Transperineal Prostate Biopsy

Chapter

Abstract

The authors describe a transperineal prostate biopsy technique routinely performed under local anesthesia, including the management of the patient before and after the biopsy and trying to provide some tips and tricks for the readers.

Keywords

Transperineal prostate biopsy Prostate cancer 

References

  1. 1.
    Arsov C, Rabenalt R, Blondin D, Quentin M, Hiester A, Godehardt E, et al. Prospective randomized trial comparing magnetic resonance imaging (MRI)-guided in-bore biopsy to MRI-ultrasound fusion and transrectal ultrasound-guided prostate biopsy in patients with prior negative biopsies. Eur Urol. 2015;68(4):713–20.CrossRefPubMedGoogle Scholar
  2. 2.
    Ayres BE, Montgomery BS, Barber NJ, Pereira N, Langley SE, Denham P, et al. The role of transperineal template prostate biopsies in restaging men with prostate cancer managed by active surveillance. BJU Int. 2012;109(8):1170–6.CrossRefPubMedGoogle Scholar
  3. 3.
    Cerruto MA, Vianello F, D’Elia C, Artibani W, Novella G. Transrectal versus transperineal 14-core prostate biopsy in detection of prostate cancer: a comparative evaluation at the same institution. Arch Ital Urol Androl. 2014;86(4):284–7.CrossRefPubMedGoogle Scholar
  4. 4.
    Emiliozzi P, Longhi S, Scarpone P, Pansadoro A, DePaula F, Pansadoro V. The value of a single biopsy with 12 transperineal cores for detecting prostate cancer in patients with elevated prostate specific antigen. J Urol. 2001;166(3):845–50.CrossRefPubMedGoogle Scholar
  5. 5.
    Gaziev G, Wadhwa K, Barrett T, Koo BC, Gallagher FA, Serrao E, et al. Defining the learning curve for multiparametric magnetic resonance imaging (MRI) of the prostate using MRI-transrectal ultrasonography (TRUS) fusion-guided transperineal prostate biopsies as a validation tool. BJU Int. 2016;117(1):80–6.CrossRefPubMedGoogle Scholar
  6. 6.
    Grummet JP, Weerakoon M, Huang S, Lawrentschuk N, Frydenberg M, Moon DA, et al. Sepsis and ‘superbugs’: should we favour the transperineal over the transrectal approach for prostate biopsy? BJU Int. 2014;114:384–8.PubMedGoogle Scholar
  7. 7.
    Hossack T, Patel MI, Huo A, Brenner P, Yuen C, Spernat D, et al. Location and pathological characteristics of cancers in radical prostatectomy specimens identified by transperineal biopsy compared to transrectal biopsy. J Urol. 2012;188(3):781–5.CrossRefPubMedGoogle Scholar
  8. 8.
    Iremashvili VV, Chepurov AK, Kobaladze KM, Gamidov SI. Periprostatic local anesthesia with pudendal block for transperineal ultrasound-guided prostate biopsy: a randomized. Urology. 2010;75(5):1023–7.CrossRefPubMedGoogle Scholar
  9. 9.
    Kubo Y, Kawakami S, Numao N, Takazawa R, Fujii Y, Masuda H, Tsujii T, Kihara K. Simple and effective local anesthesia for transperineal extended prostate biopsy: application to three-dimensional 26-core biopsy. Int J Urol. 2009;16(4):420–3.CrossRefPubMedGoogle Scholar
  10. 10.
    Li H, Yan W, Zhou Y, Ji Z, Chen J. Transperineal ultrasound-guided saturation biopsies using 11-region template of prostate: report of 303 cases. Urology. 2007;70:1157–61.CrossRefPubMedGoogle Scholar
  11. 11.
    Moore CM, Robertson NL, Arsanious N, Middleton T, Villers A, Klotz L, et al. Image-guided prostate biopsy using magnetic resonance imaging-derived targets: a systematic review. Eur Urol. 2013;63(1):125–40.CrossRefPubMedGoogle Scholar
  12. 12.
    Moran BJ, Braccioforte MH. Stereotactic transperineal prostate biopsy. Urology. 2009;73:386–8.CrossRefPubMedGoogle Scholar
  13. 13.
    Smith JB, Popert R, Nuttall MC, Vyas L, Kinsella J, Cahill D. Transperineal sector prostate biopsies: a local anesthetic outpatient technique. Urology. 2014;83(6):1344–9.CrossRefPubMedGoogle Scholar
  14. 14.
    Vyas L, Acher P, Kinsella J, Challacombe B, Chang RT, Sturch P, et al. Indications, results and safety profile of transperineal sector biopsies (TPSB) of the prostate: a single centre experience of 634 cases. BJU Int. 2014;114:32–7.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London 2017

Authors and Affiliations

  • Gabriele Gaziev
    • 1
  • Stefano Germani
    • 1
  • Roberto Miano
    • 1
  1. 1.Urology Division, Department of Experimental Medicine and SurgeryPoliclinico Tor Vergata Foundation, University of Tor VergataRomeItaly

Personalised recommendations