What’s Already Known?
Transrectal ultrasound-guided biopsy (TRUS-bx) is one of most common
modality to diagnose prostate cancer. Infectious complications after
prostate biopsy are rising due to antibiotic usage and fluoroquinolone
resistance. Reducing risk of complications is the question to must be
answered. Previous studies showed that rectal swaps could decrease
infectious due to targeted prophylaxis, however, culture sampling
several days prior biopsy is cost effective in routine practice.
Additionally, rectal enemas, povidone-iodine and antimicrobial lubricant
could decrease infectious complications. Literature suggest that
preventive effect of rectal enemas is still debatable.