[Prostate biopsy : Procedure in the clinical routine].

Over the last decade there has been a 25 % decrease in the mortality rates for prostate cancer. The reasons for this significant decrease are most likely associated with the application of urological screening tests.

The main tools for early detection are currently increased public awareness of the disease, prostate-specific antigen (PSA) tests and transrectal ultrasound (TRUS) guided topographically assignable biopsy sampling. Together with the histopathological results these features provide essential information for risk stratification, diagnostics and therapy decisions. The evolution of prostate biopsy techniques as well as the use of PSA testing has led to an increased identification of asymptomatic men, where further clarification is necessary. Significant efforts and increased clinical research focus on determining the appropriate indications for a prostate biopsy and the optimal technique to achieve better detection rates. The most widely used imaging modality for the prostate is TRUS; however, there are no clearly defined standards for the clinical approach for each individual biopsy procedure, dealing with continuous technical optimization and in particular the developments in imaging. In this review the current principles, techniques, new approaches and instrumentation of prostate biopsy imaging control are presented within the framework of the structured educational approach.

Der Urologe. Ausg. A. 2015 Dec [Epub]

T Enzmann, T Tokas, K Korte, M Ritter, P Hammerer, L Franzaring, H Heynemann, H-W Gottfried, H Bertermann, M Meyer-Schwickerath, B Wirth, A Pelzer, T Loch

Klinik für Urologie und Kinderurologie, Klinikum Brandenburg, Hochschulklinikum der Medizinischen Hochschule Brandenburg Theodor Fontane, Brandenburg an der Havel, Deutschland. , Urologische Klinik des Ev. Luth. Diakonissenkrankenhauses, Akademisches Lehrkrankenhaus der Christian-Albrechts-Universität zu Kiel, Knuthstr. 1, 24939, Flensburg, Deutschland. , Urologische Klinik des Ev. Luth. Diakonissenkrankenhauses, Akademisches Lehrkrankenhaus der Christian-Albrechts-Universität zu Kiel, Knuthstr. 1, 24939, Flensburg, Deutschland. , Klinik für Urologie, Universitätsmedizin Mannheim, Mannheim, Deutschland. , Klinik für Urologie und Uroonkologie, Städtisches Klinikum Braunschweig gGmbH, Braunschweig, Deutschland. , Kemperhof, Urologie und Kinderurologie, Gemeinschaftsklinikum Mittelrhein, Koblenz, Deutschland. , Universitätsklinik und Poliklinik für Urologie, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland. , Urologie und Kinderurologie, Evangelisches Krankenhaus Göttingen-Weende, Göttingen, Deutschland. , Urologische Gemeinschaftspraxis Prüner Gang, Kiel, Deutschland. , Uologische Praxisklinik Essen, Essen, Deutschland. , Urologie, Hospital zum Heiligen Geist, Kempen, Deutschland. , Urologische Klinik, Klinikum Ingolstadt, Ingolstadt, Deutschland. , Urologische Klinik des Ev. Luth. Diakonissenkrankenhauses, Akademisches Lehrkrankenhaus der Christian-Albrechts-Universität zu Kiel, Knuthstr. 1, 24939, Flensburg, Deutschland.

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