How It Is Done continued...
skin at the biopsy site is cleaned with an antiseptic solution, and the area
around it is covered with sterile cloth. Your doctor will wear sterile gloves.
It is very important that you do not touch this sterile area.
Transrectal ultrasound (TRUS) is generally used to
guide the needle to the correct biopsy location.
A small cut (incision) is made in your perineum. Your doctor
inserts a finger into the rectum to hold the prostate gland and then inserts
the needle through the incision and into the prostate gland. To collect a
sample of tissue, the needle is gently turned and then pulled out. Biopsy
samples may be taken from several areas of the prostate. Pressure is applied to
stop the bleeding, and a small bandage is placed over the cut. The biopsy
usually takes about 15 to 30 minutes.
How It Feels
You may feel a slight sting when you
receive an injection of medicine to numb your skin. You may feel a dull
pressure as the biopsy needle is inserted. For a transrectal biopsy, you may
feel pressure in the rectum while the ultrasound probe or guiding finger is in
place. You also may feel a brief, sharp pain as the biopsy needle is inserted
into the prostate gland. Usually several biopsy samples are collected.
Following the biopsy, you will be asked to avoid strenuous activities
for about 4 hours. You may have mild pain in the pelvic area and blood in your
urine for up to 5 days. Also, you may have some discoloration of your
semen for up to 1 month after the biopsy. If you had
a transrectal biopsy, you may experience a small amount of bleeding from your
rectum for 2 to 3 days after the biopsy.
If you have a
transurethral biopsy, you may have a urinary catheter in place for a few hours
after the biopsy. You also may need to take an antibiotic medicine for
several days after the biopsy.
If you have a general anesthetic,
you will be in a recovery room for a few hours after the biopsy. You will need
someone to drive you home when you are released. When you get home, your
muscles may ache and you may feel tired for the rest of the day.