To compare the clinical value of transperineal and transrectal prostate biopsy guided by transrectal ultrasonography in diagnosis of prostate cancer
Objective To compare the clinical value of transperineal and transrectal prostate biopsy guided by transrectal ultrasonography in diagnosis of prostate cancer. Methods From July 2009 to December 2012, there were 78 and 83 patients underwent transrectal and transperineal prostate biopsy, respectively. Retrospective analysis their materials, and compared their pre-operation data, positive rate of prostate cancer and complication rate. Results There is no significant difference of serum PSA, prostatic volume and positive rate of nodules of these two groups. The complication rate of fever of patients underwent transrectal prostate biopsy were significant higher than patients underwent transperineal prostate biopsy, but the positive rate of prostate cancer, pain, hematuria, bloody stools urinary retention was similar. Conclusion Both of transperineal and transrectal prostate biopsy guided by transrectal ultrasonography are effective way for diagnosis prostate cancer. When choosing appropriate way for biopsying, the result of digital rectal examination, transrectal ultrasound and patients' condition should be considered.