دورية أكاديمية
[Perineal prostate biopsy].
| العنوان: | [Perineal prostate biopsy]. |
|---|---|
| عنوان ترانسليتريتد: | Perineale Prostatabiopsie. |
| المؤلفون: | Pfitzinger PL; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland. paulo.pfitzinger@med.uni-muenchen.de., Askari DA; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland., Ivanova T; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland., Hoffmann M; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland., Blajan I; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland., Atzler M; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland., Stadelmeier LF; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland., Apfelbeck M; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland., Chaloupka M; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland., Kazmierczak P; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland., Stief C; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland., Enzinger B; Urologische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Marchioninistr. 15, 81377, München, Deutschland. |
| المصدر: | Urologie (Heidelberg, Germany) [Urologie] 2024 Sep; Vol. 63 (9), pp. 934-942. Date of Electronic Publication: 2024 Aug 19. |
| نوع المنشور: | Journal Article; Review; English Abstract |
| اللغة: | German |
| بيانات الدورية: | Publisher: Springer Medizin Country of Publication: Germany NLM ID: 9918384886606676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2731-7072 (Electronic) Linking ISSN: 27317064 NLM ISO Abbreviation: Urologie Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Heidelberg, Germany] : Springer Medizin, [2022]- |
| مواضيع طبية MeSH: | Perineum*/pathology , Prostatic Neoplasms*/pathology , Prostatic Neoplasms*/diagnosis , Prostate*/pathology, Humans ; Male ; Biopsy/methods ; Antibiotic Prophylaxis/methods |
| مستخلص: | The prostate biopsy is an essential tool for diagnosing prostate cancer (PCa). While transrectal biopsy (TR-Bx) continues to be considered the gold standard in Germany, the European Association of Urology (EAU) guidelines increasingly recommend transperineal biopsy (TP-Bx) due to lower infection rates and higher tumor detection rates. This article provides an overview of the history and development of the perineal biopsy, compares TR-Bx and TP-Bx and discusses the need for antibiotic prophylaxis before TP-Bx. Current studies have shown that TP-Bx can be performed without antibiotic prophylaxis and new techniques such as robotic-assisted and vector biopsy show very precise results. The establishment of TP-Bx is being promoted by extrabudgetary funding and technological advancements, with the choice of biopsy method remaining an individual decision jointly made in dialogue with the patient. (© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Antibiotic prophylaxis; Biopsy method; Local anesthesia; Prostatic neoplasms; Tissue sample Local Abstract: [Publisher, German] Die Prostatabiopsie ist ein essenzielles Werkzeug zur Diagnose eines Prostatakarzinoms (PCa). Während die transrektale Biopsie (TR-Bx) in Deutschland weiterhin als Goldstandard gilt, empfehlen die EAU(European Association of Urology)-Leitlinien zunehmend die transperineale Biopsie (TP-Bx) aufgrund niedrigerer Infektionsraten und höherer Tumordetektionsraten. Dieser Artikel gibt einen Überblick über die Geschichte und Entwicklung der perinealen Biopsie, vergleicht TR- und TP-Bx und diskutiert die Notwendigkeit einer antibiotischen Prophylaxe vor TP-Bx. Aktuelle Studien zeigen, dass TP-Bx ohne antibiotische Prophylaxe durchführbar ist, und neue Techniken wie robotisch assistierte und Vektorbiopsie zeigen sehr präzise Ergebnisse. Die Etablierung der TP-Bx wird durch Extrabudgetierung und technologische Fortschritte vorangetrieben, wobei die Wahl der Biopsiemethode eine individuelle Entscheidung im Dialog mit dem Patienten bleibt. |
| تواريخ الأحداث: | Date Created: 20240819 Date Completed: 20240823 Latest Revision: 20240823 |
| رمز التحديث: | 20240823 |
| DOI: | 10.1007/s00120-024-02408-1 |
| PMID: | 39158686 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. | تدمد: | 2731-7072 |
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| DOI: | 10.1007/s00120-024-02408-1 |