Question 1

why do i need to give myself an enema before my prostate biopsy procedure?

Accepted Answer

Because...: The presence of fecal material inside the rectum will not just interfere sound transmission so to impair the imaging quality of  the prostate. But also make the rectum be more bacteria-rich environment so to increase chance of infecting the prostate.

So, an enema accomplishes these two goals; our body can defend and life can live on without a hitch.

Question 2

i am having a transperineal prostate biopsy. the directions indicate that i should take a fleet enema the day before the biopsy. i live alone and it may be difficult for me to administer an enema to myself..can the biopsy take place without the enema?

Accepted Answer

: Yes, enema needs to be done to clear up the rectum because the ultrasound probe has to be placed in the rectum for guiding the biopsy needle even with transperineal approach.

Question 3

good afternoon doctors. my urologist wants me to do a fleet enema before a prostate biopsy. i live alone and am worried that i may not do the enema correctly. is there an oral medication i can take similar to a fleet enema like i did for colonoscopy?

Accepted Answer

: Not really. A fleets is designed to empty the last segment of your large bowel so the debris in not in the way of your procedure. Oral medications are not dependable for this. They are slow to work and incomplete when/if they do. I would look for a demonstration video online if you need to get some pointers on doing it. The fleets kit has written instructions.

Question 4

very good afternoon doctors. i have to take a fleet enema for a transperineal prostate biopsy. i am very uncomfortable about administering it myself..can i take an oral laxative like miralax or dulcolax like i did when i prepared for my colonoscopy?

Accepted Answer

: The type of bowel preparation needed for the different procedures is that found by your treatment team to work best in a given situation. A Fleet Enema is quite effective for outlet level clean out. MiraLAX or Dulcolax would not be as effective in general and may take several days of use to be even partially helpful. Discuss this with your doc. If there are options they will know the best ones.

Question 5

please tell me what does a prostate biopsy entail and what can i expect afterwards?

Accepted Answer

Biopsy: Most prostate biopsies are done with you lying on your side, an ultrasound probe placed in the rectum through which numbing medicine can be administered around the prostate prior to taking small needle samples of the prostate, again through the ultrasound probe.  Patients give themselves an enema at home prior to the biopsy, and take antibiotics before and after the biopsy for safety.

Question 6

after prostate biopsy i'm having a low semen eyaculation. what causes it?

Accepted Answer

Diminishing Semen: There could be several reasons: inflammation leading to less semen as the prostate heals.  Retrograde ejaculation into the bladder due to prostate inflammation.  Or, as in most of our cases less semen is produced as we age.

Question 7

how is a bone test done after a prostate biopsy?

Accepted Answer

Xray test: Some men diagnosed with high-risk prostate cancer after prostate biopsy will undergo tests to evaluate for possible spread of disease to other parts of the body (bones, lymph nodes).  Nuclear medicine bone test is performed by injecting a medication into an IV and taking pictures with a special xray machine to detect spread of cancer to bones.

Question 8

do i need a prostate biopsy if my psa is 2.4 and i am 65 yr old?

Accepted Answer

No: This psa level is normal. 0 to 4 is normal.  If however your last psa was much lower a year ago such as 1.2 as an example then one may want to get a free psa to guide if you need a biopsy. If it was about about 2 a year ago keep watching and repeat in a year. An rectal exam is positive for hardness or nodule you need biopsy no matter the psa.

Question 9

is it normal to have blood in my urine after having a prostate biopsy?

Accepted Answer

Yes: After a prostate biopsy, one can expect to have blood in the urine, stool, and sperm. These are usually self-limited and need no special treatment. Increase your fluid intake and monitor. If there is any pain, fevers, or heavy bleeding, call you urologist immediately.

Question 10

how likely is it that my prostate biopsy results were a false positive?

Accepted Answer

Very rare: Prostate biopsies are the only way to initially diagnose prostate cancer. Although a false positive result may occur, it is very unlikely and unlikely to occur. The grading of prostate cancer is fairly uniform known as the gleason grade and can be readily identified by a qualified pathologist.

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Doctor answers about:

How to use fleet enemas prior to a prostate biopsy

A member asked:

Why do i need to give myself an enema before my prostate biopsy procedure?

A member asked:

I am having a transperineal prostate biopsy. the directions indicate that i should take a fleet enema the day before the biopsy. i live alone and it may be difficult for me to administer an enema to myself..can the biopsy take place without the enema?

A member asked:

Good afternoon doctors. my urologist wants me to do a fleet enema before a prostate biopsy. i live alone and am worried that i may not do the enema correctly. is there an oral medication i can take similar to a fleet enema like i did for colonoscopy?

A member asked:

Very good afternoon doctors. i have to take a fleet enema for a transperineal prostate biopsy. i am very uncomfortable about administering it myself..can i take an oral laxative like miralax or dulcolax like i did when i prepared for my colonoscopy?

A member asked:

Please tell me what does a prostate biopsy entail and what can i expect afterwards?

A member asked:

After prostate biopsy i'm having a low semen eyaculation. what causes it?

A member asked:

How is a bone test done after a prostate biopsy?

A member asked:

Do i need a prostate biopsy if my psa is 2.4 and i am 65 yr old?

A member asked:

Is it normal to have blood in my urine after having a prostate biopsy?

A member asked:

How likely is it that my prostate biopsy results were a false positive?

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