Michael A. Gorin, MD, presented “Freehand Transperineal Prostate Biopsy Under Local Anesthesia” during the Southwest Prostate Cancer Symposium 2020 virtual conference in December 2020.
How to cite: Gorin, Michael A. “Freehand Transperineal Prostate Biopsy Under Local Anesthesia” December 2020. Accessed Dec 2024. https://dev.grandroundsinurology.com/freehand-transperineal-prostate-biopsy-under-local-anesthesia/
Summary:
Michael A. Gorin, MD, a urologist with Urology Associates of Cumberland, Maryland, explains the benefits of transperineal prostate biopsy compared to the transrectal approach for prostate cancer patients. First, he discusses the complications of transrectal biopsy, specifically infection risk, and demonstrates how the transperineal approach can decrease this risk without contributing to antibiotic resistance. He then explains how transperineal biopsy aids in improved detection and cancer upgrading. Dr. Gorin goes on to review transperineal biopsy methods, including the use of the Precisionpoint Transperineal access system. Finally, he summarizes block techniques and biopsy templates for freehand transperineal prostate biopsy under local anesthesia in the outpatient setting.
Disclosure: Dr. Gorin is Director Medical Affairs for Perineologic.
About the Southwest Prostate Cancer Symposium 2020 virtual conference:
Presented by Program Chairs Nelson N. Stone, MD, and Richard G. Stock, MD, this virtual conference educated attendees about advances in the management of localized and advanced prostate cancer, with a focus on imaging, technology, and training in the related devices. It included a scientific session, as well as live demonstrations of surgical techniques. You can learn more about the conference, including the 2021 iteration, here.
ABOUT THE AUTHOR
Dr. Gorin is a fellowship-trained minimally invasive urologist based in Western Maryland. He is also the Director of Medical Affairs for Perineologic, maker of the PrecisionPoint Transperineal Access System. Dr. Gorin’s clinical practice focuses on adult general urology with a special interest in caring for patients with kidney stones, benign prostatic hyperplasia (BPH), and prostate cancer. Dr. Gorin is considered as a thought leader in the field for his research on molecular imaging of genitourinary cancers. He is also widely known for his work developing novel methods for performing MRI-guided transperineal prostate biopsy and focal cryoablation ablation of the prostate. Dr. Gorin has published over 225 articles in peer-reviewed journals and has contributed to multiple medical textbooks, including chapters in Campbell-Walsh-Wein Urology, The 5-Minute Urology Consult, and Gray’s Anatomy. Dr. Gorin also serves on the editorial boards of several journals including UROLOGY (the Gold Journal), British Journal of Urology International, and World Journal of Urology and has received numerous honors and awards for his scholarly work.
Dr. Gorin attended college at the University of Michigan where he earned a Bachelor of Science in Cellular and Molecular Biology. He then went on to attend medical school at the University of Miami Leonard M. Miller School of Medicine where he graduated as an inductee to the Alpha Omega Alpha Honor Medical Society. Following medical school, Dr. Gorin completed a general surgery internship, urology residency, and a fellowship in endoscopic and minimally invasive urology at Johns Hopkins University School of Medicine.
Dr. Gorin earned a Bachelor of Science in Cellular and Molecular Biology from the University of Michigan in Ann Arbor. He then went on to attend medical school at the University of Miami Leonard M. Miller School of Medicine, where he graduated as an inductee to the Alpha Omega Alpha Honor Medical Society. Following medical school, Dr. Gorin completed a general surgery internship, urology residency, and fellowship in endoscopic and minimally-invasive urology at Johns Hopkins University School of Medicine.
