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Prostate Ultrasound & Biopsy

Having a Prostate Ultrasound and Biopsy

Chances are, you've had a test ( a digital-rectal exam or prostate-specific antigen [PSA] test) that suggests the possibility of cancer in your prostate. You're now scheduled for a prostate ultrasound and biopsy. These tests are done to help confirm whether or not you have prostate cancer. Ultrasound uses high-frequency sound waves to create an image of the prostate gland. This image helps guide the doctor as a biopsy ( taking of small tissue samples) is done. These samples of prostate tissue can then be checked for cancer cells. This will help you learn what to expect before, during, and after your prostate ultrasound and biopsy.

Preparing for Your Procedure
To prepare, follow any instructions you are given. You
should also:

• Tell your doctor what medications you take. This includes aspirin and any other over-the-counter medications. Ask about stopping any of them before the test.
• Tell your doctor if you have any bleeding problems.
• Take antibiotics before your test if prescribed. These help prevent infection.
• Use an enema or suppository to clear your rectum if instructed.
• Ask your doctor whether an adult family member or friend will need to drive you home after the procedure.

Risk and Possible Complications
• Infection
• Bleeding
• Urinary retention

During Your Procedure
The procedure is done right in the doctor's office. The test itself takes 10 to 20 minutes, but your entire visit may last a few hours. Before the
procedure, you may be given local anesthetic or other pain medication. You may also be given a sedative to help relax you. During the procedure:

• You lie on your side on the exam table.
• A small ultrasound probe is inserted into your rectum. Sound waves from the probe are used to create images of your prostate on a video monitor. This is called transrectal ultrasound (TRUS).
• With the TRUS images as a guide, a small biopsy needle is inserted through your rectum into the prostate. Several tiny samples are taken from the prostate.
• The needle and probe are then removed. The tissue samples are sent to a lab for examination.
• When the doctor feels you are ready, you'll be able to go home.

After Your Test

• You may be given antibiotics to take.
• You may notice some rectal bleeding or blood in your urine for a few days. This is normal.
• You may have blood in your semen for several months after the test. This is normal.
• Ask your doctor whether you should avoid exercise or sex for a few days after your biopsy.