Zusammenfassung
Die klinische und histologische Primärdiagnostik des Prostatakarzinoms zählt zu den wichtigsten Aufgaben der Urologen und Urologinnen. Die hohe Prävalenz multiresistenter Mikroorganismen führt zusehends zu einer erhöhten Inzidenz von Sepsis nach transrektaler Biopsie und erfordert einen Wechsel von der bis dato als Goldstandard gesehenen Technik zur perinealen Fusionsbiopsie nach erfolgtem multiparametrischen MRT der Prostata. Dieser Artikel liefert sowohl einen Überblick über wichtige Unterschiede zwischen den Methoden als auch eine detaillierte Beschreibung der transperinealen Fusionsbiopsie in Lokalanästhesie.
Abstract
The clinical and histological diagnosis of prostate cancer is a crucial aspect of the routine work of a urologist. The high prevalence of multiresistant microorganisms leads to an increased incidence of sepsis after transrectal prostate biopsy. It requires a switch from the still gold-standard method to the transperineal fusion biopsy procedure after multiparametric prostate magnetic resonance imaging (MRI). This article provides an overview of the most important differences between the two methods and gives a detailed methodological description of transperineal fusion biopsy under local anesthesia.
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P.L. Pfitzinger, B. Enzinger, B. Ebner, T. Ivanova, Y. Volz, M. Chaloupka, M. Apfelbeck und C. Stief geben an, dass kein Interessenkonflikt besteht.
Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.
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Pfitzinger, P.L., Enzinger, B., Ebner, B. et al. Transrektale vs. transperineale Fusionsbiopsie der Prostata. Urologie (2023). https://doi.org/10.1007/s00120-023-02066-9
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DOI: https://doi.org/10.1007/s00120-023-02066-9
Schlüsselwörter
- Prostatakarzinom
- MRT
- Fusionsbiopsie
- Perineal
- Lokalanästhesie
Keywords
- Prostate cancer
- Magnetic resonance imaging
- Fusion biopsy
- Perineal
- Local anesthetics