I had a transperineal biospy last Friday having previously had the other 3 diagnostics procedures (DRE, MRI and TRUS) and I thought it might be helpful to share my experience for those having the same.
The reason for having it after a MRI scan and a TRUS was explained to me by the consultant who said the MRI scans don't always pick up the areas on the periphery such as my suspected T3a and quite often get it wrong. Also it's a far more comprehensive procedure than the others being able to get to all areas of the prostate.
There are a few pre-op things to do unlike the other procedures which involved a pre-assessment appointment for blood and ECG tests and now a Covid19 test.
It was an early start at 7.30am at a local hospital a 30 minute drive away but good to get it all done quickly. I hadn't had a general anaesethetic for at least 10 years and it is so good these days you have no sensation of going under and just gently wake up when it's all over.
You get tea and toast afterwards and they check you can pee ok before discharging you. Post procedure there is hardly any blood in my pee now and there was a slight stinging sensation when going. I was given tablets to ease peeing afterwards which I took for 3 days afterwards but no antibiotics this time.
All in all I would recommend this procedure over the others if you have a choice as going straight to this rather than having the TRUS first would have been better just to save all the waiting for each one and to get a more comprehensive diagnosis.
I await the results but with a Gleeson of 3 + 3 and a very small slow growing Pca in the prostate I'm hoping no further treatment will be needed at this stage just close monitoring.