The transperineal approach is preferred to reduce prostate biopsy (PB)-related infections. Fluoroquinolones are suspended for prophylaxis of PB in the European Union; therefore, alternative antibiotics based on local resistance, or targeted prophylaxis, in conjunction with povidone-iodine rectal preparation are recommended for transrectal PB.
European urology. 2020 Nov 08 [Epub]
Adrian Pilatz, Rajan Veeratterapillay, Konstantinos Dimitropoulos, Muhammad Imran Omar, Benjamin Pradere, Yuhong Yuan, Tommaso Cai, Tunde Mezei, Wout Devlies, Franck Bruyère, Riccardo Bartoletti, Bela Köves, Suzanne Geerlings, Sören Schubert, Jeremy Grummet, Nicolas Mottet, Florian Wagenlehner, Gernot Bonkat
Department of Urology, Pediatric Urology and Andrology, Justus-Liebig-University Giessen, Giessen, Germany. Electronic address: ., Freeman Hospital, Newcastle Upon Tyne, UK., Department of Urology, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK., Guidelines Office, European Association of Urology, Arnhem, The Netherlands., Department of Urology, CHRU Bretonneau, Tours, France; Université Francois Rabelais, PRES Centre Val de Loire, Tours, France., Department of Medicine, Division of Gastroenterology, McMaster University, Hamilton, Canada., Department of Urology, Santa Chiara, Reg. Hospital, Trento, Italy., Department of Urology, Telemark Hospital, Skien, Norway., Department of Urology, UZ Leuven, Leuven, Belgium., Department of Translational Research and New Technologies, University of Pisa, Italy., Department of Urology, South-Pest Teaching Hospital, Budapest, Hungary., Department of Internal Medicine, Amsterdam University Medical Center, The Netherlands., Max von Pettenkofer Institute, Faculty of Medicine, LMU Munich, Germany., Department of Surgery, Alfred Health, Central Clinical School, Monash University, Melbourne, Australia., Department of Urology, University Jean Monnet St Etienne, Saint-Étienne, France., Department of Urology, Pediatric Urology and Andrology, Justus-Liebig-University Giessen, Giessen, Germany., Alta Uro AG, Merian Iselin Klinik, Center of Biomechanics and Calorimetry, University Basel, Basel, Switzerland.