A BXTA assumiu uma missão de informar o mundo sobre os benefícios da biópsia prostática LATP: biópsias transperineais executadas sob o efeito de anestesia local.

As the sole distributor, outside North America, for the PrecisionPoint™ single use device, that enables LATP, and alongside international partners that including organisations such as the British Association of Urological Surgeons, The Royal Society of Medicine, Prostate Cancer UK, The British Association of Urological Nurses and many others, we are committed to eradicating the current ‘de facto’ standard method for prostate cancer diagnosis: the transrectal ultrasound (TRUS) guided or transrectal biopsy.

Yet, TRUS biopsy has a high risk of infection, including patients given prophylaxis medication. In a recent study, 7 of 564 patients who received TRUS were admitted to the hospital for infection within the first 7 days, compared to 1 of 562 patients for LATP. At 4 months, 13 patients who received TRUS had required hospital admission, compared to 6 patients who had received LATP¹. The alternative transperineal or template (TP) biopsy has, in the past, typically only been available to men at greater risk of infection from certain medical conditions, and had to be done under general anaesthetic because of the need for multiple biopsy punctures

The PrecisionPoint™ Transperineal Access System is now revolutionising the methodology for obtaining prostate biopsies. Not only does it take full advantage of the transperineal path, decreasing risk of infections, it allows for more thorough sampling of all regions of the prostate including those difficult to access with the transrectal approach². 

PrecisionPoint™ provides a free-hand experience for HCP to operate in local anaesthetic settings, potentially aiding hospitals with limited resources.

• Convenient freehand, easy to learn
• Decreases risk of sepsis over the transrectal approach, removing the necessity for routine antibiotic use thereby decreasing the risks of the spread of antibiotic-resistant micro-organisms³
• Allows systematic template-style sampling without the need for a template or stepper and stabilizer unit⁴
• Performed under local anaesthesia, so the procedure can be undertaken in an outpatient clinic

By passing the biopsy needle through the perineum instead of the rectum, the risks associated with the transrectal approach are reduced. The practitioner is not restricted to biopsy locations dictated by a grid configuration, since the technique is freehand. The practitioner can freely manoeuvre the ultrasound probe to align the access needle to target the desired locations with certainty for targeted and systematic biopsies.

PrecisionPoint™ represents a novel approach for urologist to obtain samples in difficult areas of the prostate⁵ compared to TRUS procedures, through it’s ability to systematically allow access to the whole of the gland.

A BXTA está a trabalhar com destacados urologistas, enfermeiros especialistas e líderes de opinião no domínio do diagnóstico do cancro da próstata para erradicar a biópsia TRUS em favor da LATP como novo padrão de tratamento.

Criámos centros regionais de excelência clínica na Europa, Austrália e Nova Zelândia, no âmbito de um programa internacional de formação concebido para aumentar o número de consultores, pessoal administrativo e enfermeiros especialistas com competências nesta nova e avançada técnica de biópsia prostática.

References

1. Local anaesthetic transperineal biopsy versus transrectal prostate biopsy in prostate cancer detection (TRANSLATE): a multicentre, randomised, controlled trial. Richard J Bryant, Ioana R Marian, Roxanne Williams, J Francisco Lopez, Claudia Mercader, Mutie Raslan, et al. The Lancet Oncology, Volume 26, Issue 5, 583 – 59, 2025.
2. Is There an Impact of Transperineal Versus Transrectal Magnetic Resonance Imaging-targeted Biopsy in Clinically Significant Prostate Cancer Detection Rate? A Systematic Review and Meta-analysis. Uleri A, Baboudjian M, Tedde A, Gallioli A, Long-Depaquit T, Palou J, et al. Eur Urol Oncol. Dec;6(6):621-628, 2023.
3. EXIT from TRansrectal prostate biopsies (TREXIT): sepsis rates of transrectal biopsy with rectal swab culture guided antimicrobials versus freehand transperineal biopsy. Newman, T.H., Stroman, L., Hadjipavlou, M. Haque, A., Rusere, J., Chan, K., et al. Prostate Cancer Prostatic Dis 25, 283–287, 2022
4. Transperineal Magnetic Resonance Imaging-Fusion Targeted Prostate Biopsy Utilizing the PrecisionPoint Transperineal Access System vs a Grid Template: An Assessment of Outcomes. Buller D, Lin F, Wagner J, Antony M, Staff I, McLaughlin T, Tortora J, et al. Urology. 2025
5. Anterior prostate cancer: is it more difficult to diagnose? Bott SR, Young MP, Kellett MJ, Parkinson MC. BJU Int. Jun;89(9):886-9. 2002