Item Number: 37219, 55603

MRI targeted biopsies of a suspicious lesion in prostate found on MRI investigations                                                                                                         

Why is it done?

  • This is a diagnostic procedure used to make a diagnosis for an elevated PSA.
  • It is done as a day surgery procedure. You are required to remain starved 6-8 hours prior to the procedure.
  • This technique allows for minimal, accurate, targeted biopsy of a suspicious nodule
  • The transperineal technique allows for almost 0% sepsis rate


You would have had a 3T MRI study prior to pinpoint any suspicious high-grade lesions. The MRI image is then fused with the UroNav software to enable accurate biopsies

The 3 possibilities of an elevated PSA is:

  • Benign Prostate Hyperplasia,
  • Prostatitis or
  • Prostate Cancer.


Saturation biopsies include numerous biopsies and are generally recommended for second/third time biopsies.

How is it done?

  • This procedure: is done under GA as a day procedure and takes approximately 60min (incl anaesthetic time)
  • It is performed with the patient lying in the lithotomy position.
  • Rectal ultrasound probe placed
  • Sterile preparation of the perineum usually with Betadine
  • MRI images are fused with ultrasound images and the target lesion identified




  • Haematuria (blood in urine) 2-3days
  • Haematospermia ( blood in ejaculate) will become less the more often you ejaculate.
  • Bacteraemia (infection) with low-grade fever and feeling un-well < 1%


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Copyright 2019 Dr Jo Schoeman