Patient satisfaction rates and tolerance of free-hand ultrasound-guided transperineal prostate biopsy in an outpatient setting

IF 2.2 3区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Jack W. Power, Philip J. Dempsey, Andrew Yates, Nisha Soman, Mercy D’Souza, Catherine McGarvey, Kiaran J. O’malley, David J. Galvin, Barry D. Hutchinson, John G. Murray, Michelle M. McNicholas, Carmel G. Cronin
{"title":"Patient satisfaction rates and tolerance of free-hand ultrasound-guided transperineal prostate biopsy in an outpatient setting","authors":"Jack W. Power,&nbsp;Philip J. Dempsey,&nbsp;Andrew Yates,&nbsp;Nisha Soman,&nbsp;Mercy D’Souza,&nbsp;Catherine McGarvey,&nbsp;Kiaran J. O’malley,&nbsp;David J. Galvin,&nbsp;Barry D. Hutchinson,&nbsp;John G. Murray,&nbsp;Michelle M. McNicholas,&nbsp;Carmel G. Cronin","doi":"10.1007/s00261-025-04867-2","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>Transperineal ultrasound-guided prostate biopsy (TPPBx) under local anesthesia is becoming increasingly utilized due to its lower infection risk compared to transrectal ultrasound-guided prostate biopsy. Despite its increasing utilization, patient experience with this procedure remains an area requiring further investigation. This study aims to evaluate patient satisfaction and tolerance of outpatient free-hand ultrasound-guided transperineal prostate biopsy (TPPBx), focusing on patient experiences during and after the procedure, and its impact on quality of life.</p><h3>Methods</h3><p>A prospective cohort study was conducted on 120 men undergoing TPPBx, using 2 standardized questionnaires; the day after the procedure and at follow-up 3–4 weeks later. Data on pain, post-procedural symptoms, and overall satisfaction were collected.</p><h3>Results</h3><p>Of the 120 participants, 97 completed both questionnaires (81% response rate). The mean age was 65 years, with a median of 66. Satisfaction with care was high, with 100% of patients satisfied and 89% willing to undergo the procedure again. Mean pain scores were as follows: probe insertion 3/10 (median 2, IQR 1–5), local anesthetic administration 3/10 (median 2, IQR 1–4), and biopsy sampling 2/10 (median 1, IQR 0–3). Post-procedural symptoms included hematuria (63%) and hematospermia (49%), with the latter distressing for 17% of patients. No infections or hospital admissions were reported.</p><h3>Conclusion</h3><p>TPPBx is a safe, effective, and tolerable method for prostate biopsy, with minimal complications and high satisfaction rates. Enhanced patient education and communication will be crucial as its adoption increases.</p></div>","PeriodicalId":7126,"journal":{"name":"Abdominal Radiology","volume":"50 10","pages":"5004 - 5010"},"PeriodicalIF":2.2000,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Abdominal Radiology","FirstCategoryId":"3","ListUrlMain":"https://link.springer.com/article/10.1007/s00261-025-04867-2","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose

Transperineal ultrasound-guided prostate biopsy (TPPBx) under local anesthesia is becoming increasingly utilized due to its lower infection risk compared to transrectal ultrasound-guided prostate biopsy. Despite its increasing utilization, patient experience with this procedure remains an area requiring further investigation. This study aims to evaluate patient satisfaction and tolerance of outpatient free-hand ultrasound-guided transperineal prostate biopsy (TPPBx), focusing on patient experiences during and after the procedure, and its impact on quality of life.

Methods

A prospective cohort study was conducted on 120 men undergoing TPPBx, using 2 standardized questionnaires; the day after the procedure and at follow-up 3–4 weeks later. Data on pain, post-procedural symptoms, and overall satisfaction were collected.

Results

Of the 120 participants, 97 completed both questionnaires (81% response rate). The mean age was 65 years, with a median of 66. Satisfaction with care was high, with 100% of patients satisfied and 89% willing to undergo the procedure again. Mean pain scores were as follows: probe insertion 3/10 (median 2, IQR 1–5), local anesthetic administration 3/10 (median 2, IQR 1–4), and biopsy sampling 2/10 (median 1, IQR 0–3). Post-procedural symptoms included hematuria (63%) and hematospermia (49%), with the latter distressing for 17% of patients. No infections or hospital admissions were reported.

Conclusion

TPPBx is a safe, effective, and tolerable method for prostate biopsy, with minimal complications and high satisfaction rates. Enhanced patient education and communication will be crucial as its adoption increases.

病人满意度和耐受性徒手超声引导下经会阴前列腺活检在门诊设置。
目的:与经直肠超声引导前列腺活检相比,局麻下经会阴超声引导前列腺活检(TPPBx)因其感染风险较低而越来越多地被应用。尽管其使用率越来越高,但该手术的患者经验仍有待进一步调查。本研究旨在评估患者对门诊徒手超声引导下经会阴前列腺活检(TPPBx)的满意度和耐受性,重点关注患者在手术过程中和术后的体验,以及其对生活质量的影响。方法:对120例接受TPPBx治疗的男性进行前瞻性队列研究,采用2份标准化问卷;术后第1天及3-4周后随访。收集疼痛、术后症状和总体满意度的数据。结果:120名参与者中,97人完成了两份问卷,有效率81%。平均年龄为65岁,中位数为66岁。对护理的满意度很高,100%的患者满意,89%的患者愿意再次接受手术。平均疼痛评分如下:探针插入3/10(中位数2,IQR 1-5),局麻给药3/10(中位数2,IQR 1-4),活检取样2/10(中位数1,IQR 0-3)。术后症状包括血尿(63%)和血精(49%),其中17%的患者有血精困扰。没有感染或住院的报告。结论:TPPBx是一种安全、有效、可耐受的前列腺活检方法,并发症少,满意度高。随着其应用的增加,加强患者教育和沟通将是至关重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Abdominal Radiology
Abdominal Radiology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
5.20
自引率
8.30%
发文量
334
期刊介绍: Abdominal Radiology seeks to meet the professional needs of the abdominal radiologist by publishing clinically pertinent original, review and practice related articles on the gastrointestinal and genitourinary tracts and abdominal interventional and radiologic procedures. Case reports are generally not accepted unless they are the first report of a new disease or condition, or part of a special solicited section. Reasons to Publish Your Article in Abdominal Radiology: · Official journal of the Society of Abdominal Radiology (SAR) · Published in Cooperation with: European Society of Gastrointestinal and Abdominal Radiology (ESGAR) European Society of Urogenital Radiology (ESUR) Asian Society of Abdominal Radiology (ASAR) · Efficient handling and Expeditious review · Author feedback is provided in a mentoring style · Global readership · Readers can earn CME credits
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信