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  ADVANCES IN ONCOLOGICAL UROLOGY 

Minerva Urologica e Nefrologica 2012 December;64(4):233-43

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English

Optimizing prostate biopsy

Bostancı Y., Kazzazı A., Djavan B.

New York University School of Medicine, New York, NY, USA


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Prostate biopsy (PBx) techniques have changed significantly since the original Hodge’s scheme. Although the use of transrectal ultrasound (TRUS) guided (PBx) is considered the gold standard for the diagnosis of prostate cancer (Pca), the strategies for initial and repeat biopsies remain controversial. Even with the widespread application of extended prostate biopsy (ePBx) protocols, the false negative rate remains substantial and early PCa detection remains limited. Optimization of the PBx procedures reduce the likelihood of facing a “repeat biopsy dilemma”. The aim of this review is to provide an evidence-based update on current methods of PBx and discuss the strategies to optimise biopsy procedures.

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