Prostate Transrectal Ultrasound (TRUS) and Biopsy
Reason for doing a Prostate TRUS & Biopsy
This procedure has been recommended to obtain a tissue diagnosis of prostate cancer, usually due to an elevated PSA with a hard prostate lump felt on rectal examination, or of suspicious lesion identified on the MRI.
What occurs during the operation
During a prostate biopsy, small tissue samples are taken from the prostate gland. For this procedure, the doctor will pass a small ultrasound probe into your rectum to take pictures of your prostate. A needle will be passed through the probe into your prostate to remove the tissue samples. These samples are sent to a laboratory and viewed under a microscope to see if prostate cancer cells are present.
What should I do before the biopsy
Do not take any aspirin, aspirin-like medications such as Fish Oil for10 days before the prostate biopsy.
Tell Dr Hadley if you have been prescribed other blood-thinning medications such as Warfarin, Plavix (Clopidogrel), or other new anticoagulants.
Take the antibiotic that has been prescribed for you the day of the biopsy. This will be administered to you by the nursing staff at the hospital unless you have been advised otherwise.
What to expect post operatively
You may see a small amount of blood in your urine or when you have a bowel movement (from rectal bleeding) for several days following the biopsy. It helps to drink plenty of liquids for 1 to 2 days to clear your urine. You may see blood in your semen for up to 6 weeks.
After going home
Following the biopsy, do not perform any activity that requires heavy lifting or straining. You may resume your normal activities the day after the biopsy.
You may see a small amount of blood in your urine or when you have a bowel movement (from rectal bleeding) for several days following the biopsy. It helps to drink plenty of liquids for 1 to 2 days to clear your urine. You may see blood in your semen for up to 6 weeks.
One in ten men who have the biopsy will find it harder to void, but this settles within a few days. If you block up completely you will need to contact Dr Hadley or go to the emergency department. This occurs rarely in less than 1 in 100 men.
If you develop an infection despite the antibiotics it usually starts 2-3 days after the biopsy and can make you very unwell. If you have any fevers, shakes (rigors) or become generally unwell, please contact Dr Hadley directly at any time of the day or night, as he will organise for an urgent hospital admission for specific antibiotics.
If you experience any post operative complications please contact Dr Hadley’s office on 31637400 and for after hours please follow the prompts.
Post operative appointment
Dr Hadley will catch up with you in his rooms at your post op appointment to discuss his findings. This appointment should have already been made for you at the time of booking your procedure date.
