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Ultrasound-guided histological biopsy from the prostate

Implementation

Transrectal biopsy

  • Place local anesthesia with a thin needle in the area around the prostate capsule.
  • Fill the condom with gel and cover the ultrasound probe. 
  • Insert ultrasound probe into the rectum.
  • Inspect the prostate and target volume.
  • Localize the suspect area in the prostate using ultrasound.
  • Insert the biopsy needle with the help of ultrasound into the desired area of the prostate.
  • Retract the biopsy pistol to take the biopsy.
  • Take 4-6 biopsies from each prostate lobe in a systematic pattern.
  • Place the biopsies into separate specimen containers with formalin.

Transperineal biopsy

  • Short general anesthesia is given. 
  • Fill the condom with gel and cover the ultrasound probe.  
  • Insert the ultrasound probe into the rectum.
  • Inspect the prostate and target volume.
  • Localize suspect area in the prostate with the help of ultrasound.  
  • Insert the biopsy needle in the perineum.
  • Insert the needle into the prostate with the help of ultrasound.
  • Retract the biopsy pistol to take the biopsy.
  • Take 5-10 biopsies from each lobe of the prostate in a systematic pattern.
  • Place the biopsies into separate specimen containers with formalin.

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