Recent Advances and Current Role of Transperineal Prostate Biopsy

Bhanji, Yasin; Allaway, Mathew J.; Gorin, Michael A.

doi:10.1016/j.ucl.2020.09.010

Cited by 37 publications

(23 citation statements)

References 40 publications

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“…Utilizing a cannula, the biopsy needle can pivot and be directed through the prostate. 2 , 48 , 89 , 90 A disadvantage of the free-hand technique is the dissociation of ultrasound probe and sampling needle. This led to the TP Access Systems, such as Precision Point (Perineologic, Cumberland, MD, USA), which comprised a clamp, a needle carriage, and a 15-gauge access needle.…”

Section: The Modern Era Of Tp Pbxmentioning

confidence: 99%

“… 89 The device is secured to the ultrasound probe, which stabilizes the biopsy needle in the correct plane as the linear ultrasound array. 2 , 71 , 89 The development of free-hand approach along with the needle guides (such as Precision point and SureFire) has provided freedom from brachytherapy grids previously used to obtain template TP biopsies.…”

Section: The Modern Era Of Tp Pbxmentioning

confidence: 99%

“…Approximately one million prostate biopsies are performed per year in the United States alone, and there has been substantial investigation into methods to best obtain an accurate histopathologic diagnosis while minimizing morbidity. 2 …”

Section: Introductionmentioning

confidence: 99%

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Hundred years of transperineal prostate biopsy

Schmeusser

Levin

Lama

et al. 2022

Therapeutic Advances in Urology

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The earliest recorded efforts to biopsy prostate, in the early 20th century, were made through transperineal (TP) approach, with open perineal prostate biopsy (PBx) being considered the gold standard for prostate cancer (PCa) diagnosis in that era. Later, to minimize morbidity and increase diagnostic accuracy, several technical modifications and transrectal ultrasound (TRUS) assistance were incorporated. However, in the 1980s, the transrectal (TR) approach became the predominant PBx method following the introduction of TRUS-TR PBx with sextant sampling, providing a convenient and efficacious method for prostate sampling. With modernization of PCa diagnosis, a recent resurgence of the TP PBx has been observed, driven primarily by TR drawbacks of infectious complications and sampling limitations. TP PBx is rapidly emerging as the new PBx standard, being officially recommended as the initial approach for biopsy in Europe and is increasingly being conducted and studied in the United States. The modern era of TP PBx is based on the improvements in local anesthesia techniques, TP access systems, and robotic assistance. These modifications and advancements have improved the ease of use, patient comfort, and diagnostic outcomes with TP PBx. Herein, we present a history of the evolution of TP PBx spanning over 100 years and explore the basis of the technique that merits future utilization.

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Section: The Modern Era Of Tp Pbxmentioning

confidence: 99%

Section: The Modern Era Of Tp Pbxmentioning

confidence: 99%

See 1 more Smart Citation

Hundred years of transperineal prostate biopsy

Schmeusser

Levin

Lama

et al. 2022

Therapeutic Advances in Urology

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show abstract

“…O diagnóstico do CaP depende da confirmação histopatológica a partir da biópsia da próstata (BP) guiada por ultrassonografia, seja ela por via transretal (BTRUS) ou transperineal (BTPUS), indicada nos casos de suspeita da neoplasia (elevação do antígeno prostático específico (PSA) e/ou toque retal da próstata (TR) alterado) (12,13) .…”

Section: Diagnósticounclassified

“…A BTRUS é um procedimento invasivo que apresenta taxas de até 30% de falha em detectar o CaP (25) . A BTPUS, embora também represente um procedimento invasivo, tem conferido menores taxas de complicações, além de uma maior possibilidade de diagnóstico de lesões anteriores e menor taxa de upgrading pós prostatectomia radical (PTR) (13) .…”

Section: Diagnósticounclassified

O papel dos marcadores MMP-9, TIMP-1, RECK e miR-338-3p no diagnóstico e prognóstico do câncer de próstata

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Pooled outcomes of performing freehand transperineal prostate biopsy with the PrecisionPoint Transperineal Access System

et al. 2022

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Objectives: To report the results of a pooled analysis evaluating the cancer detection rates, complications, and tolerability of prostate biopsies performed using the Preci-sionPoint Transperineal Access System. Patients and Methods:The medical literature was reviewed to identify studies published prior to 1 October 2021 evaluating the PrecisionPoint device for performance of transperineal prostate biopsy. Pooled analyses were performed to assess overall and clinically significant cancer detection rates. Additionally, data on complications as well as patient tolerability of the procedure when performed under local anaesthesia were extracted.Results: Transperineal biopsy with the PrecisionPoint Transperineal Access System achieved overall and clinically significant cancer detection rates of 67.9% and 42.6%, respectively. Among patients with Prostate Imaging Reporting and Data System 3, 4, and 5 lesions on prostate magnetic resonance imaging, clinically significant disease was found in 31.7%, 55.7%, and 71.8% of patients, respectively. Complications were rare, with sepsis reported in 4 (0.1%) of 3411 procedures despite frequent omission of antibiotic prophylaxis. Patients reported acceptable tolerability of the procedure when performed under local anaesthesia.Conclusions: Within the available medical literature, there is uniform evidence supporting the use of the PrecisionPoint Transperineal Access System for performing prostate biopsy procedures. The reported cancer detection and infectious complication rates with this device are in line with other methods for performing transperineal prostate biopsy. A unique aspect of the PrecisionPoint device is its ability to facilitate performing transperineal prostate biopsy under local anaesthesia. This factor will likely lead to increased adoption of the beneficial transperineal approach to prostate biopsy.

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Recent Advances and Current Role of Transperineal Prostate Biopsy

Cited by 37 publications

References 40 publications

Hundred years of transperineal prostate biopsy

Hundred years of transperineal prostate biopsy

O papel dos marcadores MMP-9, TIMP-1, RECK e miR-338-3p no diagnóstico e prognóstico do câncer de próstata

Pooled outcomes of performing freehand transperineal prostate biopsy with the PrecisionPoint Transperineal Access System

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