Biopsy Of The Kidney, Bladder And Prostate

The biopsy must be performed by a trained specialists (Nephrologe, urologist or interventional radiologist). Renal biopsy The indications for diagnostic biopsy include unexplained nephritic or nephrotic syndrome or acute kidney injury. A biopsy is sometimes performed to assess the response to treatment. Relative contraindications are bleeding and uncontrolled hypertension. In preparation for sedation with a benzodiazepine may be necessary. Complications are rare, but may occur renal blood flow, which may require a transfusion or even radiological or surgical intervention. Bladder biopsy, a biopsy of the bladder is indicated to diagnose certain diseases (eg. B. bladder cancer, interstitial cystitis, or sometimes schistosomiasis), and occasionally, to assess the response to treatment. Among the contraindications include bleeding and acute tuberculous cystitis. Preoperative preparation is required only in florid UTI. It can be both flexible and rigid instruments are used. The biopsy instrument is inserted into the bladder through a cystoscope. The biopsy site is obliterated to prevent bleeding. The drainage catheter is left to facilitate healing and drainage of blood clots. Complications can occur in profuse bleeding, UTI and bladder perforation. Prostate biopsy A prostate biopsy is usually done to diagnose prostate cancer. Contraindications include bleeding, acute prostatitis and UTI. To prepare the patient is 1 week prior to the biopsy stop taking aspirin, antiplatelet agents and anticoagulants; preoperative antibiotics are added (usually a fluoroquinolone); the rectum is cleaned by enema. The prostate is located by palpation or, preferably, transrectal ultrasound to the patient in a lateral position. Adjacent structures (perineum or rectum) are stunned. A box spring biopsy needle is stuck into the prostate and from different locations 12 samples are usually taken. Complications include the following: Urosepsis bleeding urinary retention haematuria Hematospermie (often for 3-6 months after biopsy)

Health Life Media Team

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