Novel technique for cognitive magnetic resonance imaging‐transperineal ultrasound fusion transperineal prostate biopsy with injection of bubbled jelly into urethra after abdominoperineal excision

Introduction Prostate biopsy is commonly performed using a transrectal ultrasound probe through a transrectal or transperineal approach. However, this is not possible for patients without a rectum. Case presentation A 75‐year‐old male was referred to our hospital because of an elevated prostate‐spec...

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Bibliographic Details
Published inIJU case reports Vol. 6; no. 6; pp. 365 - 369
Main Authors Miyajima, Keiichiro, Urabe, Fumihiko, Nakano, Juria, Iwatani, Kosuke, Tashiro, Kojiro, Tsuzuki, Shunsuke, Sato, Shun, Takahashi, Hiroyuki, Kimura, Takahiro, Miki, Kenta
Format Journal Article
LanguageEnglish
Published Tokyo John Wiley & Sons, Inc 01.11.2023
John Wiley and Sons Inc
Wiley
Subjects
Abdomen
Biopsy
Case Report
Case Reports
cognitive MRI‐TPUS fusion biopsy
Colorectal cancer
Conflicts of interest
Magnetic resonance imaging
Medical screening
Patients
prostate biopsy
Prostate cancer
Rectum
rectum resection
Supervision
Ultrasonic imaging
Ultrasonic transducers
Urology
Visualization
Writing
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Summary:Introduction Prostate biopsy is commonly performed using a transrectal ultrasound probe through a transrectal or transperineal approach. However, this is not possible for patients without a rectum. Case presentation A 75‐year‐old male was referred to our hospital because of an elevated prostate‐specific antigen and a suspicious prostate lesion (PIRADS 5) in the left peripheral zone. The patient had previously undergone abdominoperineal resection for rectal cancer, which excluded the use of transrectal ultrasound. We describe the use of the transperineal ultrasound‐guided biopsy with cognitive magnetic resonance imaging‐transperineal ultrasound fusion and the utility of the injection of bubbled lidocaine jelly into urethra to improve its visualization. The pathological findings revealed clinically significant cancer with a Gleason score of 5 + 4. Conclusion Cognitive magnetic resonance imaging‐transperineal ultrasound fusion transperineal prostate biopsy with injection of bubbled jelly into urethra is a feasible and practical technique that does not require any specialized equipment.
ISSN:2577-171X
2577-171X
DOI:10.1002/iju5.12624