What it is
Small samples of prostate tissue are taken through the perineum (the skin behind the scrotum), guided by your MRI scan. Because the needle does not pass through the back passage, the risk of infection is very low.
Who it is for
Men with a raised or rising PSA
An MRI showing an area that needs a closer look
Men on active monitoring who need a repeat biopsy
What happens on the day
01
Arrival
A short check-in; you can eat normally.
02
Local anaesthetic
The area is numbed; you stay awake.
03
Targeted samples
Guided by ultrasound and your MRI.
04
Home
Usually within an hour or two.
Recovery
Day 1
Rest; a little bruising is normal.
Days 2–3
Back to work and normal activity.
1–2 weeks
Results discussed at follow-up.
Risks
Blood in the urine or semen for a few weeks, bruising, and, rarely, difficulty passing urine. Mr Pang will talk through the risks with you before you decide.
Cost
Guide price from £[—], including the surgeon’s fee. The hospital provides a fixed-price quote before you commit.