Facebook tracking pixel
Back to Templates
Genitourinary Specialist
30-45 minutes

MRI-guided transperineal fusion biopsy Template

The Transperineal MRI Fusion Biopsy template by s10.ai is an all-encompassing documentation resource tailored for urologists conducting prostate biopsies. This template meticulously records critical elements such as patient demographics, preoperative and postoperative diagnoses, procedural nuances, and operative specifics. It is especially beneficial for documenting MRI fusion-guided biopsies, ensuring precise and comprehensive capture of the procedure and patient consent. Urologists aiming to optimize their documentation workflow while ensuring detailed and accurate records will find this template indispensable. Designed for seamless integration with s10.ai, the AI medical scribe, it significantly boosts efficiency and precision in clinical environments.

4,844 uses
5/5.0
M
Michael Thompson
Template Structure

Organized sections for comprehensive clinical documentation

(MISSING INFORMATION)
"SURGERY DATE: [today's date in US format (ensure it's US format!!)]
PATIENT: [Patient's first and last name (include middle initial if mentioned)]
DOB: [Patient's date of birth in US format (MM/DD/YYYY)]
MEDICAL RECORD NUMBER: [Patient's medical record number, (without spaces or dashes)]
SURGEON:
[Clinician name with relevant credentials]
PREOPERATIVE DIAGNOSIS:
[insert preoperative diagnosis, usually prostate cancer or elevated PSA]
POSTOPERATIVE DIAGNOSIS:
Same
PROCEDURE:
Transperineal prostate biopsy [indicate whether MRI fusion or not]
ANESTHESIA: General.
INTRAVENOUS FLUIDS: [how much fluids] mL of crystalloid. (omit if not mentioned)
ESTIMATED BLOOD LOSS: 0 mL.
DRAINS:
None
SPECIMENS:
[insert number] cores to pathology
COMPLICATIONS: None.
INDICATIONS: [Patient name and age in conversational format] with [insert indications for prostate biopsy]. [Additional information about patient specifics if provided (otherwise omit)]
After a discussion of risks, benefits, pros, cons, side effects, and alternatives, he wished to undergo prostate biopsy under sedation. I informed him aside from anesthesia complications (if an anesthetic is used), regarding trans rectal ultrasound biopsy of the prostate I discussed possible negative outcomes which may include, but are not limited to: excessive bleeding from the anus specially in patients with hemorrhoids,  blood clots in the urine,  blood in the ejaculate, urinary retention, and urinary tract infection or urosepsis rarely requiring hospitalization.  I also went over the detailed prostate biopsy handout in the clinic with the patient and gave him a copy to take home. We have previously discussed controversies related to prostate cancer screening. I discussed the above issues with him as well as other issues related to prostate biopsy.  
OPERATIVE PROCEDURE IN DETAIL:
After proper informed consent was obtained, the patient was brought to the endoscopy suite.  Antibiotics were not necessary.  He was positioned in yellowfin stirrups in lithotomy and universal protocol time-out was called using a standardized checklist.
The scrotum was elevated anteriorly and taped out of the perineum.  The perineum was then prepped with ChloraPrep.  A perineal skin puncture site was identified at the site halfway between the lateral aspect of the prostate gland in the medial aspect of the prostate gland on both the right and left side.  A local skin block with 1% lidocaine was then used to anesthetize either side.
Using a precision point access needle system the puncture site on the right was stabilized with a 15 gauge needle and a long spinal needle was used to puncture the subcutaneous tissue provide local anesthesia with 1% lidocaine.  The block consisted of anesthetizing the subcutaneous tissue and apically blocked just proximal to the GU diaphragm and levator muscle bilaterally.
[If MRI fusion, state "The prostate was co-registered with the software fusion platform by performing a sweep and lining up the images." (if not fusion, omit this statement)]
The prostate gland was not resized because of accurate measurements on MRI [or insert prostate size measurement if mentioned].  Using biplanar guidance the prostate was then sampled with the following (2 cores RPM and RPL, 2 Cores LPM, LPL, and 2 cores RAM, RAL, LAM, LAL, RB, LB, 20 total).  These were then sent off the field for pathologic analysis.   [If Additional cores taken, put that here as well, (otherwise don't comment)]
The rectal probe was then removed.  The puncture sites of the skin were dressed with fluff dressing.  The patient was sent to recovery.
I was present throughout the entire procedure. The patient was awakened from anesthesia and transferred to the recovery room in stable and satisfactory condition.
[Clinician name]
[insert date in US format (ensure US format MM/DD/YYYY)]"
Sample Clinical Note

