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When Is a Prostate Biopsy Done? | Transrectal Ultrasound for Prostate Biopsy

Introduction To Transrectal Ultrasound-Guided Prostate Biopsy

Dr. Yogesh Kaje, Consultant Urologist, Andrologist, and Kidney Transplant Surgeon at Sahyadri Hospital Pune, discusses the importance of transrectal ultrasound-guided prostate biopsy. This diagnostic procedure is essential for targeting the prostate through ultrasound to extract small tissue samples for examination.

A prostate biopsy is typically recommended for patients experiencing prostate issues who have consulted a urologist. If the prostate feels hard upon finger examination, raising suspicion of cancer, a biopsy may be advised. Additional factors leading to a biopsy recommendation include:

• Elevated PSA (Prostate-Specific Antigen) levels above 4 in blood tests.
• MRI results that indicate a potential risk of prostate cancer.

The biopsy procedure is generally a straightforward day-care process, conducted by a urologist or interventional radiologist. This procedure is performed through the rectum using an ultrasound machine to guide the biopsy needle to the prostate.

Have queries or concern ?

Certain precautions are essential before a biopsy, such as:

• Discontinuing any blood-thinning medication, like aspirin, at least five days before the procedure.
• Obtaining a fitness certificate from a physician if the patient has underlying health conditions like heart disease or diabetes.

Additionally, antibiotics are administered as per institutional protocol two days prior to the biopsy to minimise infection risks.

The biopsy is generally safe, though some patients might experience minor side effects, such as:

• Fever post-procedure.
• Blood in urine or rectal bleeding.

The urologist will provide guidance and treatment for managing these symptoms, ensuring patient comfort and recovery.

Transrectal ultrasound-guided prostate biopsy is a standard, safe procedure with specific indications and precautions. This process helps in the timely detection of prostate issues, including cancer. For individuals with concerns regarding prostate biopsy, consulting a urologist is advised.