Transperineal Biopsy Template

OPERATION DATE:  ***

 

PREPROCEDURE DIAGNOSIS:  Elevated prostate specific antigen.

 

POSTPROCEDURE DIAGNOSIS:  Elevated prostate specific antigen.

 

PROCEDURES PERFORMED:

1. Transperineal prostate biopsy 55706, TP biopsy due to anterior prostate

lesion, also full mapping prostate biopsy due to history of prostate cancer

 2.Transrectal ultrasound guidance.

 

PRIMARY SURGEON:  Spencer Krane, MD

 

ASSISTANTS: ***

 

SPECIMENS:  

1.  Region of interest.

2.  Right medial peripheral zone.

3.  Right lateral peripheral zone.

4.  Right base.

5.  Right lateral anterior zone.

6.  Right medial anterior zone.

7.  Left medial peripheral zone.

8.  Left lateral peripheral zone.

9.  Left base.

10.  Left lateral anterior zone.

11.  Left medial anterior zone.

 

FINDINGS:

1.  Hypoechoic lesions noted on ultrasound, which correlated with the region of

interest on MRI.  Five biopsies were taken from ROI#1, 5 from ROI #2.

2.  Template prostate biopsy was performed.

 

COMPLICATIONS:  None.

 

ESTIMATED BLOOD LOSS:  Minimal.

 

DRAINS:  None.

 

INDICATIONS FOR PROCEDURE:  Mr.*** is a pleasant ***-year-old

gentleman with history of elevated PSA.  

 

The patient had an MRI of the prostate that showed PIRADS *** lesion.  Risks and benefits o

transperineal prostate biopsy were discussed with the patient and the patient elected to proceed.

 

PROCEDURE IN DETAIL:   The patient was identified in the perioperative holding

area.  Informed consent was then obtained.  He was brought to the operative

suite and placed in supine position.  Anesthesia was induced.  The patient was

then placed in dorsal lithotomy position.  The patient was then prepped and

draped in typical sterile fashion.  A timeout was performed, Dr. Krane present

in the room.

 

The ultrasound probe was then advanced into the rectum.  We then used the MRI

and ultrasound images to map the prostate.  We identified areas on the

ultrasound that was hypoechoic that correlated with the region of interest on

MRI.  Ten biopsies were then taken from this area.  We then performed a

standard template prostate biopsy using transperineal approach.  The patient

tolerated the procedure well and was then awoken from anesthesia.  He was then

taken to PACU for recovery.

 

ATTENDING ATTESTATION:  Dr. Spencer Krane was present and active during the entirety of the procedure.

 

DISPOSITION:  The patient will be observed in PACU until more alert and awake,

at which point he will be discharged home.