Thanks for sharing the video. For those interested here is the link to the published article from the randomized trial described. Bottom line is that the difference in the risk of infection between the two procedures is not statistically significant if appropriate antibiotic prophylaxis is used with transrectal procedures (antibiotics are not needed with the transperineal procedure) and the diagnostic yield statistically equivalent. Best to go with your Urologist's experience and recommendations as both procedures have value. Transperineal biopsies may ultimately become the procedure of choice primarily due to concerns regarding emergence of antibiotic resistant bacteria:
https://pmc.ncbi.nlm.nih.gov/articles/PMC11976521/
And this article documents the diagnostic yield from TR vs TP approach:
https://pmc.ncbi.nlm.nih.gov/articles/PMC9883893/pdf/12894_2023_Article_1176.pdf