CUA guidelines on prostate biopsy methodology

Transrectal ultrasound prostate biopsy (TRUS Bx) is increasingly performed by urologists. Lee and colleagues reported on the diversity in TRUS Bx practice and training in United Kingdom.1 Fifty-six percent of the surveyed urologists were actively involved in TRUS Bx and 68% of them did not think they received enough training. There is a wide variation in patient preparation (antibiotic prophylaxis regimens and analgesia used), biopsy schemes and indications for repeat biopsy. The lack of standardized guidelines for TRUS Bx highlights the necessity of a structured program for training the new generation of urologists.