Episode # 248 • 18 Jul 2025
Prostate Biopsy Tools & Techniques: Transperineal vs. Transrectal
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.
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
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More about this episode
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.
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