Prior treatment of prostate cancer

Contraindications to TENS, including:

* Cutaneous damage or dermatologic conditions at the TENS application sites

* Presence of cardiac pacemakers or automatic implantable cardioverter-defibrillators (AICDs)

* Uncontrolled cardiac arrhythmias or congestive heart failure

* History of epilepsy or seizure disorders

* Metal implants near the site of stimulation

* Malignancy at or near the site of stimulation

Contraindications to transperineal biopsy, including:

* Active urinary tract infection

* Bleeding disorders or ongoing anticoagulant therapy

* Anatomical abnormalities that prevent safe access to the prostate

Known allergy or intolerance to local anesthetics or biopsy-related materials

Severe comorbidities or unstable medical conditions that could compromise procedural safety

Inability to provide informed consent or refusal to sign the consent form

TENS for Pain Relief During Fusion-Guided Prostate Biopsy