Developing a five-step training model for transperineal prostate biopsies in a naïve residents’ group: a prospective observational randomised study of two different techniques
| Autor: | G. Passaretti, Carlo Terrone, Federico Dotta, Andrea Pacchetti, A. Olivero, Giovannalberto Pini, R. Aimar, Massimo Maffezzini, Guglielmo Mantica, Mattia Cerasuolo |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Nephrology Models Educational medicine.medical_specialty Prostate biopsy Biopsy Urology 030232 urology & nephrology Perineum 03 medical and health sciences Prostate cancer 0302 clinical medicine Prostate Internal medicine medicine Transperineal prostate biopsy Humans Training In patient Prospective Studies Aged Residents medicine.diagnostic_test business.industry Internship and Residency medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Operative time Observational study Complication business |
| Popis: | To evaluate a five-step training model for transperineal prostate biopsies (TPPB) and the differences in terms of the detection rate (DR) and the ease of execution when using either the “fan technique” (FT) or the use of a Free Hand technique (FH). A prospective observational randomised study was conducted from September 2015 to November 2017. Six naive residents, who underwent the same five-steps training model, were randomly subdivided into two different groups of three residents based on the selected TPPB technique: A (FT) and B (FH). Patient characteristics (age, PSA, prostatic volume, DRE, MRI), intraoperative (operative time, number of samples) and postoperative parameters (histologic, pain) were evaluated in the 2 groups. The overall and stratified DR for PSA ranges and prostate volume (PV), operative time and complications were compared. The overall detection rate was very high in both groups (FT 58.2% vs FH 59.6%) and not statistically different between the two techniques. There were no differences in terms of complication rates and pain. The FH showed a better detection rate in prostates smaller than 40 cc (p = 0.023) and a faster operative time (p = 0.025) compared to FT. Within the TPPB, FH is associated with a higher detection rate in patients with prostate |
| Databáze: | OpenAIRE |
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