Clinical application of transrectal ultrasound-guided prostate biopsy by 6 + X points method: analysis of 292 cases

Objective To evaluate the clinical value and operative skills of transrectal ultrasound guided prostate biopsy by 6 + X points method. Methods Two hundred and ninety-two patients with histopathologic results underwent prostate biopsy guided by transrectal ultrasound and the postoperative complications were recorded. In 292patients,prostate cancer were detected in 122 cases,benign prostate hyperplasia in 106 cases,chronic prostatitis in28 cases,prostatic intraepithelial neoplasia in 18 cases,atypical hyperplasia in 15 cases,prostate tuberculosis in 2cases,nonspecific granulomatous prostatitis in one case. Results The detection rate of prostate cancer was 41. 78%,the average puncture number was( 6 + 1. 73) times. After biopsy,the complications included: hematuria in 43 cases,bloody stool in 25 cases,fever in 20 cases,little hemorrhage in 20 cases,pain of back in 16 cases,urodynia in 14 cases,severe massive hemorrhage in one case. Conclusion Transrectal ultrasound-guided prostate biopsy by 6 + X points method has advantages of simple operation,less time consuming,less complications and high detection rate and has helpful for the early diagnosis and differential diagnosis of prostate cancer.