Clinical application of transperineal four-hole prostate puncture
10.12483/j.issn.1009-8291.2026.03.012
- VernacularTitle:经会阴前列腺穿刺四针孔穿刺法临床应用研究
- Author:
Xudong JIA
1
;
Haoxuan YANG
1
;
Xin WANG
1
;
Lei DU
1
;
Ziyue MA
1
;
Yan HE
1
;
Mingxuan YANG
1
;
Jinchun QI
1
Author Information
1. Department of Urology, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China
- Publication Type:Journal Article
- Keywords:
transperineal prostate puncture;
prostate cancer;
needle biopsy;
freehand biopsy;
parallel needle insertion;
four-hole puncture
- From:
Journal of Modern Urology
2026;31(3):268-271
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy and safety of the transperineal four-hole prostate puncture with conventional transperineal prostate puncture. Methods A total of 91 patients undergoing transperineal prostate puncture at the Second Hospital of Hebei Medical University during Jan. 2024 and Jan. 2025 were enrolled. Based on the puncture methods, the patients were divided into the four-hole group(n=46)and conventional group(n=45). The four-hole group underwent four-hole puncture, while the conventional group received standardized parallel needle insertion. The operation time, intraoperative blood loss, pain score, positive biopsy rate, and complications were compared between the two groups. Results The intraoperative blood loss [(7.05±2.48)mL vs.(9.15±3.49)mL] and pain score [(2.33±1.55)vs.(3.02± 1.54)] of the four-hole group were significantly lower than those of the conventional group(P＜0.05). No significant differences were observed in the positive biopsy rate [47.8%(22/46)vs. 46.7%(21/45)] or operation time [(18.83±2.49)min vs.(18.07±1.66)min](P＞0.05). The total complication rate in the four-hole group was significantly lower than that in the conventional group [21.7%(10/46)vs. 42.2%(19/45), P＜0.05]. Conclusion Compared with the conventional parallel needle insertion method, the four-hole puncture technique reduces the intraoperative blood loss, alleviates trauma severity and pain response, and reduces the complication rate.
