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Prostate Cancer | Last Active: 4 days ago | Replies (32)
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An MRI Transperineal Fusion Biopsy is the modern way to go . Some countries have banned Transrectal , plus certain Urologists refuse to perform this outdated method . The major concern in the past was the infection factor ( potential Sepsis ) however with todays newer antibiotics , this risk is about the same as the Transperineal . As you note however ,the transperineal gives you a better shot at reaching difficult to get at liasons .
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I had a sonogram transrectal. procedure. I was extremely apprehensive due to the nature of the procedure, ie puncturing the rectum coliforms and all and poking the needle into the prostrate multiple times. To make matters worse an associate of mine died of sepsis 3months earlier from his needle biopsy. By the grace of God the antibiotic held and I had absolutely zero side effects. The urologist that I fired told me no worry only 1 in 750patiemts die of biopsy. I replied great if you aren’t that guy and I was gone to a center of excellence for the biopsy. Knowing now I would have held out for the trans perineal with anesthesia.