Question: TRUS vs TPMB

[G6AS]

Under active surveillance as Gleason 6 and time for confirmatory biopsy. My TRUS was miserable last time... would TPMB be better?

[Tall_Allen]

Transperineal biopsy has less sepsis, but fewer urologists are expert at it, because it is relatively new.

[G6AS in reply to Tall_Allen]

Thanks, is transperineal always MRI fused, or do they use ultrasound probe for guidance?

[Tall_Allen in reply to G6AS]

It can be either.

[pd63]

I've had 2 tp biopsies with local anaesthetic pain level 3 out of 10, I'm assuming the consultant was very experienced

[G6AS in reply to pd63]

Was it in an office? My urologist said he would have to do transperineal at hospital.

[pd63 in reply to G6AS]

Hospital