Example of completed documentation using this template

DATE OF SURGERY: 11/01/2024
PATIENT: John A. Smith
DOB: 03/15/1965
MEDICAL RECORD NUMBER: 123456789
SURGEON:
s10.ai
PREOPERATIVE DIAGNOSIS:
Elevated PSA
POSTOPERATIVE DIAGNOSIS:
Same
PROCEDURE:
Transperineal prostate biopsy with MRI fusion
ANESTHESIA: General.
INTRAVENOUS FLUIDS: 500 mL of crystalloid.
ESTIMATED BLOOD LOSS: 0 mL.
DRAINS:
None
SPECIMENS:
20 cores to pathology
COMPLICATIONS: None.
INDICATIONS: John Smith, a 59-year-old male, with elevated PSA levels and a family history of prostate cancer.
After a discussion of risks, benefits, pros, cons, side effects, and alternatives, he opted to undergo prostate biopsy under sedation. I informed him aside from anesthesia complications (if an anesthetic is used), regarding trans rectal ultrasound biopsy of the prostate I discussed possible negative outcomes which may include, but are not limited to: excessive bleeding from the anus especially in patients with hemorrhoids, blood clots in the urine, blood in the ejaculate, urinary retention, and urinary tract infection or urosepsis rarely requiring hospitalization. I also reviewed the detailed prostate biopsy handout in the clinic with the patient and provided him a copy to take home. We have previously discussed controversies related to prostate cancer screening. I discussed the above issues with him as well as other issues related to prostate biopsy.
OPERATIVE PROCEDURE IN DETAIL:
After proper informed consent was obtained, the patient was brought to the endoscopy suite. Antibiotics were not necessary. He was positioned in yellowfin stirrups in lithotomy and universal protocol time-out was called using a standardized checklist.
The scrotum was elevated anteriorly and taped out of the perineum. The perineum was then prepped with ChloraPrep. A perineal skin puncture site was identified at the site halfway between the lateral aspect of the prostate gland in the medial aspect of the prostate gland on both the right and left side. A local skin block with 1% lidocaine was then used to anesthetize either side.
Using a precision point access needle system the puncture site on the right was stabilized with a 15 gauge needle and a long spinal needle was used to puncture the subcutaneous tissue provide local anesthesia with 1% lidocaine. The block consisted of anesthetizing the subcutaneous tissue and apically blocked just proximal to the GU diaphragm and levator muscle bilaterally.
The prostate was co-registered with the software fusion platform by performing a sweep and lining up the images.
The prostate gland was not resized because of accurate measurements on MRI. Using biplanar guidance the prostate was then sampled with the following (2 cores RPM and RPL, 2 Cores LPM, LPL, and 2 cores RAM, RAL, LAM, LAL, RB, LB, 20 total). These were then sent off the field for pathologic analysis.
The rectal probe was then removed. The puncture sites of the skin were dressed with fluff dressing. The patient was sent to recovery.
I was present throughout the entire procedure. The patient was awakened from anesthesia and transferred to the recovery room in stable and satisfactory condition.
s10.ai
11/01/2024
Clinical Benefits

