Transperineal Prostate Biopsy

Transperineal Prostate (TP) Biopsy

Transperineal prostate biopsy is used to sample a prostate gland for cancer.  General anaesthetic is required to complete the procedure.

An ultrasound probe is inserted into the rectum to locate the prostate and carefully guide the biopsy needle to obtain tissue. Biopsy needles are passed through perineal skin (between the scrotum and anus). This technique offers advantages of accurate prostate sampling with less risk of urinary tract infections compared to Transrectal (TRUS) biopsy. Special equipment to perform TP biopsy is available at Epworth Freemasons and Western Private Hospital.

TP biopsy accurately samples the prostate gland with minimal infection risk (<0.5%). This is my preferred method for investigating abnormal PSA levels. I no longer perform Transrectal prostate biopsies.