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 Jul 2022. https://dev.grandroundsinurology.com/freehand-transperineal-prostate-biopsy-under-local-anesthesia/


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.