Percutaneous Transretropubic Needle Prostatic Biopsy Under US and CT Guidance

Author:

Hirao Maki1,Ishimaru Hideki2ORCID,Yoshimi Satomi2,Nishimura Takamasa1,Oka Taiga1,Somagawa Chika2,Nakano Tomoki1,Imamura Ryoichi3,Toya Ryo2

Affiliation:

1. Department of Radiology Nagasaki University Hospital Nagasaki Japan

2. Departments of Radiological Sciences Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan

3. Department of Urology Nagasaki University Hospital Nagasaki Japan

Abstract

ABSTRACTIntroductionNo previous instances of percutaneous transretropubic prostate biopsy have been documented.Case PresentationA 74‐year‐old male patient with a permanent stoma, who had undergone colectomy for descending colon cancer two decades earlier, reported experiencing dysuria. A screening examination revealed an elevated prostate‐specific antigen level of 120.24 ng/mL. Despite an intact rectum, the patient's anus was severely constricted or blocked, preventing both digital rectal examination and the insertion of a transrectal ultrasound probe. A transabdominal ultrasound‐guided transretropubic prostate biopsy was conducted while monitoring the needle tip position using computed tomography. The subsequent pathological analysis confirmed prostatic adenocarcinoma.ConclusionThis case represents the first reported instance of a percutaneous transretropubic prostate biopsy.

Publisher

Wiley

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