Accurate, Safer Prostate Biopsy in Kuala Lumpur
A prostate biopsy is a key step in evaluating prostate cancer risk. The PrecisionPoint™ Transperineal Biopsy System is a modern, targeted method that improves accuracy and lowers infection risk compared to traditional transrectal biopsy.
Unlike conventional techniques, this approach accesses the prostate through the perineum (the skin between the scrotum and anus) — avoiding the rectum — which significantly reduces the chance of infection and improves tissue sample quality for diagnosis.
What Is a Prostate Biopsy?

A prostate biopsy involves collecting small tissue samples from the prostate gland to check for signs of cancer under a microscope. It’s typically recommended when:
A raised PSA level is found in a blood test
MRI imaging shows a suspicious area in the prostate
There is a family history or genetic risk of prostate cancer
This test helps confirm a diagnosis, guide treatment decisions, and determine how aggressive the cancer may be if present.
Why Choose Transperineal Prostate Biopsy Over Transrectal?
Traditionally, prostate biopsies were performed through the rectum (transrectal route), but this method carries a higher risk of infection due to potential bacterial contamination.
The transperineal prostate biopsy, especially using the PrecisionPoint™ system, offers significant clinical advantages:
✅ Lower infection risk – avoids rectal penetration, reducing the chance of bacterial entry
✅ Improved access – allows better sampling of the entire prostate, including the front (anterior) zones that are harder to reach with transrectal techniques
✅ Local anaesthesia option – can be safely done in a clinic setting without general anaesthesia
✅ Higher accuracy – especially when paired with MRI-targeted fusion biopsy
✅ Ideal for repeat biopsies – suitable for patients with prior negative biopsies but persistently elevated PSA levels
This approach prioritizes both patient safety and diagnostic precision, making it a preferred option for prostate cancer evaluation in Kuala Lumpur.

What to Expect During a Transperineal Prostate Biopsy

The PrecisionPoint™ transperineal prostate biopsy is typically performed as a day procedure under local anaesthesia. It is a safe and targeted technique used to diagnose prostate cancer with improved accuracy and lower infection risk.
Local anaesthetic is applied to numb the perineal area (skin between the scrotum and anus).
The PrecisionPoint™ device guides the biopsy needle through the perineal skin to access the prostate.
Several tissue samples are collected from different areas of the prostate for microscopic examination.
Most patients can go home the same day, with minimal downtime and quick recovery.
After the Biopsy: What Patients Should Know
After a transperineal prostate biopsy, it’s common to experience mild symptoms such as:
Light bleeding in urine or semen
Mild discomfort or bruising at the biopsy site
These typically resolve within a few days. The risk of infection is significantly lower compared to transrectal biopsy due to the skin-based entry point.
Patients are advised to monitor for symptoms such as fever, painful urination, or prolonged discomfort — and to seek medical attention if these occur.
When Is a PrecisionPoint™ Transperineal Prostate Biopsy Recommended?
A PrecisionPoint™ transperineal prostate biopsy may be advised in the following situations:
Elevated PSA levels (Prostate-Specific Antigen) on blood tests
Suspicious lesions or abnormalities on prostate MRI
Monitoring during active surveillance for slow-growing prostate cancer
Repeat biopsy after a prior negative result but continued PSA rise
Evaluation of possible recurrence after radiation therapy or HIFU (High-Intensity Focused Ultrasound) treatment
This targeted biopsy approach is commonly used when prostate cancer is suspected or needs further clarification.

Key Benefits of the PrecisionPoint™ System

The PrecisionPoint™ system offers several advantages over traditional biopsy techniques:
Minimally invasive, with fewer complications
Can be performed under local anaesthesia, often without general sedation
Lower infection risk and reduced need for antibiotics
Comfortable recovery with minimal downtime
Allows for both systematic sampling and MRI fusion-guided targeted biopsies
Especially useful for difficult-to-reach prostate areas and repeat biopsy cases
Frequently Asked Questions -
PrecisionPoint™ Prostate Biopsy
1. Is the transperineal prostate biopsy painful?
Most patients tolerate the procedure well. It’s usually performed under local anaesthesia, so discomfort is minimal. You may feel pressure or a slight pinch, but significant pain is uncommon.
2. How is this different from the traditional transrectal biopsy?
The PrecisionPoint™ transperineal approach accesses the prostate through the skin between the scrotum and anus, avoiding the rectum. This greatly reduces the risk of infection and improves access to all prostate zones, especially the anterior areas.
3. How long does the procedure take?
The biopsy typically takes 20–30 minutes. It’s usually done as a day procedure, and most patients go home within a few hours.
4. Are there any risks or side effects?
Minor side effects may include mild discomfort, temporary blood in urine or semen, or light bruising. Serious complications are rare, especially compared to the transrectal route.
5. When will I get the results?
Pathology results are generally available within 5–7 working days. Your urologist will review the findings with you and discuss the next steps.
6. Why choose the PrecisionPoint™ biopsy method in Kuala Lumpur?
The PrecisionPoint™ system is a modern, safer option offered by select urology specialists in Malaysia. At Prince Court Medical Centre, Dr. Roger provides expert prostate cancer diagnostics using this advanced approach for better accuracy and patient safety.
📍 Prostate biopsy services available at Prince Court Medical Centre, Kuala Lumpur
🗓️ Consultations begin June 2025
If you’re concerned about rising PSA levels or need a second opinion, talk to your doctor about whether a PrecisionPoint™ transperineal prostate biopsy is right for you.
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