@article{Farooq_Asif_Hameed_2021, title={ROLE OF POVIDONE-IODINE-SOAKED GAUZE IN PREVENTING INFECTIOUS COMPLICATIONS FOLLOWING TRANS RECTAL DIGITAL GUIDED PROSTATE BIOPSY}, volume={35}, url={https://jpmi.org.pk/index.php/jpmi/article/view/2849}, DOI={10.54079/jpmi.35.4.2849}, abstractNote={<p><strong>Objective:</strong> To identify the role of povidone iodine-soaked gauze following transrectal digital guided prostate biopsy in the prevention of infectious complications.</p> <p><strong>Methodology:</strong> This prospective comparative study was conducted in the urology department of Lady Reading Hospital including 201 patients. Patients who had indications for prostate biopsy, including an elevated pros­tate-specific antigen (PSA) or abnormal prostatic nodule on digital rectal findings were included. Patients were distributed into two groups by the closed envelop method. Group, I (n=101) received a povidone-iodine-soaked gauze intrarectally along with xylocaine lubricant for 5 minutes just before biopsy, while group 2 (n=100) did not receive povidone-soaked gauze. The transrectal digital guided prostate biopsy guided method was used in this study. The rectal swab was taken before using povidone-soaked gauze and after doing biopsy in both groups The bacterial colonies were counted in swabs before using povidone-soaked gauze and after biopsy using biopsy Mueller-Hinton agar medium.</p> <p><strong>Results:</strong> The mean age of group 1 was 64 years (range, 39–80) and group 2 was 61.7 years (range, 35–82). The average PSA values were 7.3 ng/ml and 8.34 ng/ml in groups 1 and 2, respectively. The rate of infectious complications in group1 was 0.9% (n=1) whereas in group 2 was 10% (n=10). A single-use of povidone-soaked rectal gauze significantly lowered the risk of infectious complications P<0.05. There was a 99.9% decrease in the mean number of colony-forming units after rectal preparation.</p> <p><strong>Conclusion:</strong> Findings concluded that using povidone iodine-soaked gauze before doing digital guided prostate biopsy is a significant method to minimize complications.</p>}, number={4}, journal={Journal of Postgraduate Medical Institute}, author={Farooq, Khalid and Asif, Muhammad and Hameed, Najma}, year={2021}, month={Dec.}, pages={225–9} }