BackTable / Urology / Podcast / Episode #248

Prostate Biopsy Tools & Techniques: Transperineal vs. Transrectal

with Dr. Ricardo Sanchez-Ortiz

Prostate biopsy is evolving rapidly, offering urologists more precision - but also more decisions. In this episode of BackTable Urology, Dr. Ricardo Sánchez-Ortiz, a pioneer in robotic surgery and neuro-urology in Puerto Rico, joins host Dr. Jose Silva to discuss the shifting landscape of prostate biopsy and emerging strategies that improve accuracy and personalize care.

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Prostate Biopsy Tools & Techniques: Transperineal vs. Transrectal with Dr. Ricardo Sanchez-Ortiz on the BackTable Urology Podcast

Ep 248 Prostate Biopsy Tools & Techniques: Transperineal vs. Transrectal with Dr. Ricardo Sanchez-Ortiz

00:00 / 01:04

BackTable, LLC (Producer). (2025, July 18). Ep. 248 – Prostate Biopsy Tools & Techniques: Transperineal vs. Transrectal [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Jose Silva

Dr. Jose Silva is a board certified urologist practicing in Central Florida.

Dr. Ricardo Sánchez-Ortiz

Dr. Ricardo Sánchez-Ortiz is a pioneer in robotic surgery and neuro-urology practicing at the University of Puerto Rico School of Medicine.

Synopsis

The conversation explores the transition from transrectal to transperineal prostate biopsy, emphasizing the role of PSA density and modern imaging in refining patient selection. Dr. Sánchez-Ortiz highlights the value of biomarkers in improving diagnostic accuracy and focal therapy as a promising, less invasive treatment option.

Beyond clinical innovations, the doctors also discuss the importance of communication in urology practice. Dr. Sánchez-Ortiz shares how tools like WellPrept can enhance patient education and engagement, reinforcing the need for individualized care strategies in an increasingly complex diagnostic landscape.

Timestamps

00:00 - Introduction
02:14 - Evolution of Prostate Biopsy Methods
17:51 - Transperineal vs. Transrectal Approaches
22:52 - Use of Sedation
35:10 - PSA Screening
41:48 - Rise in Metastatic Prostate Cancer
50:44 - Potential of Focal Ablation
55:58 - Use of WellPrept

Resources

WellPrept:
https://www.wellprept.com/

The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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