Percutaneous Transretropubic Needle Prostatic Biopsy Under US and CT Guidance

Area of Science:

• Urology
• Oncology
• Medical Imaging

Background:

• Transrectal ultrasound-guided prostate biopsy is standard but not feasible in patients with anal strictures.
• Prostate cancer screening involves prostate-specific antigen (PSA) testing and digital rectal examination.

Purpose of the Study:

• To describe a novel percutaneous transretropubic prostate biopsy technique.
• To demonstrate the feasibility of prostate biopsy in patients with contraindications for transrectal approaches.

Main Methods:

• A 74-year-old male with a history of colectomy and severe anal stricture presented with elevated PSA.
• A percutaneous transretropubic prostate biopsy was performed under transabdominal ultrasound and computed tomography guidance.
• Pathological analysis confirmed prostatic adenocarcinoma.

Main Results:

• The percutaneous transretropubic prostate biopsy was successfully completed.
• Prostatic adenocarcinoma was diagnosed.
• This represents the first documented instance of this biopsy technique.

Conclusions:

• Percutaneous transretropubic prostate biopsy is a viable alternative when transrectal biopsy is not possible.
• This technique allows for prostate cancer diagnosis in challenging anatomical situations.