Further comparative clinical-effectiveness evidence on the CamPROBE biopsy device is recommended to understand how double freehand prostate biopsy approaches compare with transrectal ultrasound biopsy or transperineal biopsy using freehand needle positioning devices (see section 3.5).
A patient experience study is recommended to better understand tolerability of local anaesthetic prostate biopsy, what aspects of the procedure may cause patients embarrassment, and how this could be reduced to increase uptake.
Further research is recommended to understand how the number of biopsy cores taken during local anaesthetic transperineal (LATP) prostate biopsy varies across centres and how this affects prostate biopsy histopathology costs.