Transrectal ultrasound prostate biopsy (TRUS Bx) is increasingly performed by urologists. Lee and colleagues reported on the diversity in TRUS Bx practice and training in United Kingdom.1 Fifty-six percent of the surveyed urologists were actively involved in TRUS Bx and 68% of them did not think they received enough training. There is a wide variation in patient preparation (antibiotic prophylaxis regimens and analgesia used), biopsy schemes and indications for repeat biopsy. The lack of standardized guidelines for TRUS Bx highlights the necessity of a structured program for training the new generation of urologists.
