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Moscow program on histofusion biopsy of the prostate: results of a survey of practicing urologists based on data from a multicenter study DOI: https://doi.org/10.29188/2222-8543-2024-17-1-10-16
- Kim Yu.A. – urologist GBUZ «City Clinical Hospital named after S.P. Botkin Department of Health of Moscow»; Moscow, Russia; RSCI Author ID 1068822, https://orcid.org/0000-0001-6390-3408
- Govorov A.V. – Dr. Sci., Associate Professor at the Department of Urology, Russian University of Medicine , Head of the Department GBUZ «City Clinical Hospital named after S.P. Botkin Department of Health of Moscow»; Moscow, Russia; RSCI Author ID 711844, https://orcid.org/0000-0003-3299-0574
- Kuzin B.A. – urologist of the Federal State Budgetary Institution «Main Military Clinical Hospital named after. N.N. Burdenko» of the Ministry of Defense of the Russian Federation; Moscow, Rus- sia; RSCI AuthorID: 82256400, https://orcid.org/0000-0002-1719-250X
- Vasilyev A.O. – PhD, Teaching Assistant at the Department of UrologyRussian University of Medicine, urologist GBUZ «City Clinical Hospital named after S.P. Botkin Department of Health of Moscow»; Moscow, Russia; RSCI Author ID 832619, https://orcid.org/0000-0001-5468-0011
- Pushkar D.Yu. – Dr. Sci., Academician of the RAS, Professor, Head of the Department of Urology, Russian University of Medicine the basis of GBUZ « City Clinical Hospital named after S.P. Botkin Department of Health of Moscow»; Moscow, Russia; RSCI Author ID 417122, https://orcid.org/0000-0002-6096-5723
256 Introduction. Prostate cancer (PC) is one of the most frequently diagnosed malignant diseases among men. It is necessary to search for new methods of additional visualization. The most promising modern diagnostic method is histoscanning (HS) with the software «True Targeting», which allows you to perform «targeted» prostate biopsy (PB) in real time. We conducted a comparative observational clinical study with anonymous Internet survey implemented based on the SurveyMonkey program.
Material and methods. The survey of urology specialists was initiated from the beginning of the «Moscow program for «Histoffusion» biopsies». The survey was composed of 16 questions. Data were obtained and analyzed on the doctor's work experience, experience in performing pancreatic biopsy, hospital, features of the operation, method of choosing anesthesia, patient position and complications in the postoperative period.
Results. The division by hospitals showed that transrectal prostate biopsy is performed under the conditions in one day hospital in 80% of cases. Biopsy takes no more than 19 minutes on average. Half of the respondents had experience about 5 years, and only about 15% about 15 years. About 68% of specialists recommend performing MRI with contrast. However, only 22% of patients perform results. About 16% note the impossibility of performing MRI due to contraindications or other difficulties of the healthcare system. The most common complications are hemospermia and hematuria. In 100% of cases, respondents noted the need to prescribe antibiotic therapy. In 64.9% of cases, doctors note the need for a histoscan-guided prostate biopsy, and 82.1% are sure that in the future it is necessary to standardize the method of performing histoscan-guided prostate biopsy.
Conclusion. We note the lack of standardization of histoscan-guided prostate biopsy. We suggest that the results of histoscan-guided prostate biopsy can be improved by developing a standardized follow-up as well as an algorithm aimed at optimizing for each patient.
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