磁共振成像融合经会阴前列腺活检术--前列腺癌检测的解决方案

最后更新： 2026年4月29日

• 在 Facebook 上
• Instagram
• WordPress的
• 电报
• WhatsApp
• LinkedIn
• 邮件

Today, we will dive deep into the new procedure which been called the “MRI-fusion transperineal prostate biopsy”. Prostate cancer is the second most common solid tumor occur among gentleman worldwide. In the past, for suspecting prostate cancer a patient was needs to do the biopsy procedure called the “Transrectal random prostate biopsy” at that time the quality of that procedure which is less in accuracy and easily to get infected from the feces that contaminated during the biopsy that needle punched through the rectal wall for reaching the prostate tissue.

• 曼谷医院泌尿外科中心 泰国 在线预订 02-310-3009 bhquro@bdms.co.th
• 春武里府斯里拉查（Samitivej Sriracha）医院 088-022-1445

This is the reason that the new technique is being invented. This new technique took advantage and virtually assisted of an MRI technology which can mapping the gland in advance for the possibility in guiding the urologist to foresee the prostate gland that could be the suspected for the cancer. The MRI-fusion instrument – its name makes urologists feel firmly confident when getting the biopsy because we can real-time synchronize MRI prostate data with ultrasound probe during the biopsy procedure. Another benefit is, the Transperineal technique making the biopsy needle tract pass through the perineal skin directly to the prostate gland which no need to pass through the rectal wall like old approach anymore.

为了便于理解，我将做如下比较；

各种前列腺活检技术的比较

	经会阴核磁共振融合方法	传统经直肠方法
针刺法	穿过会阴部皮肤	穿过直肠壁
磁共振成像指导	指导	无指导
癌症检出率	81%	40%
血流感染	0.4 – 1.1%	2.0 – 9.1%
血尿	48.8%	66.3%
直肠出血	3.5%	18.1%
疼痛	4.2%	4.5%
尿潴留	1.1%	2.3%
前列腺炎	0%	0.6%

As you can notice that the new MRI-fusion transperineal prostate biopsy can maximize the detection rate up to 81% – which means a lot of value for the patient to make decision for doing the biopsy procedure and also getting less in post procedure complications.

如果您对前列腺活检技术有任何疑问，请向您信任的泌尿科医生咨询，或者给我发短信，我将非常荣幸。

Dr. Soarawee was invited as an international speaker at the Taiwan Urology Association (TUOA2020) to present on prostate cancer management. Learn more about his clinical leadership and global impact.

你可以访问我的官方主页 这里.

常见问题解答

Q1: What is MRI-fusion transperineal prostate biopsy?

MRI-fusion transperineal prostate biopsy is an advanced prostate cancer detection technique that combines real-time MRI data with ultrasound guidance. The biopsy needle is inserted through the perineal skin rather than the rectal wall, significantly reducing infection risk while improving cancer detection accuracy to up to 81% compared to 40% with the conventional transrectal approach.

Q2: Why is the transperineal approach safer than the transrectal approach?

The transperineal approach avoids passing the biopsy needle through the rectal wall, which eliminates contamination from fecal bacteria. This dramatically reduces the risk of bloodstream infection from 2.0-9.1% with the conventional transrectal method down to just 0.4-1.1% with the transperineal technique. It also results in significantly less rectal bleeding.

Q3: Who should consider MRI-fusion transperineal prostate biopsy?

Men with elevated PSA levels, abnormal digital rectal examination findings, or suspicious MRI prostate results should consider this procedure. It is particularly beneficial for men who have had a previous negative biopsy but remain clinically suspicious for prostate cancer, as the MRI guidance allows targeted sampling of suspicious lesions.

Q4: Is MRI-fusion transperineal prostate biopsy available in Bangkok?

Yes. Dr. Soarawee Weerasopone performs MRI-fusion transperineal prostate biopsy at Bangkok Hospital Headquarters. As a urologist with specialized training in prostate cancer management and international surgical fellowships, Dr. Soarawee offers this state-of-the-art diagnostic procedure to both Thai and international patients.

Q5: What should I expect after MRI-fusion transperineal prostate biopsy?

After the procedure, you may experience mild bloody urination (in approximately 48.8% of patients) and minor perineal discomfort, both of which typically resolve within a few days. The risk of serious complications such as infection or urinary retention is very low with the transperineal technique. Your urologist will provide specific post-procedure instructions and follow-up arrangements.

If you have concerns about prostate cancer or would like to discuss the MRI-fusion transperineal biopsy procedure, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. 预约咨询.

**免责声明：** 本内容由曼谷医院总院的认证泌尿科医生 Soarawee Weerasopone 医生撰写和审阅。本内容仅用于教育目的，不构成医疗建议。在开始任何医疗治疗前，请务必咨询合格的医疗专业人士。.