Prostate Gland Biopsy Download PDF, 1.2 MBOverview The prostate gland is located below the urinary bladder surrounding the urethra.What is Ultrasound Guided Prostate Biopsy?It is a minor procedure to determine if a patient has prostate cancer. An Ultrasound probe will guide a small needle to obtain tissue samples from the prostate.It takes about 30-40 minutes and is performed in the Urology Clinic.Transperineal Prostate Biopsy vs Transrectal Ultrasound BiopsyTransperineal Prostate biopsy has a lower post-procedure infection risk.More prostate tissue samples can be taken when doing Transperineal Prostate biopsy.Shorter course of antibiotic is required for Transperineal Prostate biopsy (one dose instead of three days).Transperineal Prostate biopsy has a slightly higher risk for urinary retention.Please ask your urologist for more information regarding both procedures, and for advice on which one to go for.MRI-US Fusion Targeted / Routine Transperineal Prostate BiopsyYou will lie on your back and legs apart to provide access to the perineal skin.An Ultrasound probe will be placed in the rectum to identify the prostate.Local anaesthetic will be injected on each side of the perineal skin.A biopsy needle will pass through the perineal skin to obtain tissue samples from the prostate.If you are listed for MRI-US Fusion Targeted Transperineal Biopsy of Prostate, MRI Prostate Contouring will be charged separately and billed to you by Radiology Department. Before the procedureInform your doctor/ nurse if you are taking blood thinning medicine. You will be advised to stop blood thinning medications/ vitamins/ supplements/ traditional medicine _____ days before the procedure to reduce the risk of bleeding.Example of medications/ supplements with blood thinning effects:Date to stop blood thinning medicationAspirin (Cardiprin)Plavix (Clopidogrel) Ticlid (Ticlopidine)TicagrelorWarfarin (Coumadin)RivaroxabanApixabanDabigatranVitamins/ supplements/ Traditional medicineYou may be prescribed medications to be taken before the procedure: Laxatives(_________________________)Date & time to consume:___________________Antibiotics(_________________________)Date & time to consume:___________________Others(_________________________)Date & time to consume:___________________ No fasting is required on the day of procedure. You may have light breakfast. What precautions should I take after the procedure?Avoid over exerting when you pass urine and motion after the procedure.Avoid strenuous exercises for one week and sexual activity for two weeks.What are the potential side effects of the procedure?You might experience light headedness/ giddiness due to the use of local anaesthesia.Mild rectal bleeding and blood in your urine for a few days.Blood or brown discolouration in your semen for a few weeks.Discomfort in your rectum or pelvis for a few days.Urinary retention which will require temporary insertion of a urinary catheter for a few days.Excessive bleeding or severe infection may occur in very few cases. This may require hospital admission for further treatment. Inform your doctor immediately if you have:Persistent fever which is higher than 38oC and chillsExcessive blood or clots in your urine or stoolsDifficulty or inability to urinate
