Experiences of the Prostatic Needle Biopsy

Kim, Bong Guk; Park, Young Kyung

Abstract

Histopathological studies with clinical observation were made on 41 patients performing the prostatic needle biopsy for the purpose of detecting occult early cancer of the prostate in geriatric patients and tuberculosis of the prostate in young age groups in the department of Urology, Jeonbug National University, medical school from January, 1980. The results were as follows; 1. The most prevalent age was from 60 to 79 (76%). 2. Of 41 cases performing prostatic needle biopsy, 36 cases were transperineal route and 5 cases were transrectal route. 3. Among 38 cases of adequate tissues obtained by prostatic needle biopsy, 3 cases were diagnosed as adenocarcinoma of the prostate. 4. Complications after the prostatic needle biopsy developed in 4 cases, including rectal hemorrhage in 1 case, fever in 1 case and perineal pain in 2 cases. 5. Of 41 cases performing the prostatic needle biopsy, TURP in 30 cases, Trocar cystostomy in 7 cases and conservative therapy in 4 cases were performed. 6. Of 30 cases performing TURP, B.P.H. in 27 cases and adenocarcinoma of the prostate in 3 cases were proved by histological study. 7. Of 41 cases performing the prostatic needle biopsy, 7 cages had associated diseases besides various prostatic diseases and were performed Trocar cystostomy.