Which is better transrectal or transperineal prostate biopsy?

In conclusion, our study indicated that transperineal prostate biopsy has the same diagnosis accuracy of transrectal prostate biopsy; however, transperineal prostate biopsy is safer and more valuable because it poses a significantly lower risk of infection and rectal bleeding.

How painful is transperineal biopsy?

Inserting the probe can be uncomfortable, but should not hurt. The doctor/nurse practitioner will use an antiseptic solution (iodine) to clean your perineum (the area through which the biopsies will be taken). You will then be given an injection of local anaesthetic (lidocaine), to make the area go numb.

How safe is a transperineal prostate biopsy?

Transperineal biopsies are safe tests but there are some possible side effects. Side effects might include: bleeding. infection.

What is a transperineal ultrasound?

What is a transperineal pelvic floor ultrasound scan? This is a scan of the pelvic floor using a hand-held probe or ‘transducer’ which is placed on the perineum (the area between the vagina and the anus).

What are the three types of prostate biopsies?

Prostate biopsies are carried out in several different ways. The most commonly employed techniques are transrectal ultrasound (TRUS) guided systematic biopsy of the prostate, transurethral biopsy and transperienal prostate biopsy.

Can I drive after a transperineal biopsy?

After the biopsy We strongly advise that someone takes you home rather than driving yourself after your biopsy. If you have had a Transperineal biopsy (under a full general anaesthetic or spinal anaesthetic) then somebody must be at home with you overnight.

How long does it take to recover from transperineal biopsy?

A patient may take about four to six weeks or even more recover after a prostate biopsy. The recovery process after biopsy usually depends on the patient’s health and age. Doctors may recommend only light activities for 24-48 hours after a prostate biopsy.

What are the side effects of a prostate biopsy?

Risks associated with a prostate biopsy include:

  • Bleeding at the biopsy site. Rectal bleeding is common after a prostate biopsy.
  • Blood in your semen. It’s common to notice red or rust coloring in your semen after a prostate biopsy.
  • Blood in your urine. This bleeding is usually minor.
  • Difficulty urinating.
  • Infection.

How is transperineal ultrasound done?

Transperineal ultrasound is performed with the patient placed in the dorsal lithotomy position, with the hips flexed and abducted. If necessary, the patient can be examined standing, to maximise descent of pelvic organs, especially if the patient finds it difficult to produce an effective Valsalva maneuver.

Does a biopsy damage the prostate?

Prostate biopsy comes with certain risks. For example, when the biopsy needle passes through the rectal wall to reach the prostate, it can spread a bacterial infection to the prostate gland or bloodstream.