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Prof. Dr. Mustafa SOFİKERİM | Urology

Biopsy for Prostate Cancer

Your doctor may recommend a biopsy if a suspected cancer occurs after a physical examination or PSA test. Biopsy is the best way to estimate cancer and whether cancer is aggressive.

The prostate biopsy is performed from the rectum. Prostate evaluation is performed with a probe specifically made for the rectum and the prostate is evaluated by ultrasonography. In the meantime, the prostate is anesthetized locally. As a result of ultrasonographic evaluation, special tissue samples are taken with special biopsy needle. Parts taken after the procedure are sent to the pathologist for histopathological evaluation.


To whom is Prostate Biopsy Applied?

It is applied to patients with elevated PSA and / or a prostate nodule or stiffness in the prostate examination.


Why is Prostate Biopsy Applied?

Prostate growth is usually a benign growth. The occurrence of symptoms associated with prostate enlargement may not lead to a significant health problem other than affecting social life. As with many cancer types, prostate cancer has no typical early symptoms. In the initial stage of prostate cancer, the patient does not notice anything first. Prostate cancer appears only when the disease progresses and the urinary tract begins to compress; this is followed by discomfort in the latest phase.


What if prostate biopsy is not performed?

The reason for the elevation in PSA is not fully understood. The hardness and nodules detected after finger examination cannot be understood to be benign or malignant. The chance of early diagnosis is missed.


Can prostate biopsy be performed several times?

If the first biopsy is performed appropriately, it is not necessary to repeat the procedure within at least 1 year. If the patient continues to have elevated PSA, a repeat biopsy may be performed after 1 year.


Is there any preparation in the prostate biopsy?

Since the procedure is performed in the breech (anal, rectal) area, antibiotics are used 1 day before the procedure. Approximately 2 hours before the biopsy appointment, patients undergo an enema and the biopsy site is cleared. Patients who use aspirin or blood thinners should discontinue their medication 7 days ago. During the biopsy, the patient does not need to be hungry (6 hours should be performed under anesthesia) Patients should continue all other drugs except blood thinners.


How long does a prostate biopsy last?

It takes about 15-20 minutes while the time changes. The patient does not need to sleep at the end of the procedure. He continues his social life.


Will there be pain during prostate biopsy?

There is no pain due to local numbing during the removal of the prostate. The feeling of tension caused by the ultrasound device in the patient makes the discomfort rather than pain. They stated that the pain they experienced during the pain assessment was on average.


What are the possible complications after prostate biopsy?

After the procedure, there may be burning after urination for 1-2 days. Blood can be seen in urine and stools. While this can continue for very short time in some patients, it may continue for up to 1-2 weeks for some others. Urinary incontinence may occur in patients who have difficulty urinating. Increased fever with chills and cold may be rare. The color change can be seen in the sperm.


What should the patient do after prostate biopsy?

Plenty of (8-10 cups) liquid must be consumed. Fibrous foods should be consumed in order to avoid constipation. Antibiotics should be used till the end..