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Where to access Transperineal prostate biopsy

Most NHS Trusts and Private Hospitals and their Urological Surgeons now provide Transperineal biopsies. Historically these were ‘saturation’ biopsies, where many cores were taken. Increasingly these have been replaced by targeted biopsies where many fewer samples are taken. The ultimate goal in the future is to only require biopsies of the index lesion, that is the lesion responsible for cancer spread.

We have had reports from leading Consultant Urologists that a lot of mpMR scans and the reports are of poor quality even though PROMIS complaint resulting in inaccurate biopsy results as samples had been taken from the wrong regions of the prostate. If you only spend time and maybe money on one thing, get the best mpMR scan reported by the best Uro Radiologists.

If ‘cognitive’ fusion is used, that is looking at the MRI images and then at the ‘live’ ultrasound of the prostate to decide where to put the needles, then the best Urologists performing this will be those that offer focal therapy. The reason being that they are very experienced in accurately reading MRI and locating lesions to be sampled on ultrasound.

This is of course equally true of Radiologists who also perform biopsy. Oliver Hulson in Leeds being an example.

Remember you perfectly entitled to ask to be referred to a Consultant/hospital that does offer this service.

Finally, the PRECISION study which is currently active, is comparing accuracy and performance of fusion biopsies compared to cognitive biopsy. It is anticipated that fusion biopsy, where MRI images are ‘elastically’ overlaid onto the live ultrasound images, with prove more accurate. It should be noted that the PI AI system for lesion detection from MR scans, can output to fusion systems.

The link below provides a list of the most experienced Physicians who perform focal therapy and Transperineal biopsy. It is not be complete.

We also note Clinician using ‘Fusion’ biopsy tools which ensure the sampling of where in the prostate the lesion is detected on MRI is as accurate as possible are included below.

Transperineal Physicans and where they practice

Getting referred to an NHS or private Consultant or hospital of your choice

Below, are listed some of the most experienced Consultants in performing transperineal biopsy by region who are highly recommended.

London

Professor Mark Emberton

Professor of Interventional Oncology, Division of Surgery, and Dean of UCL Faculty of Medical Sciences

University College Hospitals London, NHS Trust

Where to access Transperineal prostate biopsy

London

South East

South

South West

Wales

East

Midlands

North West & Isle of Man

Yorkshire & Humberside

North East

Scotland

Get in touch: info@prostatematters.co.uk

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