I had two transperineal biopsies done both under general anesthesia.

From my research (and now ChatGPT is awesome at comparing the two). I found Europe and some American hospitals are no longer doing transrectal. The transperineal is less risk of infection and from what some articles have posted, offers greater access to the whole prostate.

I wasn't sure what to expect from where they went in, but it was the equivalent to a mark left by a blood draw. There was no minimal blood on the band aid and no bleeding from where they entered for the biopsy (blood in urine, feces and ejaculate is not uncommon for a bit but clears up pretty quickly).