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Purpose <p>Transperineal ultrasound-guided prostate biopsy (TPPBx) under local anesthesia is becoming increasingly utilized due to its lower infection risk compared to transrectal ultrasound-guided prostate biopsy. Despite its increasing utilization, patient experience with this procedure remains an area requiring further investigation. This study aims to evaluate patient satisfaction and tolerance of outpatient free-hand ultrasound-guided transperineal prostate biopsy (TPPBx), focusing on patient experiences during and after the procedure, and its impact on quality of life.</p> Methods <p>A prospective cohort study was conducted on 120 men undergoing TPPBx, using 2 standardized questionnaires; the day after the procedure and at follow-up 3–4&#xa0;weeks later. Data on pain, post-procedural symptoms, and overall satisfaction were collected.</p> Results <p>Of the 120 participants, 97 completed both questionnaires (81% response rate). The mean age was 65&#xa0;years, with a median of 66. Satisfaction with care was high, with 100% of patients satisfied and 89% willing to undergo the procedure again. Mean pain scores were as follows: probe insertion 3/10 (median 2, IQR 1–5), local anesthetic administration 3/10 (median 2, IQR 1–4), and biopsy sampling 2/10 (median 1, IQR 0–3). Post-procedural symptoms included hematuria (63%) and hematospermia (49%), with the latter distressing for 17% of patients. No infections or hospital admissions were reported.</p> Conclusion <p>TPPBx is a safe, effective, and tolerable method for prostate biopsy, with minimal complications and high satisfaction rates. Enhanced patient education and communication will be crucial as its adoption increases.</p>

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Patient satisfaction rates and tolerance of free-hand ultrasound-guided transperineal prostate biopsy in an outpatient setting

  • 期刊论文

  • 发表日期：

    2025年3月22日

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  • Jack W. Power,
  • Philip J. Dempsey,
  • Andrew Yates,
  • Nisha Soman,
  • Mercy D’Souza,
  • Catherine McGarvey,
  • Kiaran J. O’malley,
  • David J. Galvin,
  • Barry D. Hutchinson,
  • John G. Murray,
  • Michelle M. McNicholas,
  • Carmel G. Cronin

摘要

Purpose

Transperineal ultrasound-guided prostate biopsy (TPPBx) under local anesthesia is becoming increasingly utilized due to its lower infection risk compared to transrectal ultrasound-guided prostate biopsy. Despite its increasing utilization, patient experience with this procedure remains an area requiring further investigation. This study aims to evaluate patient satisfaction and tolerance of outpatient free-hand ultrasound-guided transperineal prostate biopsy (TPPBx), focusing on patient experiences during and after the procedure, and its impact on quality of life.

Methods

A prospective cohort study was conducted on 120 men undergoing TPPBx, using 2 standardized questionnaires; the day after the procedure and at follow-up 3–4 weeks later. Data on pain, post-procedural symptoms, and overall satisfaction were collected.

Results

Of the 120 participants, 97 completed both questionnaires (81% response rate). The mean age was 65 years, with a median of 66. Satisfaction with care was high, with 100% of patients satisfied and 89% willing to undergo the procedure again. Mean pain scores were as follows: probe insertion 3/10 (median 2, IQR 1–5), local anesthetic administration 3/10 (median 2, IQR 1–4), and biopsy sampling 2/10 (median 1, IQR 0–3). Post-procedural symptoms included hematuria (63%) and hematospermia (49%), with the latter distressing for 17% of patients. No infections or hospital admissions were reported.

Conclusion

TPPBx is a safe, effective, and tolerable method for prostate biopsy, with minimal complications and high satisfaction rates. Enhanced patient education and communication will be crucial as its adoption increases.