Patient satisfaction rates and tolerance of free-hand ultrasound-guided transperineal prostate biopsy in an outpatient setting

Abstract

Purpose

Transperineal ultrasound-guided prostate biopsy (TPPBx) under local anesthesia is becoming increasingly utilized due to its lower infection risk compared to transrectal ultrasound-guided prostate biopsy. Despite its increasing utilization, patient experience with this procedure remains an area requiring further investigation. This study aims to evaluate patient satisfaction and tolerance of outpatient free-hand ultrasound-guided transperineal prostate biopsy (TPPBx), focusing on patient experiences during and after the procedure, and its impact on quality of life.

Methods

A prospective cohort study was conducted on 120 men undergoing TPPBx, using 2 standardized questionnaires; the day after the procedure and at follow-up 3–4 weeks later. Data on pain, post-procedural symptoms, and overall satisfaction were collected.

Results

Of the 120 participants, 97 completed both questionnaires (81% response rate). The mean age was 65 years, with a median of 66. Satisfaction with care was high, with 100% of patients satisfied and 89% willing to undergo the procedure again. Mean pain scores were as follows: probe insertion 3/10 (median 2, IQR 1–5), local anesthetic administration 3/10 (median 2, IQR 1–4), and biopsy sampling 2/10 (median 1, IQR 0–3). Post-procedural symptoms included hematuria (63%) and hematospermia (49%), with the latter distressing for 17% of patients. No infections or hospital admissions were reported.

Conclusion

TPPBx is a safe, effective, and tolerable method for prostate biopsy, with minimal complications and high satisfaction rates. Enhanced patient education and communication will be crucial as its adoption increases.