Table 1 Equipment required to perform a transperineal prostate biopsy

Mefix self-adhesive fabric tape (SCA Mölnlycke Ltd) 5 cm

2 Strips—to elevate scrotum

Razor

To ensure aseptic technique

Chloraprep skin antiseptic (2% chlorhexidine gluconate + 70% isopropyl alcohol [CHG + IPA] in a 3.0-mL applicator) (Medi-Flex Hospital Products, Inc., Overland Park, Kan)

Time given to allow fully dry

Xylocaine 10 mg/ delivered dose mucosal spray

Applied to perineal skin for added anaesthesia

1 × 25 G needle and 1 × 20 G spinal needle

25 G needle for skin and 20 G needle for deeper infiltration

Lidocaine

Instillagel

Inserted per rectum

Condom type cover for Covering Rectal Ultrasound probe

1 × 11 cm 17 G Temno Introducer Needle and 1 × 16 cm 18 G Biopsy Needle Gun

For taller or larger patients a longer system may be required (15 cm introducer/20 cm needle)

Specimen Containers

Prelabelled

Opsite Spray to skin after procedure

Dressings are not suitable for perineum