We conducted a comparative observational clinical study with anonymous Internet survey implemented based on the SurveyMonkey program.

The survey was conducted between September and December 2024 and consisted of 16 questions.

The division by hospitals showed that transrectal prostate biopsy is performed under the conditions in one day hospital in 91% of cases. Biopsy takes no more than 17 minutes on average. Half of the respondents - 47.2% had experience about5 years, and only 15.9% about 15 years. Answers to the question: “In what position is transrectal prostate biopsy most often performed?” in most cases, transrectal prostate biopsy is performed in the position on the left side, in 22% - in the gynecological chair. Answers to the question: “What method of anesthesia is used more often?” the results of the survey were distributed evenly into 3 groups:1 - the use of only a gel with anesthetic, 2 - the use of paraprostatic injection of novocaine or lidocaine (5 - 20 ml), 3 - the use of a gel with anesthetic and paraprostatic injection novocaine or lidocaine. About 82% of specialists recommend performing MRI with contrast. However, only 29% of patients perform results. About 17% note the impossibility of performing MRI due to contraindications or other difficulties of the healthcare system. The most common complications are hemospermia and hematuria. In 100% of cases, respondents noted the need to prescribe antibiotic therapy. In 77% of cases, doctors note the need for a histoscan-guided prostate biopsy, and 87% are sure that in the future it is necessary to standardize the method of performing histoscan-guided prostate biopsy.

Our survey showed that at the moment there is an interest in performing targeted biopsy under the control of histoscanning. We also note the lack of standardization of histoscan-guided prostate biopsy. We suggest that the results of histoscan-guided prostate biopsy can be improved by developing a standardized follow-up as well as an algorithm aimed at optimizing for each patient.