The only examination confirming the diagnosis of prostate cancer – prostate biopsy

PROSTATE BIOPSY

Purpose of the procedure

The goal of a prostate biopsy under TRUS (transrectal ultrasound) guidance is to obtain prostate tissue samples for histopathological examination in order to confirm or rule out the presence of a tumor

What the procedure entails?

A prostate biopsy involves taking several samples of the organ using a special gun with a few-millimeter-diameter needle. The procedure is performed transrectally under ultrasonographic (ultrasound) guidance and local anesthesia. Sometimes, a biopsy is performed using magnetic resonance imaging. This is called a fusion biopsy.

Indications for the procedure

  • Elevated blood PSA levels
  • Worrisome changes in prostate palpation (per rectum)
  • Abnormalities detected during transrectal ultrasound examination

Contraindications

  • Blood coagulation disorders or taking anticoagulant medications
  • Acute urinary tract or anal infection
  • Severe heart, kidney, or lung failure

Preparation for the procedure

  • Perform blood tests, including PSA, blood count, INR, and urine culture
  • Consultation with a doctor to discuss indications, contraindications, and patient expectations
  • Perform a home or pharmacy enema to empty the large intestine before the procedure
  • Take a prophylactic antibiotic to prevent infections

Procedure process

  • The patient lies on their side with their knees bent towards the chest
  • The doctor inserts a USG probe through the rectum to obtain an image of the prostate
  • Insertion of a thin needle through the rectal wall into the prostate under TRUS guidance
  • Taking several prostate tissue samples (usually 10-12) from different parts of the gland
  • Sending samples to the laboratory for histopathological examination

Complications after the procedure

  • Bleeding from the rectum, blood in urine, or semen
  • Pain in the anal or groin area
  • Urinary tract or biopsy site infection
  • Difficulty urinating
  • Allergic reactions to administered medications

Post-procedure recommendations

  • Avoid intense physical activity for a few days
  • Maintain personal hygiene
  • Take prescribed antibiotics according to the doctor's recommendations
  • Drink plenty of fluids to prevent urinary retention
  • In case of severe pain, use painkillers prescribed by the doctor
  • Avoid sexual intercourse for about 7-10 days after the procedure
  • Monitor your health; if fever, increasing pain, or other alarming symptoms occur, contact your doctor
  • Schedule a follow-up visit with the doctor to discuss histopathological results and potential further treatment

 

A TRUS-guided prostate biopsy is a relatively safe and non-invasive procedure, but several complications can occur. Following postoperative recommendations aims to reduce the risk of complications and ensure proper healing after the procedure

Phone

E-mail

Adress

St. George's Medical Center

www.swjerzymed.pl

+48 600 393 123

Choroby urologiczne

recepcja@swjerzymed.pl

Wsparcie dla kobiet

Centrum Medyczne Św. Jerzego
Ul. Polnej Róży 6 lok. U4
02-798 Warszawa
NIP: 6521378129

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