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Year : 2013  |  Volume : 5  |  Issue : 1  |  Page : 30-33

Hemosepermia after transrectal ultrasound-guided prostatic biopsy: A prospective study

1 Department of Urology, Al-Azhar University, Cairo, Egypt
2 Department of Urology, Al-Fayoum University, AlFayoum, Egypt

Correspondence Address:
M Abdelkhalek
Associate Prof. of Urology, Department of Urology, Faculty of Medicine, Al Azhar University, AlDarrassa
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DOI: 10.4103/0974-7796.106963

PMID: 23662007

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Objectives: Trans-rectal ultrasound (TRUS) is a safe, cost-effective, radiation-free imaging modality for evaluation of prostate. But unfortunately, hemospermia is known to be associated with TRUS-guided prostate biopsy. The aim of this study is to measure the incidence and risk factors of hemospermia in patients undergoing TRUS. Patients and Methods: A prospective observational study involving patients undergoing TRUS for suspected prostate cancer has been conducted at Al-Hussein and Sayed Galal Hospitals. Forty patients were included in the study. Results: Most men (90% = 36 patient) undergoing TRUS-guided prostatic biopsy, who were able to ejaculate, experienced hemospermia, which was associated with some degree of anxiety. The mean duration of hemospermia was 4 (±1.4) weeks. The number of ejaculations before the complete resolution of hemospermia was 6 (±5.6). None of the clinical and pathological factors was a significant predictor of the duration of hemospermia. Conclusion: Patients should be adequately counseled before TRUS-guided prostatic biopsy to avoid anxiety and alterations in sexual activity.

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