Table 2.
Selected Studies on Procedural Techniques Impacting Infectious Complications Following TRUS-Bx
| Study | Year | Sample Size | Methodology | Country | Standard Prophylaxis | Alternative Prophylaxis | Outcome Variables | |
| Study | Year | Size | Methodology | Country | Standard Technique | Alternative Technique | Outcome Variables | |
| Bennet HY et al51 | 2016 | 162,577 | Meta-analysis | Multinational | TRUS-Bx | Transperineal prostate biopsy | Hospitalization, sepsis | |
| Berger AP et al55 | 2004 | 5957 | Retrospective | Austria | 6 or 10 biopsy cores | 15 biopsy cores | Infectious complications (epididymitis, fever, hospitalization, mortality, prostatitis) | |
| Bruyere F et al38 | 2015 | 2718 | Prospective | France | Antibiotics alone | Antibiotics plus enema | Infectious complications (fever with positive urine culture, LUTS) | |
| Carey and Korman41 | 2001 | 448 | Retrospective | United States | Antibiotics alone | Antibiotics plus enema | Infectious complications (epididymitis, hospitalization, prostatitis, UTI) | |
| Carignan A et al65 | 2012 | 5798 | Retrospective | Canada | Antibiotics alone | Antibiotics plus enema | Infectious complications (not defined) | |
| Grummet JP et al47 | 2014 | 245 | Prospective | Australia | No comparator | Transperineal prostate biopsy | Sepsis | |
| Grummet JP et al47 | 2014 | 6609 | Systematic | review | Australia | No comparator | Transperineal prostate biopsy | Sepsis |
| Hsieh T-Y et al25 | 2015 | 263 | Retrospective | Taiwan | 12–16 biopsy cores | 10 biopsy cores | Infectious complications (chills, fever, macroscopic hematuria with blood clots, severe LUTS) | |
| Hwang EC et al36 | 2015 | 814 | Retrospective | Korea | Antibiotics alone | Antibiotics plus povidone-iodine disinfection | FQ-resistant rectal culture. Infectious complications (fever, bacteremia, prostatitis, UTI, sepsis) |
FQ, fluoroquinolone; LUTS, lower urinary tract symptoms; TRUS-Bx, transrectal ultrasound-guided prostate biopsy; UTI, urinary tract infection.