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Review
. 2023 May;62(5):473-478.
doi: 10.1007/s00120-023-02066-9. Epub 2023 Mar 17.

[Transrectal vs. transperineal fusion biopsy of the prostate : Time to switch to the perineal technique-comparison of methods and description of the transperineal procedure under local anesthesia]

[Article in German]
Paulo Leonardo Pfitzinger  1 , Benazir Enzinger  2 , Benedikt Ebner  2 , Troya Ivanova  2 , Yannic Volz  2 , Michael Chaloupka  2 , Maria Apfelbeck  2 , Christian Stief  2
Affiliations
Review

[Transrectal vs. transperineal fusion biopsy of the prostate : Time to switch to the perineal technique-comparison of methods and description of the transperineal procedure under local anesthesia]

[Article in German]
Paulo Leonardo Pfitzinger et al. Urologie. 2023 May.

Abstract
in English, German

The clinical and histological diagnosis of prostate cancer is a crucial aspect of the routine work of a urologist. The high prevalence of multiresistant microorganisms leads to an increased incidence of sepsis after transrectal prostate biopsy. It requires a switch from the still gold-standard method to the transperineal fusion biopsy procedure after multiparametric prostate magnetic resonance imaging (MRI). This article provides an overview of the most important differences between the two methods and gives a detailed methodological description of transperineal fusion biopsy under local anesthesia.

Die klinische und histologische Primärdiagnostik des Prostatakarzinoms zählt zu den wichtigsten Aufgaben der Urologen und Urologinnen. Die hohe Prävalenz multiresistenter Mikroorganismen führt zusehends zu einer erhöhten Inzidenz von Sepsis nach transrektaler Biopsie und erfordert einen Wechsel von der bis dato als Goldstandard gesehenen Technik zur perinealen Fusionsbiopsie nach erfolgtem multiparametrischen MRT der Prostata. Dieser Artikel liefert sowohl einen Überblick über wichtige Unterschiede zwischen den Methoden als auch eine detaillierte Beschreibung der transperinealen Fusionsbiopsie in Lokalanästhesie.

Keywords: Fusion biopsy; Local anesthetics; Magnetic resonance imaging; Perineal; Prostate cancer.

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References

Literatur

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