New Prostate Cancer Biopsy | News | Loyola Medicine
Friday, September 27, 2019

Loyola Medicine Offers New Prostate Cancer Biopsy That Reduces Risk, Improves Accuracy

psa samples

MAYWOOD, IL – Loyola Medicine is among the first centers to offer a new minimally invasive prostate biopsy that minimizes the risk of infection and may increase the cancer detection rate.

It's called the transperineal prostate biopsy.

A urologist may recommend a biopsy if a digital rectal exam or PSA blood test suggests the patient may have prostate cancer. A needle is used to collect prostate tissue samples, which are examined by a pathologist for cancer.

In the traditional approach, called transrectal, the physician passes the biopsy needle through the rectal lining to reach the prostate. This risks introducing fecal material and bacteria into the prostate. Patients must take antibiotics, which have possible side effects such as allergic reactions and upset stomach. But even after taking antibiotics, as many as 5 percent of men undergoing transrectal biopsies experience infections, ranging from mild urinary tract infections to life-threatening sepsis.

In the new approach, the biopsy needle is passed through the perineum, an area of skin between the base of the scrotum and the rectum. No fecal material is introduced, and the risk of infection is so low that no antibiotics are needed.

The transperineal approach also may be more accurate than the transrectal approach in detecting tumors, because the physician can insert the needle into the prostate from more than one direction, said Loyola Medicine urologic surgeon Gopal Gupta, MD.

A transperineal biopsy can be done in a doctor's office in less than 10 minutes, and requires only local anesthesia. The patient experiences little or no pain afterwards, Dr. Gupta said.

Loyola is offering the transperineal biopsy along with a new technology called UroNav®, which fuses ultrasound and magnetic resonance imaging (MRI) to create a detailed, three-dimensional view of the prostate. This improved view helps physicians perform biopsies with much higher precision, and increases prostate cancer detection, Dr. Gupta said.

In 2014, Loyola became the first center in Illinois to offer MRI-ultrasound imaging, and Loyola today is among the centers with the most experience with the technology.

"By combining the transperineal approach with the MRI-ultrasound imaging system, we are able to offer our patients prostate cancer biopsies that are both less invasive and more accurate," Dr. Gupta said.

Loyola Medicine is nationally recognized for its expertise in diagnosing and treating a broad range of urologic conditions and providing integrated services for optimal patient care. Loyola's urology specialty is ranked 41st in the country in U.S. News & World Report's 2019-20 Best Hospitals rankings.

About Loyola Medicine and Trinity Health

Loyola Medicine, a member of Trinity Health, is a quaternary care system based in the western suburbs of Chicago that includes Loyola University Medical Center (LUMC), Gottlieb Memorial Hospital, MacNeal Hospital and convenient locations offering primary and specialty care services from 1,877 physicians throughout Cook, Will and DuPage counties. LUMC is a 547-licensed-bed hospital in Maywood that includes the William G. and Mary A. Ryan Center for Heart & Vascular Medicine, the Cardinal Bernardin Cancer Center, a Level 1 trauma center, Illinois's largest burn center, a certified comprehensive stroke center and a children’s hospital. Having delivered compassionate care for over 50 years, Loyola also trains the next generation of caregivers through its teaching affiliation with Loyola University Chicago’s Stritch School of Medicine and Marcella Niehoff School of Nursing. Gottlieb is a 247-licensed-bed community hospital in Melrose Park with 150 physician offices, an adult day care program, the Gottlieb Center for Fitness, the Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park. MacNeal Hospital is a 374-bed teaching hospital in Berwyn with advanced inpatient and outpatient medical, surgical and psychiatric services, advanced diagnostics and treatments. MacNeal has a 12-bed acute rehabilitation unit, a 25-bed inpatient skilled nursing facility, and a 68-bed behavioral health program and community clinics. MacNeal has provided quality, patient-centered care to the near west suburbs since 1919.

Trinity Health is one of the largest multi-institutional Catholic healthcare systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 92 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities and home care and hospice services. Its continuing care programs provide nearly 2.5 million visits annually. Based in Livonia, Mich., and with annual operating revenues of $18.3 billion and assets of $26.2 billion, the organization returns $1.1 billion to its communities annually in the form of charity care and other community benefit programs. Trinity employs about 129,000 colleagues, including 7,800 employed physicians and clinicians. Committed to those who are poor and underserved in its communities, Trinity is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services—ranked by number of visits—in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs.