Why do I Need a Prostate Gland Biopsy?

You recently had a prostate-specific antigen (PSA) blood test done under the recommendation of your family doctor. The test showed a high PSA level, your physician recommends an appointment with a urologist. During the prostate exam the urologist finds an abnormally enlarged prostate and schedules you for a Prostate Gland Biopsy. You are given information to prepare you for the test ahead. So, what happens next?

What is a Prostate Gland Biopsy?

A prostate gland biopsy is a test performed by a physician who specializes in men’s genital and urinary problems in the urology surgery department. The test involves the removal of small samples of the prostate tissue. The tissue is examined under a microscope, checking for the presence of cancer cells.

During the Prostate Gland Biopsy Procedure

The prostate gland biopsy is usually performed on an outpatient basis in a hospital or surgery center.

• You may be given antibiotics to prevent infection.
• You will be asked to remove your clothes and asked to put on a hospital gown.
• You will lay on your left side on the exam table, with your knees bent. Do not move during the test.
• Typically you will receive a local anesthetic.
• A transrectal ultrasound (TRUS) is an ultrasound viewing device which helps to guide the biopsy needle.
• Your urologist will insert a needle through the wall of the rectum into the prostate. You may feel some pressure when the needle enters the prostate gland. When the urologist uses a spring load biopsy needle it is almost a painless procedure.
• Your urologist will collect several tissue samples from various areas of the prostate gland.
• The samples will be sent to the lab for examination.

After the Prostate Gland Biopsy Procedure

You will be taken to the recovery room, where your blood pressure, pulse and temperature will be monitored and when they are stable you will be discharged home.

After the procedure it is normal to see blood in your urine or stool for a few days after the biopsy. You may also notice blood in your ejaculate for two weeks which will clear without further treatment. The biopsy site will be tender for several days after the biopsy. Take a pain reliever for the soreness as recommended by your urologist. Don’t take aspirin, because it can increase bleeding.

Contact your doctor if you experience the following:

• Increase in the amount of bleeding in your urine or stool.
• Have difficulty urinating
• You experience a fever or chills.

If you have any questions or concerns don’t hesitate to call the best urologist in NYC ! This procedure could save your life!