The Prostatic Ultrasound and Biopsy procedure is performed in the office with the administration of a local anesthetic. The ultrasound probe (finger-like in size and shape) is placed in the rectum. With slight movement of the probe, many different views are obtained. A spring-loaded fine needle is placed through the probe. 8-12 biopsies are usually taken. These biopsies are usually not painful. The entire exam takes 20-30 minutes. You may have soreness around the rectum for up to 1 hour following the procedure. You may also notice blood in the urine and stool for a few days and in the semen up to 1 month. It takes about five business days for us to get the results, so please be patient.
Blood may be noted in the stool and urine for a few days and in the semen for up to 1 month. Infection of the prostate or in the urine can occur even with antibiotic preparation. Call our office if you develop fever, chills, severe pain, or have continuous bleeding or new urinary symptoms of severe burning or frequency.
Preparing for the procedure
- No aspirin or other blood thinning products for 10-14 days before the biopsy.
- No dietary restrictions on the day of the procedure.
- Please drink one 10 ounce glass of water prior to arriving for the appointment and foo not empty your bladder.
- A FLEETS enema 2 hours before the visit—follow the instructions on the package.
- We will supply you with a prescription for an antibiotic. Follow the instructions provided with the antibiotic.
- Your physician may prescribe a sedative medication. No alcohol consumption 24 hours prior to or following the use of this medication.
- Your physician may require that you have someone to drive you to and from this appointment.
Rectal Cultures prior to prostate biopsy
We strive to provide quality care and service. Patient safety is of upmost importance to us. Therefore we are now following some new clinical recommendations for prostate biopsy. The recommendations call for men scheduled to have a prostate biopsy to have a rectal culture performed prior to the biopsy. We have seen an increase in drug resistant bacteria.
The rectal culture will allow the physician to make an informed decision on which antibiotic to prescribe for the patient prior to the prostate biopsy. An antibiotic is provided to all men scheduled for a prostate biopsy to help reduce the risk of post procedure infection. Infections can be life threatening.
At this time it is unclear if Medicare or other insurance companies will pay for the rectal culture, but for patient safety we will be performing this test.
If the culture is negative no further testing will be performed. If the culture is positive the lab will proceed with sensitivity testing. CIPRO is provided in the biopsy kit. If the culture comes back with CIPRO resistance you will be called by our office to let you know to pick up another antibiotic at the pharmacy we have on record for you. If you do not hear from us, please take the CIPRO tablets per the instructions included with the biopsy kit.
The cost of the lab work will run between $18.50 and $56.00 depending on the amount of sensitivity testing required. If your insurance does not cover the cost of the test, you will be responsible for payment. We believe this additional safety measure is worth the cost.