Was this done at Rochester? My urolgist at Mayo Jacksonville told me that one urolgist at Mayo Rochester developed a procedure where they went in transperineal without having anesthesia. However Mayo Jacksonville requires anesthesia if you have biopsies done transperineal.

They will do it transectal without anesthesia. It took a lot of effort on my part to get my heart failure doctors to advise there was no issue with me having heart failure and having anethesia which he did not want not to do originally because of my heart failure.

I had many procedures done under anesthesia and I compete in Sprint Triathons. Guess some deeper research into your patients medical and physical status would have change originally opinion.