A prostate biopsy is a procedure in which a fine needle is used to take a number of tissue samples from your prostate gland. It is typically recommended if the results from your PSA (prostate specific antigen) blood test, digital rectal exam, or other imaging tests suggest you may have prostate cancer. The procedure may also be done as a follow-up to a previous abnormal biopsy result.
During the procedure you will lie on your side, a numbing gel will be placed on the biopsy area and the physician will insert a thin ultrasound probe into your rectum to guide the biopsy device into place. After the prostate nerves are numbed using local anesthesia, the physician will then retrieve thin, cylindrical sections of tissue from your prostate using a hollow spring propelled needle. The procedure causes a brief uncomfortable sensation each time a sample is taken. In most cases the doctor will take 10-12 tissue samples.
The procedure is outpatient and takes about 20-30 minutes.
Possible complications include:
• Blood in the urine or stool
• Blood in your semen
• Urinary retention
Please observe the following Pre-Operative Guidelines:
• You should stop the following medications one week prior to surgery: aspirin (ASA), NSAIDs (Motrin, Advil, ibuprofen), Coumadin, Lovenox, Celebrex, and Plavix. Please contact us if you are unsure about which medications to stop, and do not stop any medication without contacting your prescribing physician. • You will be given an antibiotic to be taken for 3 consecutive days. Begin taking the antibiotic the day before the biopsy. • You will need to purchase a Fleet’s enema from the drug store. On the day of the test, administer the Fleet’s enema three hours prior to your scheduled appointment. • There are no dietary restrictions prior to the procedure, please be sure to eat prior to coming.
After the Procedure:
• You may feel slight soreness and have some slight bleeding from your rectum.
• You may have blood in your urine or stool for a few days.
• You may also notice that your semen has a pinkish or brownish tint caused by a small amount of blood in your semen, this may last for more than a month.
• Please contact us immediately if you have any signs of infection, prolonged or heavy bleeding, pain that gets worse, swelling near the biopsy area, difficulty urinating, or a fever above 101°F.