← Return to Anyone have an Ultrasound-Guided Transperineal Prostate Biopsy?

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@kingsnake

The topic was recently reviewed on the Mayo website. Article suggested more accurate diagnosis using targeted biopsy samples guided from key areas of the prostate with the aid of a either a Real-time MRI, or a “Fusion” process which overlies a map of the prostate to guide sampling. A side benefit was no risk of infection from colon perforation caused by biopsy needle.

My questions are:
1) Has anyone used this procedure?
2) Is it a valid choice for one’s initial biopsy?
3) Does insurance cover this procedure?

Thank you.

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Replies to "The topic was recently reviewed on the Mayo website. Article suggested more accurate diagnosis using targeted..."

@kingsnake, I think this might be the recent article and video you are referring to:
- Mayo Clinic Minute: Prostate biopsy technique reduces infection risk https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-minute-new-prostate-biopsy-technique-reduces-infection-risk/

You'll notice that I moved your questions to this existing discussion that @dandl48 started:
- Anyone have an Ultrasound-Guided Transperineal Prostate Biopsy?: https://connect.mayoclinic.org/discussion/anyone-have-an-ultrasound-guided-transperineal-prostate-biopsy/

I did this so you can read the previous posts and hopefully get your questions about the procedure and insurance coverage by fellow members like @dandl48 @bodeygolfer @roger15 @mrbill @john57.

Kingsnake, will you be having the biopsy at Mayo?

I have had this procedure. In my opinion, it’s probably the best and safest procedure for one’s initial biopsy. The procedure was covered by my insurance. Check with your insurance company regarding coverage. My experience with Mayo regarding prostrate cancer has been excellent. Fortunately, my cancer had not spread outside the prostrate and it was detected and successfully treated with radiation. Wishing you all the best! Mayo is a great place to treat prostrate issues.

I have used this procedure with no pain and just a little discomfort. Was not put out for the biopsy. I would choose this again since I had had 3 transrectal biopsy' 's previous to this one all proving no cancer while PSA was increasing. I am on Medicare with BCBS and they covered the procedure. If you are going to Mayo I highly recommend them, they are the best. Good luck and would love to hear your decision.
Dave

My husband had an MRI fusion transperineal biopsy at Mayo in Rochester in March of 2021.
It was a great experience, minimal discomfort, as the procedure was done under light anesthetic.
We were on commercial insurance at the time, and it paid 100%.
Later, when trying to get in a study at Johns Hopkins, his slides were reviewed by Jonathan Epstein, who is considered the top pathologist for reviewing prostate cancer slides.
He was in complete agreement with the Mayo pathologists.
You can have 100% confidence in Mayo Rochester. I cannot speak to the other sites.