Evidence map›Paper›PMID 42553613›Full record

ArticleBJUI compass2026

Haemorrhagic risk of transperineal ultrasound-guided prostate biopsy performed under continued antithrombotic therapy.

Naoki Akagi, Tatsuki Kinoshita, Motoki Fujita, Riki Obayashi, Akihiro Yamamoto, Akihiko Nagoshi, Tasuku Fujiwara, Takanari Kambe, Ryo Yamamoto, Atsushi Igarashi and 4 more

Abstract read
In one paragraph

Article in BJUI compass, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Naoki AkagiDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.
Tatsuki KinoshitaDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.
Motoki FujitaDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.
Riki ObayashiDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.
Akihiro YamamotoDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.
Akihiko NagoshiDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.
Tasuku FujiwaraDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.
Takanari KambeDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.ORCID https://orcid.org/0000-0002-2913-7364
Ryo YamamotoDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.
Atsushi IgarashiDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.
Yuto HattoriDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.ORCID https://orcid.org/0000-0002-1488-9811
Noboru ShibasakiDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.
Mutsushi KawakitaDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.ORCID https://orcid.org/0009-0003-2494-0355
Toshinari YamasakiDepartment of Urology Kobe City Medical Center General Hospital Kobe Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This study aims to evaluate the safety of transperineal prostate biopsy performed with continued antiplatelet and anticoagulant therapies under caudal anaesthesia. Patients and Methods: A total of 620 consecutive patients who underwent transperineal ultrasound-guided prostate biopsy at a tertiary care centre in Japan from March 2023 to June 2025 were retrospectively analysed. Antithrombotic agents were continued according to institutional policy, and all procedures were performed under caudal anaesthesia. Patients were categorised into a no-antithrombotic therapy group (NA group, Results: Haemorrhagic events occurred in 8.9% and 11.7% of patients in the NA and AP/AC groups, respectively ( Conclusion: Continuation of antiplatelet or anticoagulant therapy during transperineal prostate biopsy under caudal anaesthesia was not associated with a clear increase in clinically relevant haemorrhagic complications, and no anaesthesia-related complications were observed.

Indexed as

anticoagulantsantiplatelet agentscaudal anaesthesiahaemorrhagic complicationsprostate biopsy

Identifiers

PMID42553613
PMCPMC13435255

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.