Interventional Ultrasound: Transperineal and Transrectal Prostatic Biopsy

  • Andrea FandellaEmail author
  • Pietro Pepe


PSA and/or rectal examination suspects remain the main indications for biopsy [1–4]. A prostate biopsy may be indicated for PSA values that exceed the thresholds of common use and almost always for values above 10 ng/ml; in this regard it is suggested to always repeat the PSA before making a decision. PSA level should be verified after a few weeks using the same assay under standardized conditions (i.e., no ejaculation, manipulations, urinary tract infections, prostate inflammation, and trauma) in the same laboratory [2, 3]. Empiric use of antibiotics in an asymptomatic patient in order to lower the PSA should not be undertaken [4].


Prostate Biopsy Repeat Biopsy Prostate Inflammation Saturation Biopsy Atypical Small Acinar Proliferation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 26.1

Transrectal end-fire probe: infiltration anesthesia corner between prostate and seminal vesicle through a long thin needle (with echogenic tip) inserted in the channel of the probe (MOV 50625 kb)

Video 26.2

Transrectal end-fire probe: prostate biopsy in the peripheral rear area (MOV 21206 kb)

Video 26.3

Transrectal end-fire probe: prostate biopsy in the peripheral right area (MOV 13576 kb)

Video 26.4

Transrectal end-fire probe: prostate biopsy in the peripheral anterior area (MOV 17760 kb)

Video 26.5

Transperineal prostate biopsy of the periphery of the gland (longitudinal scan): needle biopsy (18 gauge tru-cut) in the periphery of the gland (WMV 2141 kb)

Video 26.6

Transperineal prostate biopsy of the anterior zone of the gland (longitudinal scan): needle biopsy (18 gauge tru-cut) in the anterior zone of the gland (WMV 1389 kb)

Video 26.7

3.0 Tesla pelvic multiparametric MRI/TRUS fusion targeted biopsy (ACHIEVA 3.0 Tesla; Philips Healthcare Best, the Netherlands – Logiq E9 General Electric; Milwaukee, WI): following multiparametric MRI/TRUS fusion procedure, the needle performs the targeted biopsy in the suspicious zone (marker) of the prostate (WMV 7844 kb)


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© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Unit of UrologyCasa di Cura Giovanni XXIIIMonastier di TrevisoItaly
  2. 2.Unit of Urology“Cannizzaro” Emergency HospitalCataniaItaly

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