A prostate biopsy is a procedure usually done in the doctor’s office together with his assistant. A core needle will be used to remove sample of
the prostate which is guided by an ultrasound.
Before the Procedure
- You will be given antibiotics to take the night before and the morning before the biopsy
- You will be given an enema to be done 2 hours before your biopsy. If you don’t know how to perform a fleet’s enema Link: https://www.youtube.com/watch?v=yjSsKO6APZM
- You will have to stop taking any blood thinners. Consult your doctor on the length of which you are allowed to stop your blood thinners
- You are not required to fast for this procedure unless you will be under anesthesia.
During the procedure
- Make sure you have adhered to the pre-biopsy instructions. If you fail to do one of the steps, please notify our medical staff. Failure to
adhere to these instructions may cause the cancellation of your biopsy.
- Make sure you sign a medical consent
- You lie to your side on the exam table with your back facing the ultrasound. Bend your knees towards your chest resembling a fetal position.
- Depending on the situation, an Intravenous or Intramuscular injection of antibiotics is given
- A transrectal probe from the ultrasound would be inserted thru the rectum.
- A local anesthesia will be injected
- You will hear loud click signaling the start of the biopsy. Up to 12 samples may be collected to adequately represent the whole prostatic area
- The physician will withdraw the probe and ask you lie with you back on the table for a few minutes
- You will be instructed when it is safe to stand and get dressed
After the biopsy
- It is important to that you may experience the following after the biopsy which is considered normal.
- Discomfort in the rectum and the base of the penis
- Blood or discoloration of your semen which may last for a few weeks to even months
- Increase your fluid intake
- You may see blood in your urine.
- Please notify us immediately if you develop. We can be reached at 973-743-4450, 24-7
- Burning with urination
- Blood clots or excessive blood in the urine or stool
- Difficulty or inability to urinate
- You will be given up to 3 days’ worth of antibiotics to prevent infections
- Limit your activity for the next 24 hours. Staying off your feet until the next morning is recommended.
- Ask you physician when you can restart your blood thinners
- You will be given an appointment in 2 weeks to review and discuss your results.
Print a copy of the instructions