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Eficiencia y seguridad de la biopsia prostática transperineal con punto de acceso único.

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Title: Eficiencia y seguridad de la biopsia prostática transperineal con punto de acceso único.
Alternate Title: Efficiency and safety of transperineal prostate biopsy with a single access point.
Authors: Ríos-Melgarejo, Carlos1, Pulido-Contreras, Enrique1, Velasco-Rubio, José Ramón1, Gastélum-Rivera, Esteban1, García-Padilla, Miguel Ángel1 ma.garciap@ugto.mx
Source: Revista Medica del IMSS. Jan/Feb2026, Vol. 64 Issue 1, p1-9. 9p.
Subjects: PROSTATE cancer, PROSTATE biopsy, NEEDLE biopsy, OPERATIVE surgery, SURGICAL complications, DIAGNOSIS, CLINICAL competence
Abstract (English): Background: Prostate cancer (PCa) is the most common neoplasm in men. Transrectal prostate biopsy is the standard for diagnosing PCa, but it presents complications. Transperineal biopsy has gained popularity due to its better detection rates and fewer complications. Objective: To compare the efficiency and complication rates between single-access point transperineal prostate biopsy (TPPB) and transrectal prostate biopsy (TRPB) in patients with suspected PCa. Material and methods: Information was collected and analyzed from 241 patients with suspected PCa, divided into 2 groups: 171 in the TPPB group and 70 in the TRPB group. Pathology results were collected and complications were identified. Results: Out of the 241 patients, 132 had positive biopsies (54.77%) and 109 negative (45.22%). TPPB was positive in 60.2%, compared to 41.4% of TRPB (p = 0.008). Complications in TPPB were hematuria (53.8%), pain (6.4%), hemospermia (6.4%), and acute urinary retention (2.3%). TPPB shown to be a protective factor for complications (odds ratio [OR] 0.028, 95% confidence interval [95% CI] 0.009-0.9; p < 0.001), compared to the TRPB technique (OR 35.5, 95% CI 10.7-117.6; p < 0.001). Conclusions: TPPB offers a better detection rate for PCa and it should be adopted as the first-choice method for PCa diagnosis, given that it has a lower complication rate and can be performed without the need for bowel preparation or antibiotic prophylaxis. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: el cáncer de próstata (CaP) es la neoplasia más común en hombres. La biopsia de próstata transrectal es el estándar para diagnosticar el CaP, pero presenta complicaciones. La biopsia transperineal ha ganado popularidad debido a sus mejores tasas de detección y menores complicaciones. Objetivo: comparar la eficiencia y la tasa de complicaciones entre la biopsia prostática transperineal de un punto de acceso único (BTPP) y la biopsia prostática transrectal (BTRP), guiadas por ultrasonido en pacientes con sospecha de CaP. Material y métodos: se recolectó y analizó información de 241 pacientes con sospecha de CaP, divididos en dos grupos: 171 en el de BTPP y 70 en el de BTRP. Se recolectaron los resultados de patología y se identificaron las complicaciones. Resultados: de los 241 pacientes, 132 tuvieron biopsia positiva (54.77%) y 109 negativa (45.22%). La BTPP fue positiva en 60.2% en comparación con 41.4% de la BTRP (p = 0.008). Las complicaciones en BTPP fueron hematuria (53.8%), dolor (6.4%), hemospermia (6.4%) y retención aguda de orina (2.3%). La BTPP mostró ser un factor protector para complicaciones (odds ratio [OR] 0.028, intervalo de confianza del 95% [IC 95%] 0.009-0.9; p < 0.001), en comparación con la técnica de la BTRP (OR 35.5, IC 95% 10.7-117.6; p < 0.001). Conclusiones: la BTPP ofrece una mejor tasa para detección del CaP y debe adoptarse como método de primera elección para el diagnóstico del CaP, dado que tiene menor tasa de complicaciones y puede realizarse sin necesidad de preparación intestinal ni profilaxis antibiótica. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Background: Prostate cancer (PCa) is the most common neoplasm in men. Transrectal prostate biopsy is the standard for diagnosing PCa, but it presents complications. Transperineal biopsy has gained popularity due to its better detection rates and fewer complications. Objective: To compare the efficiency and complication rates between single-access point transperineal prostate biopsy (TPPB) and transrectal prostate biopsy (TRPB) in patients with suspected PCa. Material and methods: Information was collected and analyzed from 241 patients with suspected PCa, divided into 2 groups: 171 in the TPPB group and 70 in the TRPB group. Pathology results were collected and complications were identified. Results: Out of the 241 patients, 132 had positive biopsies (54.77%) and 109 negative (45.22%). TPPB was positive in 60.2%, compared to 41.4% of TRPB (p = 0.008). Complications in TPPB were hematuria (53.8%), pain (6.4%), hemospermia (6.4%), and acute urinary retention (2.3%). TPPB shown to be a protective factor for complications (odds ratio [OR] 0.028, 95% confidence interval [95% CI] 0.009-0.9; p < 0.001), compared to the TRPB technique (OR 35.5, 95% CI 10.7-117.6; p < 0.001). Conclusions: TPPB offers a better detection rate for PCa and it should be adopted as the first-choice method for PCa diagnosis, given that it has a lower complication rate and can be performed without the need for bowel preparation or antibiotic prophylaxis. [ABSTRACT FROM AUTHOR]
ISSN:04435117
DOI:10.5281/zenodo.17477776