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@ededed

Not too many urologists perform transperineal biopsies. I had one mainly because I seem to have a propensity to develop infections. I recommend transperineal.

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@ededed
At Mayo Jacksonville, the norm is trans perineal for biopsies. Transrectal is done when having anesthesia is an issue or there are other issues. The transrectal is done in an office setting and the transperineally is done in surgery setting with anesthesia specialist. However, this was Mayo Jacksonville and 2 years ago. I do not have information on other facilities.

My Jacksonville urologist said to me that a urologist at Rochester had invented a method of doing trans perineal without anesthesia. That was almost 2 years ago. I preferred trans perineal but had to insist on it.

I am glad I did it transperineally with anesthesia. No anxiety, no discomfort, no stress. They used a method called MRI/Fusion to do biopsies.