Transrectal Ultrasound Guided needle biopsy
Procedure
-
An ultrasound probe is used to guide collection of multiple prostate tissue specimens for analysis. A pathologist will review the tissue to diagnose prostate cancer.
Anaesthetic
- GA sedation
Duration
- 30minutes
- Day procedure
Preparation
- Noroxin antibiotics required before & after biopsy
- Cease Aspirin or equivalent "blood thinning" medications before biopsy
- Fasting for 6 hours prior
Risks
-
Minor rectal bleeding
-
Transient haematuria (blood in urine) and haematospermia (blood in sperm) (30%)
- Urinary tract infection (3%)
-
Sepsis (0.5%)
Due to risk of potential sepsis, I no longer perform TRUS prostate biopsies in my practice. I only perform Transperineal ultrasound guided prostate biopsies to investigate abnormal PSA levels.