Targeted Prostate Diagnostics via the Perineum – Usually Without an Indwelling Catheter
An abnormal PSA level, a suspicious MRI finding, or a suspected case of prostate cancer may make a tissue sample from the prostate necessary. At Urokompetenz Düsseldorf, we offer a modern MRI fusion biopsy of the prostate – performed via the perineum, with high-resolution imaging and, as a rule, without a prolonged indwelling bladder catheter.
In the MRI fusion biopsy, abnormal regions from the prostate MRI are combined with the ultrasound image during the examination. This allows suspicious areas to be targeted precisely and tissue samples to be taken accurately.
Your Advantages at a Glance
Targeted sampling
Abnormal areas from the MRI can be biopsied in a targeted manner.
Perineal access
The biopsy is performed not through the rectum but via the perineal region.
Modern imaging
MRI fusion and high-resolution micro-ultrasound support targeted diagnostics.
Usually without an indwelling catheter
The examination is usually performed without a prolonged indwelling bladder catheter. Whether a catheter may be necessary in an individual case is discussed individually.
What Is an MRI Fusion Biopsy?
The MRI fusion biopsy is a targeted form of prostate biopsy. It is usually based on a multiparametric MRI of the prostate. If this shows abnormal regions, the MRI images can be merged with the ultrasound image during the biopsy.
The advantage: the samples are not taken merely according to a fixed scheme but specifically from the abnormal areas. This can be particularly useful in cases of an elevated PSA level, a suspicious MRI finding, or a persisting suspicion of prostate cancer.
Perineally via the Perineum Instead of Through the Rectum
At Urokompetenz Düsseldorf, the prostate biopsy is performed perineally, that is, via the area between the scrotum and the anus. This access avoids the needle path through the rectum. That is an important advantage, because the skin in the perineal region can be disinfected well and modern guidelines increasingly favor the transperineal approach. At the same time, hard-to-reach regions of the prostate can also be examined in a targeted manner.
Modern Technology: MRI Fusion and Micro-Ultrasound
For precise prostate diagnostics, imaging is decisive. MRI fusion helps to locate abnormal areas from the MRI in a targeted way during the examination.
In addition, high-resolution micro-ultrasound can be used. This allows suspicious regions of the prostate to be assessed in real time and sampling to be planned even more precisely.
Course of the Examination
- Review of findings
We review PSA levels, MRI images, prior findings, and earlier biopsy reports. - Personal consultation
You receive an individual assessment of whether a fusion biopsy is advisable in your situation. - Planning the target areas
Abnormal regions from MRI and ultrasound are taken into account for sampling. - Perineal biopsy
The tissue samples are taken via the perineal region. - Discussion of findings
After the histological examination, we discuss the result and the next steps.
Why Urokompetenz Düsseldorf?
Urokompetenz – The Center for Urology at Clinic Bel Etage specializes in modern diagnostics and treatment of urological conditions. A particular focus lies on prostate cancer, early detection, second opinions and complex prostate diagnostics.
Our goal is precise, transparent, and individually tailored diagnostics – not a biopsy at any cost.
Frequently Asked Questions About the Fusion Biopsy
For example, in cases of an elevated or rising PSA level, a suspicious MRI finding, PI-RADS 3–5, or a persisting suspicion of prostate cancer.
No. At Urokompetenz Düsseldorf, sampling is performed perineally via the perineal region.
As a rule, no prolonged indwelling catheter is required. In rare individual cases, a catheter may become necessary.
Arrange a Consultation Appointment
Do you have an abnormal PSA level or a suspicious MRI finding, or would you like a second opinion before a prostate biopsy?
Urokompetenz – The Center for Urology
Clinic for Urology and Urological Surgery at Clinic Bel Etage
Reichsstraße 59
40217 Düsseldorf
Phone: +49 211 542 665 0
Email: