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Radiation Oncology • Genitourinary Cancers
Does a transperineal approach to prostate biopsy change your treatment plan compared to transrectal?
For example, transperineal biopsies may capture a higher volume of disease. Should this change risk stratification compared to transrectal biopsies? Is ">50% of cores" still the relevant metric? Conversely, transperineal biopsies may increase uncertainty about proximity of disease to the base of the prostate depending on how the pathologist reads the slide.
Answer from: Radiation Oncologist at Academic Institution
The short answer is no. The typical scenario in which I have seen transperineal biopsies done is a patient with multiple negative transrectal biopsies in whom there is still a concern for clinically significant prostate cancer and an MRI has not identified a target to biopsy. In these cases, multipl...
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Answer from: Radiation Oncologist at Community Practice
It really doesn't matter TRUS vs transperineal.