Transrectal versus Transperineal Prostate Biopsy: Accuracy and Complications

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If you've been told you need a prostate biopsy, you may be wondering whether a transrectal biopsy or a transperineal biopsy is the better option. In this episode of UroPatient, Vic Senese, RN, BSN, FAUNA, explains the key differences between these two prostate biopsy techniques and what current research tells us about their accuracy, safety, and potential complications.

You'll learn why many urologists are increasingly adopting the transperineal approach, how it compares with the traditional transrectal biopsy, and what patients should know before making an informed decision with their healthcare provider.

In this episode, you'll discover:

✅ What happens during a prostate biopsy
✅ The differences between transrectal and transperineal prostate biopsy procedures
✅ Which approach has the lowest risk of infection and sepsis
✅ How cancer detection rates compare between the two techniques
✅ Whether one biopsy method is more accurate than the other
✅ Pain management and anesthesia options
✅ Recovery time and what to expect afterward
✅ Possible side effects, including bleeding and urinary retention
✅ Questions you should ask your urologist before your biopsy

If your PSA is elevated, your prostate MRI shows a PI-RADS 3, 4, or 5 lesion, or your physician recommends a biopsy, understanding these options can help you feel more confident and prepared.

This episode is designed for patients, caregivers, and anyone wanting to better understand today's best practices in prostate cancer diagnosis.

Hosted and presented by Vic Senese, RN, BSN, FAUNA, host of UroPatient, providing trusted, easy-to-understand education for patients facing urologic conditions.

Subscribe for more patient-friendly urology education:
https://www.youtube.com/@UroNurse1

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Urology
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