• Pietro Pepe, Antonio Garufi, Gian Domenico Priolo, and Michele Pennisi.
• Urology Unit - Cannizzaro Hospital, Catania, Italy piepepe@hotmail.com.
• Anticancer Res. 2017 Jun 1; 37 (6): 3291-3294.

Background/AimTo evaluate the detection rate for clinically-significant prostate cancer (PCa) of transperineal (TP) vs. transrectal (TR) multiparametric MRI/TRUS (magnetic resonance imaging/transrectal ultrasound) fusion targeted-biopsy.Patients And MethodsFrom January 2016 to December 2016, 150 men underwent repeat saturation transperineal prostate biopsy (SPBx; median 30 cores) combined with targeted mpMRI/TRUS TR and TP fusion biopsies (4 cores for each procedure) of suspicious MRI lesions (PI-RADS 3/5).ResultsOverall, in 55/150 (36.6%) men a clinically-significant PCa was found and in 49 (89.1%) of them mpMRI was positive. SPBx, mpMRI/TRUS TR and TP fusion targeted-biopsy diagnosed 52 (94.5%), 43 (78.1%) and 49 (89.1%) PCa, respectively; TR fusion biopsy missed 8 (53.3%) while TP missed 2 (13.3%) cancers of the anterior zone.ConclusionMultiparametric MRI/TRUS TP in comparison to TR fusion biopsy detected a greater percentage of small but clinically significant PCa of the anterior zone (86.7% vs. 46.7%; p=0.0001).Copyright© 2017, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

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