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Transrectal needle method for biopsy of the prostate: review of 90 cases.

Eighty-three patients undergoing a total of 90 transrectal procedures for obtaining prostatic tissue for biopsy were reported. All were done without preparation or later use of retention catheter. Tetracycline was administered for two or three days before the procedure and continued for a total of five days after. Most patients were hospitalized for this procedure, but we do not think this is necessary or ideal. A complication rate of 9.3 per cent-5.4 per cent for sepsis and 3.9 per cent hematuria-was encountered. Only four false negative results were obtained. We believe that the transrectal procedure is a safe and accurate method for diagnosis carcinoma of the prostate. We would also recommend use of a broad-spectrum antibiotic, preferably before and after operation, but at least after for a minimum of five days.