Transrectal ultrasound-guided biopsy of the prostate: relation between ASA use and bleeding complications

Objective: To determine the relation between ASA ingestion and the incidence of bleeding complications after transrectal ultrasound (TRUS)-guided biopsy of the prostate. Methods: Overall, 1810 patients with suspected prostate disease were followed after biopsy. ASA use was determined before the procedure. A TRUS-guided sextant biopsy was performed and patients were contacted immediately and by follow-up telephone call to determine whether there were any immediate or delayed bleeding complications. Results: Overall, 46 subjects (2.5%) had bleeding complications, Of the 54 subjects reporting current use of ASA, 2 (3.7%) had such complications. This difference was not significant. Conclusion: There was no evidence of an association between the use of ASA and postbiopsy bleeding complications.