Template-guided biopsy of the prostate via the perineum

The prostate is a small gland near a man’s bladder. A test to collect samples of tissue may be needed where there are concerns about possible prostate cancer.


Are there any alternatives to surgery?

The only viable alternative is observation with repeat blood tests, without biopsies.


Are there any risks involved?

Most surgical procedures carry some level of risk or possible complication. These will be discussed with you by your consultant or pre-assessment nurse prior to your procedure.


What happens during the procedure?

The template transperineal biopsy procedure is performed under local or general anaesthesia and involves the insertion of fine needles through the skin between the scrotum and the anus (the perineum) to obtain tissue samples. This is achieved by placing a grid template with multiple holes (approximately 5 mm apart) on the perineum. A biopsy needle is inserted through different holes in the template under transrectal ultrasound guidance.

A large number of tissue samples will be collected from the biopsy, which will improve the detection of small cancers compared with other methods. The aim of the transperineal approach is to reduce the risk of infection compared with the transrectal approach.

How long will I take to recover?

You will be able to go home a few hours after your procedure, provided you are passing urine normally.

After this, blood in the urine is common for approximately 2-3 days, as you increase your fluid intake this will clear quickly. You will be provided with a course of antibiotics to take home with you.


What happens when I get home?

  • Rest at home for the first 48 hours after the procedure.
  • Drink twice as much fluid as you would normally for the first 48 hours.
  • Continue with regular bowel function
  • Avoid activities that are physically demanding
  • Complete you course of antibiotics as prescribed by your consultant or discharge nurse.

References: The British Association of Urological Surgeons, Patient Information: 2016; NICE Guidelines: 2010. This information should not replace advice that your relevant health professional would give you.

Template-guided biopsy of the prostate via the perineum Consultants