A prostate biopsy is the removal of a small amount of tissue from the prostate gland. The tissue is examined to determine whether there is
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A prostate biopsy is usually done after an abnormal finding by: Digital rectal examProstate specific antigen blood test
A prostate biopsy is the only way to find out if cancer cells are present.
Complications are rare. But, no procedure is free of risk. If you are planning to have a prostate biopsy, your doctor will review a list of possible complications. These complications may include: InfectionBruising or lengthy bleeding from the rectum or in urine or semenDifficulty urinatingReactions to anesthesia
Factors that may increase the risk of complications include: SmokingHistory of bleeding disorders or easy bruisingUse of any medications, over-the-counter medicines, or herbal supplementsSensitivity or allergy to latex, medicines, or anesthesia
Be sure to discuss these risks with your doctor before the procedure.
You may be asked to do the following:
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
Anti-inflammatory drugs (eg,
Blood thinners, such as
Begin taking an antibiotic if advised by your doctor.Use an enema several hours before the procedure.If you will be getting general anesthesia, do not eat or drink anything after midnight.
The type of anesthesia depends on the method that your doctor uses:
Transurethral biopsy and perineal biopsy:
—blocks pain and keeps you asleep through the surgery, given through an IV in your hand or arm
Local anesthesia—just the area that is being operated on is numbed, given as an injection and may also be given with a sedativeTransrectal prostate biopsy—local anesthesia
Your doctor will use one of the following methods to do the biopsy: Transrectal biopsy (most common method)—Your doctor will insert a small ultrasound device into the rectum. This device will produce sound waves to create an image of the prostate. These images will help guide placement of the needle. Your doctor will then insert the needle through the wall of your rectum and into the prostate gland.Transurethral biopsy—Your doctor will insert a lighted flexible tube through the penis into the urethra. The urethra carries urine from the bladder. Your doctor will get the biopsy with a cutting loop that is passed through the flexible tube.Perineal biopsy—Your doctor will make a small incision in the perineum. The perineum is the area between the scrotum and the rectum. The doctor will insert a small needle into the prostate gland to get the biopsy.
You may have discomfort and soreness at the biopsy site.
When you return home after the procedure, do the following to help ensure a smooth recovery: Stay hydrated. Drink plenty of fluids for the next few days.Avoid difficult physical activity the day and evening of the procedure.Keep in mind that you may see blood in your urine, stool, or semen for several days.Ask your doctor when you can resume taking any blood-thinning medicine.Ask your doctor about when it is safe to shower, bathe, or soak in water.
Be sure to follow your doctor's
After the sample is taken, it will be sent to a pathologist. This doctor will analyze the sample for cancer. If cancer is present, your doctor will work with you to develop a treatment plan.
After arriving home, contact your doctor if any of the following occurs: Inability to urinateBlood in the urine more than 2-3 days post-biopsySigns of infection, including fever and chillsPain that you cannot control with the medicines you have been givenPain, burning, urgency, or frequency of urinationCough, shortness of breath, or chest painRectal bleeding that lasts more than 2-3 days after the biopsy
In case of an emergency, call for medical help right away.
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Last reviewed November 2012 by Adrienne Carmack, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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