One day hospitalization for trans-rectal ultrasound guided prostate biopsy: Experiences of a single institution

Objective: To investigate one-day hospitalization for trans-rectal ultrasound guided prostate (TRUSP) biopsy. Materials and methods: From September 2009 to September 2012, 218 consecutive patients hospitalized for TRUSP biopsy in our hospital were enrolled. All were hospitalized for observation for one day after the procedure. Patients who were not discharged on the planned date or who were re-admitted were categorized as the "changed hospitalization plan" group. Perioperative laboratory data and variables were checked and recorded for statistical analysis to examine the differences between patients with and without changed hospitalization plan. The causes of changing hospitalization plans were recorded for descriptive analysis. Results: There were 202 (92.7%) patients discharged on the planned date and 16 (7.3%) for whom the hospitalization plan was changed. There were no statistical significances in laboratory tests between the groups; age was the only variable that was statistically significantly different (p = 0.032), especially in patients aged over 77 (p = 0.033). The most common causes of changing the hospitalization plan were urinary retention (n = 10, 4.6%) and fever (n = 6, 2.8%) which included sepsis (n = 3, 1.4%). Two of the three patients with sepsis were re-hospitalized. Conclusion: Age over 77 was the only significant risk factor for changed hospitalization plan. However, Postoperative fever was uncommon in patients hospitalized for one day for TRUSP biopsy. Prolonged admission to prevent rare cases of sepsis may be not reasonable. Copyright (C) 2017, Taiwan Urological Association. Published by Elsevier Taiwan LLC. This is an open access article under the CC BY-NC-ND license.