RESUMO
There are more than one indications and management regarding the role of the prostatic biopsy. Multiple ultrasound guided transrectal prostatic biopsies have been immediately indicated to these patients with total PSA up to 10 ng/ml even if digital rectal examination have been negative. If total PSA from 4 to 10 ng/ml and PSA ratio in the gray zone, we first started with an antiflogistic therapy for 40 days. In the cases with total and ratio PSA levels u to the standard limits we performed ultrasound guided multiple prostatic biopsy. Normally we performing the biopsies in patient age not over 75 years old. Ultrasound procedure has been performed using an Siemens Sonoline ADARA with transrectal multiplanar 7.5 MKZ ultrasound probe 18 G per 20 mm automatic needle Bard kit. We using a ten biopsies mapping of the prostate: 6 biopsies on the right and left lobe, 2 biopsies on the transitional zone and 2 biopsies on the lateral side of the periferic prostatic tissue. Our experience suggests that ultrasound guided transrectal prostatic biopsy is a safe, well tollered and complication-poorly (6%) diagnostic procedure for the diagnosis of prostate cancer.