Ultrasound-guided prostate biopsy

Ultrasound-guided prostate biopsy is an invasive diagnostic method used in the diagnosis of prostate cancer.

In the Diagnostic centre Diagnostični center Bled, prostate biopsy is performed in two ways.

1) Transrectal ultrasound-guided prostate biopsy is an examination where a urologist takes samples of prostate tissue through the rectum under continuous ultrasound control with a biopsy needle. The method is performed at all three locations of Diagnostic centre Diagnostični center Bled – in Bled, Ljubljana and Novo mesto.

2) Ultrasound-guided prostate biopsy through the skin on the perineum (transperineal) is also performed under continuous ultrasound control, with the difference that a urologist directs a biopsy needle to take prostate tissue through the skin on the perineum. This is a newer method, which we at Diagnostic centre Diagnostični center Bled perform only in our unit in Bled. The method is more patient-friendly as the urologist does not take samples through the colon. This reduces the incidence of infections as the needle path goes through the skin. The method is recommended by the European Association of Urology.

In both methods, prostate tissue samples are sent for analysis to our histopathology laboratory. The patient is advised on the following treatment according to the histopathological report.