moul JW, et al (2009). A retrospective comparison of anesthetic management of robot-assisted laparoscopic radical prostatectomy versus radical retropubic prostatectomy. J Clin Anesth, 21, 322-8. crossref(new window)

Eden CG, Chang CM, Gianduzzo T, et al (2006). The impact of obesity on laparoscopic radical prostatectomy. BJU Int, 98, 1279-82. crossref(new window)

Freedland SJ, Aronson WJ, Kane CJ, et al (2004). Impact of obesity on biochemical control after radical prostatectomy for clinically localized prostate cancer: a report by the Shared equal access regional cancer hospital database study group. J Clin Oncol, 22, 446-53. crossref(new window)

Freedland SJ, Grubb KA, Yiu SK, et al (2005). Obesity and capsular incision at the time of open retropubic radical prostatectomy. J Urol, 174, 1798-801. crossref(new window)

Frota R, Turna B, Santos BM, et al (2008). The effect of prostate weight on the outcomes of laparoscopic radical prostatectomy. BJU Int, 101, 589-93. crossref(new window)

Herman MP, Raman JD, Dong S, et al (2007). Increasing body mass index negatively impacts outcomes following robotic radical prostatectomy. Jsls, 11, 438-42.

Hong SK, Kim DS, Lee WK, et al (2010). Significance of postbiopsy hemorrhage observed on preoperative magnetic resonance imaging in performing robot-assisted laparoscopic radical prostatectomy. World J Urol, 28, 721-6. crossref(new window)

Jayachandran J, Aronson WJ, Terris MK, et al (2008). Obesity and positive surgical margins by anatomic location after radical prostatectomy: results from the shared equal access regional cancer hospital database. BJU Int, 102, 964-8. crossref(new window)

Kaji Y, Kurhanewicz J, Hricak H, et al (1998). Localizing prostate cancer in the presence of postbiopsy changes on MR images: role of proton MR spectroscopic imaging. Radiol, 206, 785-90. crossref(new window)

Khaira HS, Bruyere F, O'Malley PJ, et al (2006). Does obesity influence the operative course or complications of robot-assisted laparoscopic prostatectomy. BJU Int, 98, 1275-8. crossref(new window)

Komaru A, Kamiya N, Suzuki H, et al (2010). Implications of body mass index in Japanese patients with prostate cancer who had undergone radical prostatectomy. Jpn J Clin Oncol, 40, 353-9. crossref(new window)

Lloyd JC, Banez LL, Aronson WJ, et al (2009). Preoperative predictors of blood loss at the time of radical prostatectomy: results from the SEARCH database. Prostate Cancer Prostatic Dis, 12, 264-8. crossref(new window)

Martin GL, Nunez RN, Humphreys MD, et al (2009). Interval from prostate biopsy to robot-assisted radical prostatectomy: effects on perioperative outcomes. BJU Int, 104, 1734-7. crossref(new window)

Mikhail AA, Orvieto MA, Billatos ES, et al (2006). Robotic-assisted laparoscopic prostatectomy: first 100 patients with one year of follow-up. Urol, 68, 1275-9. crossref(new window)

Schuessler WW, Schulam PG, Clayman RV, et al (1997). Laparoscopic radical prostatectomy: initial short-term experience. Urol, 50, 854-7. crossref(new window)

Secin FP, Jiborn T, Bjartell AS, et al (2008). Multi-institutional study of symptomatic deep venous thrombosis and pulmonary embolism in prostate cancer patients undergoing laparoscopic or robot-assisted laparoscopic radical prostatectomy. Eur Urol, 53, 134-45. crossref(new window)

Tewari A, Sooriakumaran P, Bloch DA, et al (2012). Positive surgical margin and perioperative complication rates of primary surgical treatments for prostate cancer: a systematic review and meta-analysis comparing retropubic, laparoscopic, and robotic prostatectomy. Eur Urol, 62, 1-15. crossref(new window)

White S, Hricak H, Forstner R, et al (1995). Prostate cancer: effect of postbiopsy hemorrhage on interpretation of MR images. Radiol, 195, 385-90. crossref(new window)