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Prostate micro-ultrasound represents the pinnacle of diagnostic innovation in the evaluation of prostate diseases and is available in the region exclusively at our clinic, Karazanashvili Robotic Center . It has no equivalent in neighboring countries (Turkey, Russia, Azerbaijan, Armenia) and is accessible only in leading clinics in Europe and North America.
Its operation is based on high-frequency ultrasound, providing up to 300% improved imaging compared to conventional ultrasound. Thanks to real-time “live” visualization, identification of suspicious areas, and its application for targeted transperineal or transrectal biopsy, micro-ultrasound has no equal worldwide.
What Is a Transperineal and Transrectal Prostate Biopsy Under Micro-Ultrasound Guidance?
Transperineal and transrectal targeted prostate biopsies are considered minor urological procedures. During the process, a special probe is inserted into the rectum to visualize the prostate. Suspicious areas are identified and biopsied.
Small tissue samples are collected from the organ using a specialized needle and biopsy device, either transrectally or transperineally.
The procedure is short (5–7 minutes) and painless.
Micro-ultrasound-guided prostate biopsy effectively identifies suspicious areas for prostate cancer and allows for 100% accurate targeting of tissue sampling. Its effectiveness is supported by numerous scientific studies.
But its value doesn’t end there — micro-ultrasound can also be fused with multiparametric MRI imaging (FUSION), which achieves nearly 100% diagnostic accuracy.
This method is considered the most advanced form of prostate biopsy and represents the latest advancement in modern medicine.
Who Needs a Transrectal or Transperineal Targeted Prostate Biopsy, and When?
- Elevated PSA (Prostate-Specific Antigen):
Previously, a PSA level of 0–4 ng/mL was considered standard. However, for the past two years, the European Association of Urology has recommended a new normal range of 0–2 ng/mL. - Suspicious tissue detected during digital rectal examination
- Suspicious areas found during prostate micro-ultrasound
- Suspicious areas revealed by multiparametric MRI or standard ultrasound
- It is especially useful and effective to perform a targeted transperineal biopsy in cases of enlarged prostate.
Possible Mild Complications After Biopsy (Rare):
Minor, short-term bleeding from the urethra or rectum- Small traces of blood in urine, semen, or stool
- Infection (less than 1%)
- Mild post-procedure discomfort
- Rarely, difficulty urinating
Post-Biopsy Recommendations:
- Avoid intense physical activity for one week
- Avoid sexual activity for one week
- Drink plenty of fluids
- Avoid alcoholic beverages for one week
- If your condition worsens, contact your doctor immediately
