Michael A. Gorin, MD, presented “Transperineal Prostate Biopsy in the Office Setting: Anesthetic Considerations” during the 27th Annual Southwest Prostate Cancer Symposium conference on October 17, 2024, in Scottsdale, Arizona.
How to cite: Gorin, Michael A. “Transperineal Prostate Biopsy in the Office Setting: Anesthetic Considerations.” October 17, 2024. Accessed Apr 2025. https://grandroundsinurology.com/transperineal-prostate-biopsy-in-the-office-setting-anesthetic-considerations/
Transperineal Prostate Biopsy in the Office Setting: Anesthetic Considerations – Summary
Michael A. Gorin, MD, delivers a 27-minute presentation on performing transperineal prostate biopsy under local anesthesia in the office setting. Dr. Gorin outlines the advantages of the transperineal approach over the traditional transrectal method. He also presents a step-by-step overview of the novel technique he has developed for performing this procedure without the routine need for sedation or general anesthesia.
Dr. Gorin shares the advantages of the transperineal approach over the traditional transrectal method, particularly in minimizing infectious complications caused by rectal mucosa puncture. Data from randomized controlled trials demonstrate a significant reduction in post-biopsy infections.
Gorin asserts that a key component of success lies in achieving adequate local anesthesia, which is accomplished through a combination of pudendal nerve block, periapical triangle block, and prostate apex block. He shares a video of a numbing procedure, with step-by-step instructions. Once numbing has been achieved, he shows how the biopsy is performed.
About the 27th Annual Southwest Prostate Cancer Symposium:
Presented by Program Chairs Nelson N. Stone, MD, Richard G. Stock, MD, and William K. Oh, MD, this conference educated attendees about advances in the management of localized and advanced prostate cancer, with a focus on imaging, technology, and training in the related devices. It included a scientific session, as well as live demonstrations of surgical techniques. You can learn more about the conference here.
ABOUT THE AUTHOR
Dr. Gorin is an Associate Professor of Urology in the Milton and Carroll Petrie Department of Urology at the Icahn School of Medicine at Mount Sinai. Dr. Gorin attended college at the University of Michigan, earning a Bachelor of Science in Cellular and Molecular Biology. He then attended medical school at the University of Miami Leonard M. Miller School of Medicine, where he graduated as an inductee to the Alpha Omega Alpha Honor Medical Society. Following medical school, Dr. Gorin completed a general surgery internship, urology residency, and fellowship in endoscopic and minimally invasive urology at the James Buchanan Brady Urological Institute at Johns Hopkins University School of Medicine.
Dr. Gorin is an internationally recognized expert on the use of molecular imaging techniques in the diagnosis and management of urologic malignancies. He is also widely recognized for his work developing novel methods for performing MRI-guided transperineal prostate biopsy and focal ablative treatments for prostate cancer. As a fellowship-trained endourologist, Dr. Gorin’s clinical practice primarily focuses on caring for patients with kidney stones, lower urinary tract symptoms, and prostate cancer.
Dr. Gorin has published over 300 articles in peer-reviewed journals with collaborators from around the world. Additionally, he has contributed to multiple medical textbooks, including chapters in Campbell-Walsh-Wein Urology, The 5-Minute Urology Consult, and Gray’s Anatomy. In July 2022, Dr. Gorin was selected to serve as Editor-in-Chief of BJUI Compass, the open-access companion journal to the BJU International. Dr. Gorin also serves on the editorial boards of several other journals, including UROLOGY (the Gold Journal), Urologic Oncology: Seminars and Original Investigations, and the World Journal of Urology. Dr. Gorin has received numerous honors and awards for his scholarly work, including the Drs. Carl and Barbara Alving Endowed Award for Outstanding Biomedical Research from the University of Miami Miller School of Medicine and the William F. Rienhoff, Jr., M.D. Scholar Award from Johns Hopkins University School of Medicine.
