Transperineal Prostate Biopsy

About The Procedure

Transperineal Prostate Biopsy – Advanced / Minimally Invasive Prostate Biopsy with Precision Point Device

Transperineal Prostate Biopsy is the preferred method of sampling prostatic tissue in order to confirm or exclude prostate cancer. The classic indications for a prostate biopsy are high PSA levels (blood test) or abnormal prostate examination (finger test or digital rectal examination). More recently, MRI (magnetic resonance imaging) has become an important tool to guide prostate biopsy and we are lucky to offer MRI to all patients before its first biopsy.

The transperineal route is preferred when compared to the transrectal method because it allows better sampling of anterior and apical areas of the prostate (not covered by the transrectal one) with a much lower risk of infection. A single dose of a simple antibiotic is required rather than a full week of a strong one.

Dr Flávio Ordones and Dr Wikus Vermeulen are leaders in performing transperineal prostate biopsy under local utilizing a new device called Precision Point. The device, introduced by Dr Flávio allows biopsy under local anesthetics which has brought several advantages to our local health system. Together they have performed around 500 biopsies in the last 2 years between public and private.

Operation

In Grace Hospital, all biopsies are performed under sedation or general anaesthetics. For the procedure, we require a prior negative urine culture. An ultrasound probe will be inserted in the rectum and will give the surgeons images from your prostate similar to those from the MRI. The surgeon will then put local anaesthetics in the skin, fat, and around the prostate. The precision point device is then secured in the skin and the surgeon will use the biopsy needle to take the necessary samples. A minimum of twelve cores is taken. An important advantage of this technique is that it is less invasive (much less trauma to the perineal skin) when compared with the standard transperineal biopsies.

Blood in the sperm is expected for 6 weeks and blood in urine is expected for 2 weeks. In a rare event of fever, you must present to the closest emergency department.

Post Surgery

Blood in the sperm is expected for 6 weeks and blood in urine is expected for 2 weeks. In a rare event of fever, you must present to the closest emergency department.