Cancellation Rate of Prostate Template Biopsy: Are There Any Merits to Implementing Pre-Operative Bowel Preparations?
Lim, P Damola, A Apakama, I
Lim, P
Damola, A
Apakama, I
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Affiliation
George Eliot Hospital NHS Trust, Nuneaton, UK
Other Contributors
Publication date
2021-10-12
Subject
Collections
Research Projects
Organizational Units
Journal Issue
Abstract
Introduction
The aim of this quality improvement project was to analyse the cancellation rates of the template biopsy done at the George Eliot Hospital. The focus was mainly on those due to poor bowel prep whereby manual evacuations have failed. Locally we have sometimes noted the failure rate of transperineal prostate biopsy as a result of the poor quality of the ultrasound due to inadequately evacuated rectum. Unfortunately, there are very limited studies which have looked into this issue hence the significance of this problem is not universally acknowledged.
Method
Retrospective review of all the template biopsies that were planned from April 2019 to April 2020 using the operation notes and local theatre management software.
Results
There was a total of 105 planned template biopsies from April 2019 to April 2020. 72 cases were attempted and within this, 7 of these cases required manual evacuations in which 3 resulted in abandonment of procedure. There were 33 cases which were cancelled due various other reasons.
Conclusions
The results showed that the failure rates due to poor bowel prep were not significant (4%). Based on these findings we have decided not to proceed with the implementation of pre-operative bowel prep with phosphate enema as we felt that the potential benefits were not enough for it be initiated as a routine practice. We aim to address the other reasons identified for cancellations.
Citation
P Lim, A Damola, I Apakama, 688 Cancellation Rate of Prostate Template Biopsy: Are There Any Merits to Implementing Pre-Operative Bowel Preparations?, British Journal of Surgery, Volume 108, Issue Supplement_6, September 2021, znab259.1090, https://doi.org/10.1093/bjs/znab259.1090
Type
Article