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CompletedNCT02756975ProstateUpdated Apr 29, 2016

Prostate Core Needle Biopsy

An interventional study of coaxial prostate biopsy and noncoaxial prostate biopsy in Biopsy, Prostate and Complication, sponsored by Modarres Hospital. Completed at 1 site in Iran, Islamic Republic of. Open to male participants aged 20 Years to 90 Years. Per ClinicalTrials.gov, last updated 2016-04-29.

Sponsored by Modarres Hospital · Not applicable and Interventional

Phase
Not applicable
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
20 Years to 90 Years
Sex
Male
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Study summary

Prostate tissue biopsy is performed with either transrectal or transperineal approach. These two methods are usually based on tissue sampling with an ultrasound-guided core needle biopsy. Transperineal prostate biopsy can be done either with a conventional noncoaxial technique or with a coaxial technique. In conventional transperineal technique, biopsy needle is inserted repeatedly for each tissue sampling. Alternatively, a coaxial needle can be placed over the perineum; then, the direction of the biopsy can be changed by tilting the coaxial needle. In this prospective study, the investigators sought to compare the procedural time and the complication rate of coaxial technique with those of noncoaxial technique in transperineal prostate biopsy.

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Conditions studied

  • Biopsy
  • Prostate
  • Complication
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In context

Lead sponsor

Modarres Hospital is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
20 Years to 90 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • an elevated prostate-specific antigen (PSA) level
  • suspicious digital rectal examination

Exclusion criteria

Exclusion Criteria:

  • a history of prostate cancer
  • clinical findings of acute or chronic prostate inflammation
  • a history of urogenital procedures
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Study design

Phase
Not applicable
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
240 participants (actual)

Study arms

  • Experimental
    transperineal prostate biopsy with coaxial method

    The patients undergo transperineal biopsy with a coaxial Tru-Cut needle (18-gauge Core Biopsy Instrument with a 17-gauge Disposable Coaxial Needle).

    Device: coaxial prostate biopsy

  • Experimental
    transperineal prostate biopsy with noncoaxial method

    The patients undergo transperineal biopsy with a noncoaxial 18-gauge needle.

    Device: noncoaxial prostate biopsy

Interventions

  • Devicecoaxial prostate biopsy

    In this method, a larger introducing needle is needed for the puncture. The introducing needle is placed over the perineum. The biopsy needle is inserted throughout the introducing needle.Then, the direction of the biopsy is changed by tilting the coaxial needle. The investigator needs to puncture the prostate capsule only once for sampling at each each side of the prostate (right and left sides).

    Also known as: coaxial Tru-Cut needle (18-gauge Bard Max-Core Disposable Core Biopsy Instrument, 17-gauge Bard TruGuide Disposable Coaxial Needle; C. R. Bard, Tempe, USA)

  • Devicenoncoaxial prostate biopsy

    In this method, there is no introducing needle. Biopsy needle is inserted repeatedly for each tissue sampling (at least fourteen times). A smaller biopsy needle is used for the puncture in this method. The main disadvantage of the coaxial technique is that a larger introducing needle is needed for the puncture (12). On the other whand, the advantage of noncoaxial method is that the needle is within the prostate for only a few seconds to document needle position with ultrasonography before firing

    Also known as: noncoaxial 18-gauge needle (Bard Max-Core Disposable Core Biopsy Instrument; C. R. Bard, Tempe, USA)

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What researchers measure

Primary outcomes

  1. complication ratio

    Time frame: within 48 hours after the procedure

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Study locations

1 site
  • Department of Radiology, Poursina Hospital, Guilan University of Medical Sciences
    Rasht, Guilan, Iran, Islamic Republic of
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References and documents

Publications

  • Novella G, Ficarra V, Galfano A, Ballario R, Novara G, Cavalleri S, Artibani W. Pain assessment after original transperineal prostate biopsy using a coaxial needle. Urology. 2003 Oct;62(4):689-92. doi: 10.1016/s0090-4295(03)00483-7. PubMed 14550444 ↗
  • Chang DT, Challacombe B, Lawrentschuk N. Transperineal biopsy of the prostate--is this the future? Nat Rev Urol. 2013 Dec;10(12):690-702. doi: 10.1038/nrurol.2013.195. Epub 2013 Sep 24. PubMed 24061531 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 29, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02756975
Lead sponsor
Modarres Hospital
Responsible party
Sponsor
First posted
Apr 29, 2016
Start date
Dec 2014
Primary completion
Feb 2015
Completion
Dec 2015
Last update
Apr 29, 2016

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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