Nam et al present an insightful and careful assessment of complications related to transrectal ultrasound guided prostate biopsies. During a study period of 1 decade postoperative (30-day) hospital admission rates and admission diagnoses were determined from ICD-9 and ICD-10 codes as applied to a data set of more than 75,000 men from a single, government operated health insurance system in Ontario, Canada. The authors found a statistically significant yet concerning trend toward increasing infection related admissions within 30 days of the biopsy, increasing from 1.0% in 1996 to 4.1% in 2005.
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