Ultrasound-guided caudal epidural anaesthesia for MRI-targeted transperineal prostate biopsy

Magnetic resonance imaging (MRI)-targeted transperineal prostate biopsy allows a more precise sampling of suggestive lesions. We describe a series of 10 cases for MRI-targeted transperineal prostate biopsy, of which 8 were successfully performed under ultrasound-guided caudal epidural anaesthesia. With the appropriate local anaesthetic volume and concentration, caudal epidural provides ideal conditions for this day case procedure.