Sweden’s nationwide transition to transperineal prostate biopsy: implications for implementation across Europe

Authors

  • Matthias May Department of Urology, St. Elisabeth Hospital Straubing, Medical Campus Lower Bavaria (MCN), Straubing, Germany
  • Christian Gilfrich Department of Urology, St. Elisabeth Hospital Straubing, Medical Campus Lower Bavaria (MCN), Straubing, Germany
  • Uwe-Bernd Liehr Department of Urology, Urooncology, Robot-Assisted and Focal Therapy, University Hospital Magdeburg, Otto-von Guericke University Magdeburg, Magdeburg, Germany
  • Steffen Lebentrau Department of Urology, Urooncology, Robot-Assisted and Focal Therapy, University Hospital Magdeburg, Otto-von Guericke University Magdeburg, Magdeburg, Germany; Department of Urology, Werner Forssmann Hospital, Eberswalde, Germany

DOI:

https://doi.org/10.2340/sju.v61.45984

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References

Bonnedahl J, Lundström KJ, Lampa E, et al. Risk of infectious complications after transperineal prostate biopsy compared to transrectal biopsy: nationwide population-based cohort study in Sweden. Scand J Urol. 2026;61:44–50. DOI: https://doi.org/10.2340/sju.v61.45537

Bonkat G, Kranz J, Cai T, et al. EAU Guidelines on Urological Infections. EAU Guidelines. Presented at the EAU Annual Congress, London, United Kingdom, 13-16 March 2026. EAU Guidelines Office, Arnhem, The Netherlands; 2026:1-105.

Cornford P, Tilki D, van den Bergh RCN, et al. EAU-EANM-ESTRO-ESUR-ISUP-SIOG Guidelines on Prostate Cancer. EAU Guidelines. Presented at the EAU Annual Congress, London, United Kingdom, 13-16 March 2026. EAU Guidelines Office, Arnhem, The Netherlands; 2026:1-267.

Stangl FP, Day E, Vallée M, et al. Infectious complications after transrectal versus transperineal prostate biopsy: a systematic review and meta-analysis. Eur Urol Focus. 2026;12(2):275–283. DOI: https://doi.org/10.1016/j.euf.2025.07.005

Wolff I, Büchner M, Hauner K, et al. Infectious complications following transperineal prostate biopsy with or without periprocedural antibiotic prophylaxis – a systematic review including meta-analysis of all comparative studies. Prostate Cancer Prostatic Dis. 2026;29(1):47–56. DOI: https://doi.org/10.1038/s41391-024-00934-9

Federal Statistical Office of Germany (Destatis). Custom tabulation of DRG-based inpatient transrectal and transperineal prostate biopsy procedures in Germany, 2020-2024. Wiesbaden, Germany: Federal Statistical Office of Germany (Destatis); provided upon request; accessed March 23, 2026.

Hauner K, Kranz J, Wagenlehner FME, et al. Perioperative and peri-interventional antibiotic prophylaxis in urology: key recommendations from the German Interdisciplinary AWMF S3 clinical practice guideline. Urol Int. 2026:1–15. DOI: https://doi.org/10.1159/000550029

Published

2026-05-06

How to Cite

May, M., Gilfrich, C., Liehr, U.-B., & Lebentrau, S. (2026). Sweden’s nationwide transition to transperineal prostate biopsy: implications for implementation across Europe. Scandinavian Journal of Urology, 61(1), 163–165. https://doi.org/10.2340/sju.v61.45984

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