Safety and feasibility of freehand transperineal prostate biopsy under local anesthesia: Our initial experience

Sivaraman, Ananthakrishnan; Ramasamy, Vasantharaja; Aarthy, P; Sankar, Vinoth; Sivaraman, P.

doi:10.4103/iju.iju_222_21

Cited by 5 publications

(2 citation statements)

References 36 publications

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“…But transperineal biopsies are preferred now, with the advantage of less infections and higher yield from anterior gland biopsies and apical biopsies. 19 Targeted biopsies from hypoechoic and other suspicious areas can be done in addition to standard cores.…”

Section: Transrectal Ultrasound Guided Biopsymentioning

confidence: 99%

Prostate Carcinoma: Urologist's Perspective

Murugesan,

S.M

2024

Journal of Gastrointestinal and Abdominal Radiology

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Prostate cancer management has undergone radical changes in recent times, due to early diagnosis in localized stage and availability of multiple treatment modalities. But the onus of selecting appropriate treatment rests with the urologist. Radiological investigations are immensely important in these patients. Measurement of prostate-specific antigen and its derivatives is the primary investigation in the diagnosis of prostate carcinoma. Ultrasonogram is of limited utility in prostate carcinoma. Magnetic resonance imaging provides extensive information to the treating physician regarding the approach and the treatment modality to be used in the management of prostate carcinoma. Radiological investigations are the cornerstones for efficient management of prostate carcinoma.

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Section: Transrectal Ultrasound Guided Biopsymentioning

confidence: 99%

Prostate Carcinoma: Urologist's Perspective

Murugesan,

S.M

2024

Journal of Gastrointestinal and Abdominal Radiology

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“…[ 4 5 ] Multiple studies compared TP biopsy to other techniques showed that it is safe, feasible, has superior sensitivity, especially in detecting anterior cancers as well as having low rate of sepsis. [ 6 7 ] Introduction of freehand techniques avoided discomfort and complicated setting up brachytherapy stepper and proved to be safe, accurate, and feasible. [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

Transperineal biopsy as a new technique versus well-established transrectal biopsy for diagnosis of prostate cancer – A comparative study

Eltafahny,

Alshamlan,

Almazeedi

et al. 2024

Urology Annals

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Introduction: Transrectal (TR) prostate biopsy has been the gold standard for prostate cancer diagnosis for years. With the emergence of transperineal (TP) prostatic biopsy, there is a shift in practice across medical services to adopt TP biopsy as the primary method of prostatic biopsy. Objective: The objective of the study is to compare cancer detection rates and complications between TP and TR biopsies in our region providing single-center experience with introduction of TP biopsy. Patients and Methods: This is a retrospective study utilizing a prospectively designed database comparing consecutive 80 cases of TP biopsy to 80 cases of TR biopsy in a single center. Results: Prebiopsy PSA was 14.2 ± 24.9 ng/dl in the TP group versus 23.7 ± 71.3 ng/dl in the TR group with P = 0.108. Prostate Imaging–Reporting and Data System (PIRAD) 4 and 5 lesions were found in 47 (58.9%) cases of TP biopsy versus 44 (60.3%) of TR group cases and P = 0.131. Cancer was detected in 49 (61.25%) patients in the TP group versus 45 (56.25%) in the TR group with no statistically significant difference and P = 0.665. No cases of hematochezia was reported in TP group, vs 14 (17.5%) reported in TR group with P value <.001. There were no statistically significant differences regarding the incidence of febrile urinary tract infection (UTI), hematuria, and hematospermia in the TP group 0 (0%), 7 (8.75%), and 3 (3.75%) versus 2 (2.50%), 14 (17.50%), and 5 (6.25%) in the TR group with P = 0.497, 0.159, and 0.719 consecutively. Conclusion: TP and TR biopsy have comparable cancer detection rates. TP biopsy has a significantly lower rectal bleeding rate than TR biopsy. There is a trend toward lower febrile UTI in the TP group; however, it did not reach statistical significance.

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