J Korean Soc Ultrasound Med.  2007 Sep;26(3):107-112.

Transrectal Ultrasound Guided Prostate Biopsy: Current Status and Controversy

• Hwang SI
• Lee HJ
• Kim SH
• Cho JY
• Hong SK
• Lee SE

Abstract

In Korea, the incidence of prostate cancer in 2002 was sixth among the malignancies diagnosed in men, but it was the most rapidly increasing cancer. As many prostate cancers are indistinguishable from normal prostate tissue as determined on an ultrasound examination, the randomized systematic transrectal ultrasound guided prostate biopsy is the gold standard for the detection of prostate cancer. Indications for a TRUS guided prostate biopsy including an elevated level of prostate specific antigen (PSA) and an abnormal digital rectal exam, as well as patient preparation and procedure techniques including anesthesia are reviewed in this report. This report also considers controversies about a prostate biopsy such as the ideal number of biopsy cores, usefulness of PSA derivatives, effective methods for local anesthesia, and the use of patient preparation questionnaires covering topics such as the paucity of anticoagulants and the use of antibiotics and enemas.

Keyword

Prostate; Cancer; Ultrasound; Biopsy

MeSH Terms

Anesthesia
Anesthesia, Local
Anti-Bacterial Agents
Anticoagulants
Biopsy*
Enema
Humans
Incidence
Korea
Male
Prostate*
Prostate-Specific Antigen
Prostatic Neoplasms
Surveys and Questionnaires
Ultrasonography*
Anti-Bacterial Agents
Anticoagulants
Prostate-Specific Antigen