[Intrarectal povidone-iodine to reduce the risk of genitourinary infections after transrectal prostate biopsy]

The aim of this study is to compare two different preparations in patients undergoing transrectal prostate biopsies samples (TPBS) and assess the prevalence of genitourinary infections (GUI).

A historical cohort of patients undergoing TBPS for suspected prostate cancer.

Two groups were compared: one with endorectal lubricant jelly and another with the addition of a povidone-iodine lubricating jelly. Complications were evaluated at three weeks. A bivariate analysis was performed by calculating the OR (95 % CI) to determine if the additional endorectal povidone-iodine pre-TBPS reduced GUI and other complications.

185 patients (Group I n = 86, Group II n = 96) were evaluated. 45 and 25 % had genitourinary tract infection (OR: 0. 4, CI: 0. 2-0. 9, p = 0. 004); fever was presented in 21 and 10 % respectively (OR: 0. 42, CI: 0. 1-0. 9, p = 0. 04).

A reduction was observed in the presence of genitourinary infections in patients who had intrarectal povidone-iodine preparation applied.

Abstract available from the publisher.

Revista médica del Instituto Mexicano del Seguro Social. 0000 [Epub]

Jorge Moreno-Palacios, Alejandro Espinosa-Guerrero, Juan Ramón Torres-Anguiano, Guillermo Montoya-Martínez, Virgilio López-Samano, Eduardo Serrano-Brambila

Servicio de Urología, Hospital de Especialidades Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México.