A Case of In-Bore Transperineal MRI-Guided Prostate Biopsy of a Patient with Ileal Pouch-Anal Anastomosis

Ulcerative colitis (UC) is an inflammatory disease that specifically affects the colon. Ulcerative colitis is primarily treated medically and refractory disease is treated with proctocolectomy and ileal pouch-anal anastomosis (IPAA). Gastroenterologists advise against digital rectal exams, pelvic radiation therapy, and transrectal ultrasound (TRUS) biopsies of the prostates of ileal pouch-anal anastomosis patients. Any form of pouch manipulation can lead to severe bleeding, inflammation, and pain. Urologists are therefore faced with the challenge of doing a prostate biopsy without a transrectal ultrasound. We report the rare case of a patient with an ileal pouch-anal anastomosis who underwent in-bore transperineal MRI-guided biopsy of the prostate.

[1]  J. Trachtenberg,et al.  In-bore MRI interventions: current status and future applications , 2015, Current opinion in urology.

[2]  M. Aliyari Ghasabeh,et al.  Prostate Biopsy Using Transrectal Ultrasonography; The Optimal Number of Cores Regarding Cancer Detection Rate and Complications , 2015, Iranian journal of radiology : a quarterly journal published by the Iranian Radiological Society.

[3]  S. Holubar,et al.  Minimally Invasive Surgery for Inflammatory Bowel Disease , 2015, Inflammatory bowel diseases.

[4]  Baris Turkbey,et al.  Recent advances in image-guided targeted prostate biopsy , 2015, Abdominal Imaging.

[5]  F. Remzi,et al.  Screening and Diagnosis of Prostate Cancer in Patients with Ileal Pouch–Anal Anastomosis: Consensus From an Expert Panel , 2011, The American Journal of Gastroenterology.

[6]  A. Kornbluth,et al.  Ulcerative Colitis Practice Guidelines in Adults: American College of Gastroenterology, Practice Parameters Committee , 2010, The American Journal of Gastroenterology.

[7]  M. Stamos,et al.  Contemporary Indications for and Early Outcomes of Abdominoperineal Resection , 2005, The American surgeon.

[8]  A. Kornbluth,et al.  Ulcerative colitis practice guidelines in adults (update): American College of Gastroenterology, Practice Parameters Committee. , 2004, The American journal of gastroenterology.

[9]  M. Terris,et al.  Transperineal prostate biopsy after abdominoperineal resection. , 2003, The Journal of urology.

[10]  A. Fergany,et al.  CLINICAL UROLOGY: Letters to the EditorRE: A TECHNIQUE OF TRANSRECTAL ULTRASOUND GUIDED TRANSPERINEAL RANDOM PROSTATE BIOPSY IN PATIENTS WITH ULCERATIVE COLITIS AND AN ILEAL POUCH , 2000 .

[11]  P. Hughes.  Re: A technique of transrectal ultrasound guided transperineal random prostate biopsy in patients with ulcerative colitis and an ileal pouch. , 2000, The Journal of urology.