Transrectal versus transperineal prostate fusion biopsy: a pair-matched analysis to evaluate accuracy and complications

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The transperineal (TP) approach is recommended over the transrectal (TR) method for prostate biopsies due to lower infection risks.
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A pair-matched analysis of 4652 patients showed higher clinically significant prostate cancer detection rates with TP biopsies compared to TR biopsies.
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Complications were rare and similar between TP and TR biopsy groups, with no significant differences in post-biopsy infection rates.
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TP biopsies demonstrated superior detection rates for clinically significant prostate cancer in both anterior and posterior lesions.
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Despite higher csPCa detection with TP, TR biopsies had a better overall cancer detection rate during systematic sampling.

World Journal Of Urology

by Marco Oderda, Romain Diamand, Rawad Abou Zahr, Julien Anract, Gregoire Assenmacher, Nicolas Barry Delongchamps, Alexandre Patrick Bui, Daniel Benamran, Giorgio Calleris, Charles Dariane, Mariaconsiglia Ferriero, Gaelle Fiard, Fayek Taha, Alexandre Fourcade, Georges Fournier, Karsten Guenzel, Adam Halinski, Giancarlo Marra, Guillaume Ploussard, Katerina Rysankova, Jean-Baptiste Roche, Giuseppe Simone, Olivier Windisch, Paolo Gontero
September 25, 2024

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