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BackTable / Urology / Podcast / Episode #96

Transperineal Prostate Biopsy: A Practical Startup Guide

with Dr. Matthew Allaway and Dr. Juan Javier-DesLoges

On this episode of BackTable Urology, Dr. Aditya Bagrodia, Dr. Matt Allaway (Perineologic Biopsy), and Dr. Juan Javier-DesLoges (UC San Diego) discuss benefits and procedural tips for the transperineal prostate biopsy.

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Transperineal Prostate Biopsy: A Practical Startup Guide with Dr. Matthew Allaway and Dr. Juan Javier-DesLoges on the BackTable Urology Podcast)
Ep 96 Transperineal Prostate Biopsy: A Practical Startup Guide with Dr. Matthew Allaway and Dr. Juan Javier-DesLoges
00:00 / 01:04

BackTable, LLC (Producer). (2023, May 3). Ep. 96 – Transperineal Prostate Biopsy: A Practical Startup Guide [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Matthew Allaway discusses Transperineal Prostate Biopsy: A Practical Startup Guide on the BackTable 96 Podcast

Dr. Matthew Allaway

Dr. Matthew Allaway is a practicing urologist at Urology Associates in Cumberland and the founder and CEO of Perineologic.

Dr. Juan Javier-DesLoges discusses Transperineal Prostate Biopsy: A Practical Startup Guide on the BackTable 96 Podcast

Dr. Juan Javier-DesLoges

Dr. Juan Javier-DesLoges is a urologic oncologist at UC San Diego in California.

Dr. Aditya Bagrodia discusses Transperineal Prostate Biopsy: A Practical Startup Guide on the BackTable 96 Podcast

Dr. Aditya Bagrodia

Dr. Aditya Bagrodia is an associate professor of urology and genitourinary oncology team leader at UC San Diego Health in California and adjunct professor of urology at UT Southwestern.

Show Notes

First, the doctors discuss why they invested in learning to perform transperineal biopsy. Dr. Allaway explains that transrectal biopsy can lead to rectal bleeding, infections, and sepsis. He also believes that the perineal approach offers the proper trajectory to sample the prostate appropriately. Next, they discuss the equipment required for transperineal biopsies, such as probes, ultrasounds, grid steppers, and needle sheaths. They weigh the pros and cons of performing the procedure in the office versus in the clinic. Additionally, they discuss different costs and features of different probes.

Next, they discuss their techniques for obtaining the transperineal biopsy, including tips for patient positioning, probe maneuvers, and local anesthetic injections. Dr. Javier-DesLoges uses a local injection of lidocaine, normal saline, and sodium bicarbonate. Dr. Allaway then shares his advice on how to deal with obstacles, such as stool burden and rectal gas. They end the episode by highlighting the importance of collaboration and learning from others’ techniques. Dr. DesLoges strongly recommends the AUA course on transperineal biopsies as an educational resource.

Resources

Disclaimer: The Materials available on BackTable.com 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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