Risk Factors And Prevention Of Perioperative Infection After Transrectal Ultrasound Guided Prostate Biopsy

Objective:Since 2000,about 4000 cases of prostate puncture biopsy have been performed in the urology department of our hospital,to achieve early diagnosis and treatment of PCa.Through the collection of relevant data of about 4000 patients,we can not only understand the incidence trend,early diagnosis and treatment of PCa in Northeast China,but also understand the probability of perioperative complications and high-risk factors of TRUB.During the postgraduate period from 2020 to 2023,the puncture biopsy database was established by retrospective analysis of the clinical data of332 patients with transrectal ultrasound-guided prostate puncture biopsy in our hospital.By summarizing and analyzing the high-risk factors and preventive measures of infection complications during the perioperative period of puncture operation,we can provide theoretical basis for clinical prevention and treatment.Method:The clinical data of 332 patients who underwent transrectal ultrasound-guided prostate biopsy in China-Japan Friendship Urology Department of Jilin University from 2020 to 2023 were retrospectively analyzed.The number of perioperative infections in 332 patients was 24.The age,height,weight,hypertension or diabetes and other underlying diseases,PSA,preoperative indwelling catheterization,number of puncture needles and pathological results of puncture were statistically analyzed by telephone follow-up and medical records.SPSS 26.0 was applied,and the relevant data were statistically analyzed,and univariate and multivariate analyses were performed to screen out independent risk factors affecting infection after paracentesis.Result:Of all 332 patients who underwent transrectal ultrasound-guided prostate biopsy,24 patients(7.2%)developed perioperative infectious complications,17 with febrile urinary tract infection,2 fevers,2 with epididymitis,and 3 with prostatitis,without sepsis or sepsis.Univariate and multivariate analysis showed that diabetes,BMI≥24 kg/m~2,indwelling catheterization,and increased number of puncture needles were independent predictors of perioperative infectious complications of puncture(P<0.05).Conclusion:Diabetes,BMI≥24 kg/m~2,indwelling catheterization and increasing number of puncture needles are independent predictors of high risk of perioperative infection of TRUSB.