Manchester Urology offers Transperineal Template Prostate Biopsies.  Often this is used in combination with other latest advances in prostate cancer diagnosis such as MRI – US Fusion Transperineal Targeted Prostate biopsy and 3T Multiparametric MRI.

Transperineal Template Prostate Biopsies provide a diagnostic process which is far more precise and accurate than traditional Trans rectal Ultrasound Guided Biopsies (TRUS) biopsies. It involves a combination of the latest MRI imaging techniques and a template guided biopsy system which together produces a very precise and accurate diagnosis for men concerned about whether they have prostate cancer and, if they do, to help them choose the most appropriate treatment. 

Why should I have a Transperineal Template Prostate Mapping Biopsy?

There are a number of reasons why MRI and prostate mapping biopsies may be suitable for you: 

• Precision Diagnosis
  If you have a raised PSA and need to have a prostate biopsy, prostate mapping gets the most accurate diagnosis of whether you have prostate cancer and if you do, the extent and aggressiveness of the disease. OVER 20% OF PATIENTS REQUIRE A SECOND BIOPSY WITH STANDARD TRUS BIOPSY. Prostate Mapping biopsies get accuracy and precision in one biopsy.
  
  If you have a raised PSA and although one or more prostate biopsies have not detected any cancer so far, there is chance that you may still have prostate cancer that has been missed.
  
  If you have a raised PSA and need to have a prostate biopsy, but do not wish to have your biopsy under local anaesthetic.
  
  If you have been told that you have a low grade and non-aggressive cancer and you want to be sure that this is an accurate diagnosis before considering “active surveillance”.
  If you want to have a precise location for your cancer to help you decide if you would like one of the newer minimally invasive treatments.
  
  The Transperineal approach has a much lower risk of infection and sepsis.
  
  
• Precision Risk Stratification
  Prostate Mapping is the most accurate way to risk stratify you without removing the prostate itself. This will put you in the best position to make informed choices about your treatment and may also make it possible to have one of the newer, less invasive methods of treatment which specifically target the cancer within your prostate.

What to expect

Patients seen with either a raised PSA blood test or an abnormal feeling prostate will undergo a 3T Multiparametric MRI. This MRI scan will then be used to develop a contoured map of your prostate identifying any abnormal areas and also staging any potential pathology.

The patient has either a general or regional anaesthetic.  A urethral catheter is placed to allow identification of the urethra on the ultrasound images. This then allows the surgeon to align the urethra and prostate with the Transperineal template.  The prostate is then sampled at 5 mm intervals using a designated zonal system.  The number of biopsies taken depends on the size of the prostate and the zonal system used.  The catheter is removed at the end of the procedure.

On return to the ward the patient can go home once they have passed urine.  Although there is a slightly higher risk of urinary retention with the Transperineal approach, the risk of infection and severe infection (sepsis) is much lower.

For more information please either download the patient information sheet or contact Manchester Urology on 01614957796 to arrange a consultation.