Key advantages of using this template in clinical practice

  • MISSING INFORMATION: TODAY'S DATE, PATIENT'S NAME, PATIENT'S DOB, PATIENT'S MEDICAL RECORD NUMBER, CLINICIAN NAME, PREOPERATIVE DIAGNOSIS, NUMBER OF SPECIMENS, INDICATIONS, CLINICIAN NAME, DATE "DATE OF SURGERY: [today's date in US format (make sure it's US format please!!)] PATIENT: [Patient's first and last name (include middle initial if mentioned)] DOB: [Patient's date of birth in US format (MM/DD/YYYY)] MEDICAL RECORD NUMBER: [Patient's medical record number, (without spaces or dashes)] SURGEON: [Clinician name with relevant credentials] PREOPERATIVE DIAGNOSIS: [insert preoperative diagnosis, usually prostate cancer or elevated PSA] POSTOPERATIVE DIAGNOSIS: Same PROCEDURE: Transperineal prostate biopsy [indicate whether MRI fusion or not] ANESTHESIA: General. INTRAVENOUS FLUIDS: [how much fluids] mL of crystalloid. (omit if not mentioned) ESTIMATED BLOOD LOSS: 0 mL. DRAINS: None SPECIMENS: [insert number] cores to pathology COMPLICATIONS: None. INDICATIONS: [Patient name and age in conversational format] with [insert indications for prostate biopsy]. [Additional information about patient specifics if provided (otherwise omit)] After a discussion of risks, benefits, pros, cons, side effects, and alternatives, he wished to undergo prostate biopsy under sedation. I informed him aside from anesthesia complications (if an anesthetic is used), regarding trans rectal ultrasound biopsy of the prostate I discussed possible negative outcomes which may include, but are not limited to: excessive bleeding from the anus specially in patients with hemorrhoids,  blood clots in the urine,  blood in the ejaculate, urinary retention, and urinary tract infection or urosepsis rarely requiring hospitalization.  I also went over the detailed prostate biopsy handout in the clinic with the patient and gave him a copy to take home. We have previously discussed controversies related to prostate cancer screening. I discussed the above issues with him as well as other issues related to prostate biopsy.   OPERATIVE PROCEDURE IN DETAIL: After proper informed consent was obtained, the patient was brought to the endoscopy suite.  Antibiotics were not necessary.  He was positioned in yellowfin stirrups in lithotomy and universal protocol time-out was called using a standardized checklist. The scrotum was elevated anteriorly and taped out of the perineum.  The perineum was then prepped with ChloraPrep.  A perineal skin puncture site was identified at the site halfway between the lateral aspect of the prostate gland in the medial aspect of the prostate gland on both the right and left side.  A local skin block with 1% lidocaine was then used to anesthetize either side. Using a precision point access needle system the puncture site on the right was stabilized with a 15 gauge needle and a long spinal needle was used to puncture the subcutaneous tissue provide local anesthesia with 1% lidocaine.  The block consisted of anesthetizing the subcutaneous tissue and apically blocked just proximal to the GU diaphragm and levator muscle bilaterally. [If MRI fusion, state "The prostate was co-registered with the software fusion platform by performing a sweep and lining up the images." (if not fusion, omit this statement)] The prostate gland was not resized because of accurate measurements on MRI [or insert prostate size measurement if mentioned].  Using biplanar guidance the prostate was then sampled with the following (2 cores RPM and RPL, 2 Cores LPM, LPL, and 2 cores RAM, RAL, LAM, LAL, RB, LB, 20 total).  These were then sent off the field for pathologic analysis.   [If Additional cores taken, put that here as well, (otherwise don't comment)] The rectal probe was then removed.  The puncture sites of the skin were dressed with fluff dressing.  The patient was sent to recovery. I was present throughout the entire procedure. The patient was awakened from anesthesia and transferred to the recovery room in stable and satisfactory condition. [Clinician name] [insert date in US format (make sure US format MM/DD/YYYY)]"
Frequently Asked Questions

Common questions about this template and its usage

Ready to transform your practice?

Join thousands of clinicians already using S10.AI to reduce administrative burden and improve patient care.