If you have been advised to have a prostate biopsy, it is likely that your urologist has detected an abnormality on your prostate exam or you have an elevated PSA (Prostate Specific Antigen) blood test.
This procedure takes approximately 15-20 minutes and is performed by one of our very experienced radiologists at Lions Gate Hospital.
The procedure involves passing a narrow tube into the rectum. The radiologist will take some measurements of the prostate gland and inspect for any abnormalities that may be visible by ultrasound. The radiologist will then instill some local anesthetic into the area to make the procedure more comfortable. Several biopsies will then be performed and the tissue is sent for examination under a microscope.
Before you attend your appointment it is important to be prepared. Please carefully read the following.
Prior to your Biopsy
Prior to your prostate biopsy you will need to purchase two Fleet Enemas and have your Antibiotic Prescription filled at a pharmacy.
On THE DAY BEFORE YOUR BIOPSY:
– Take antibiotics exactly as prescribed on your prescription.
– Have clear fluids only (clear fruit juices, clear soup, clear broth, water, Jell-O, tea, black coffee, soft drinks or Gatorade). No milk or orange juice.
– Between 7-8pm in the evening – give yourself ONE Fleet enema.
If you are on any BLOOD THINNERS, you must stop them prior to your biopsy:
– Examples: Warfarin (coumadin), Plavix (clopidogrel), Aspirin (ASA), Advil (ibuprofen), and Ginko Bilboa should be stopped 7 days prior to the biopsy.
– Xarelto should be stopped 3 days prior to the biopsy.
– If you are on other blood thinners, please consult with your Family Doctor when to stop.
The Day of your Biopsy
If a multi-day course of Antibiotics has been prescribed, take your morning dose between 7-8am with a sip of water.
Have nothing to solid eat before the biopsy BUT you may have clear fluids.
Early Morning – give yourself the SECOND fleet enema.
After your Biopsy
If a multi-day course of antibiotics was prescribed, continue antibiotics until finished.
It is expected to see some blood in the urine, stool and semen following your biopsy. This should last a couple of days. The blood in your semen can last up to six weeks.
You will have some discomfort after your biopsy and we recommend no vigorous activity for about 72 hours after your biopsy.
If you develop fever, chills/rigors (uncontrollable shaking), severe sweating, or feeling very unwell, call your urologist immediately or visit the Emergency.
North Shore Urology 