Skip to main content
Log in

Local anaesthetic techniques for performing transperineal prostate biopsy

  • Comment
  • Published:

From Nature Reviews Urology

View current issue Sign up to alerts

New technical modifications enable transperineal prostate biopsy to be performed in the ambulatory setting under local anaesthesia. Although a variety of techniques for administration of local anaesthetic during transperineal prostate biopsy have been described, no consensus exists regarding the most effective method to use. Thus, ample opportunity exists for procedural innovation and future study on this topic.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1: Methods for administering local anaesthesia during transperineal prostate biopsy.

References

  1. Pilatz, A. et al. European Association of Urology position paper on the prevention of infectious complications following prostate biopsy. Eur. Urol. 79, 11–15 (2021).

    Article  Google Scholar 

  2. Bhanji, Y., Allaway, M. J. & Gorin, M. A. Recent advances and current role of transperineal prostate biopsy. Urol. Clin. North Am. 48, 25–33 (2021).

    Article  Google Scholar 

  3. Stefanova, V. et al. Transperineal prostate biopsies using local anesthesia: experience with 1,287 patients. Prostate cancer detection rate, complications and patient tolerability. J. Urol. 201, 1121–1126 (2019).

    Article  Google Scholar 

  4. Kum, F. et al. Initial outcomes of local anaesthetic freehand transperineal prostate biopsies in the outpatient setting. BJU Int. 125, 244–252 (2020).

    Article  CAS  Google Scholar 

  5. Frank, S. G. & Lalonde, D. H. How acidic is the lidocaine we are injecting, and how much bicarbonate should we add? Can. J. Plast. Surg. 20, 71–73 (2012).

    Article  Google Scholar 

  6. Iremashvili, V. V. et al. Periprostatic local anesthesia with pudendal block for transperineal ultrasound-guided prostate biopsy: a randomized trial. Urology 75, 1023–1027 (2010).

    Article  Google Scholar 

  7. Wang, H. et al. A novel perineal nerve block approach for transperineal prostate biopsy: an anatomical analysis-based randomized single-blind controlled trial. Urology 146, 25–31 (2020).

    Article  Google Scholar 

  8. Kubo, Y. et al. Simple and effective local anesthesia for transperineal extended prostate biopsy: application to three-dimensional 26-core biopsy. Int. J. Urol. 16, 420–423 (2009).

    Article  Google Scholar 

  9. Lv, Z. et al. Efficacy and safety of periprostatic nerve block combined with perineal subcutaneous anaesthesia and intrarectal lidocaine gel in transrectal ultrasound guided transperineal prostate biopsy: a prospective randomised controlled trial. Prostate Cancer Prostatic Dis. 23, 74–80 (2020).

    Article  Google Scholar 

  10. Smith, J. B. et al. Transperineal sector prostate biopsies: a local anesthetic outpatient technique. Urology 83, 1344–1349 (2014).

    Article  Google Scholar 

Download references

Acknowledgements

J.C.H. receives research support from the Frederick J. and Theresa Dow Wallace Fund of the New York Community Trust.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael A. Gorin.

Ethics declarations

Competing interests

M.J.A. is the founder and owner of Perineologic. M.A.G. is a paid consultant for bk Medical, KOELIS and Perineologic. All other authors declare no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Basourakos, S.P., Allaway, M.J., Ross, A.E. et al. Local anaesthetic techniques for performing transperineal prostate biopsy. Nat Rev Urol 18, 315–317 (2021). https://doi.org/10.1038/s41585-021-00443-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41585-021-00443-7

  • Springer Nature Limited

This article is cited by

Navigation