@tooters27
You will see those on MCC leaning toward transperineally versus transrectal. Increased infection is just one of the reasons I insisted on transperineally.

There is a 1-2% additional risk of infection when done transrectal (per my Mayo urologist). Did they do a culture prior to your transrectal to see what atdditional antibiotics to give you? Were you given antibiotics prior to your transrectal? If you read everyone who got infection by doing transrectal is sorry for that decision and would not do again that way. Some had not problems at all. But weigh the pros and cons and make your own decsions on things like this including your treatments.

The other reason for transperenial versus transrectal is the pain. Yes transrectal will give you localized pain medication to help with pain. However I and many others don't want to be awake and go through the pre, during and after anxiety and stress of having it done through rectum versus scrotrum.

Most transperenial are done with anesthesia and removes the stress and anxiety. For many of us the reduction of stress, anxiety, and removal of the extra infection rish was very important and for others not so important. Is why decision need to be based on what you want what is best for you and your specific cancer and treatments not others.

The ongoing posts are that urologist push surgery and R/O push radiation. This may be the case with others experiences but not mine. I go to Mayo Jacksonville. My urologist who did my biopsies referred me to Mayo R/O not surgery. He did go over all the different type of treatments but he did not push surgery and referred me R/O for additional consultation. My R/Os again went over all the different treatment plans inlcuding surgery, AS, radiation, and other treatments and asked me to let him know which way I wanted to proceed.

I post this as there are many experienced and professional urologist like mine that have the patients interest first and not theirs. Yes it may be hard to find them but they are out there. The motto of Mayo is "Patients First." My Mayo Jacksonville urologist and my Mayo R/Os, and UFHPTI R/O echoed that motto.