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Doctor insights on: Is It Normal To Need A Transrectal Ultrasound With Prostate Biopsy

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Dr. Michael Gabor
2,244 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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How long does the transrectal ultrasound with prostate biopsy take?

How long does the transrectal ultrasound with prostate biopsy take?

Prostate Biopsy: The duration of the procedure depends on a number of factors: 1) how many samples are taken (6, 12, 24?); 2) what kind of sedation is provided (local, conscious, monitored anesthesia); 3) operator skill; 4) patient factors; 5) complications or not; 6) pre-procedure prep time; 7) post-procedure recovery (particularly how quickly you pass urine); 8) setting where performed (hospital or outpatient). ...Read more

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My psa result is 5.6 then I have it ultrasound and negative. Should I have my prostate biopsy?

My psa result  is 5.6  then  I have  it ultrasound and negative. Should I have my prostate  biopsy?

Yes but: Speak to your doctor , besides prostate cancer there are other causes for elevated psa levels , if elevation is persistent and prostate exam is suspicious at 56 biopsy is indicated good luck. ...Read more

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My PSA is a 5, I'm going for a ultrasound guidance prostate biopsy. Is this procedure painful. Is it necessary?

My PSA is a 5, I'm going for a ultrasound guidance prostate biopsy. Is this procedure painful. Is it necessary?

At 55 yes: Prostatic biopsy at 55 is indicated ( yes necessary ) , relatively low low risk out patient procedure , rarely needs strong pain medication for some none after the procedure . ...Read more

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I had a transrectal prostate biopsy 8 days ago. Sometimes after sleep, when i urinate, bright red blood first comes out. Then clear urine. Cause?

I had a transrectal prostate biopsy 8 days ago. Sometimes after sleep, when i urinate, bright red blood first comes out.  Then clear urine.  Cause?

Prostate biopsy: This is considered normal after needle biopsies of the prostate. It will clear up with time. Mention it to your urologist at follow up. ...Read more

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For a TRUS/prostate biopsy, do you prefer prescribing Cipro (ciprofloxacin) alone, or with gentamicin? Or, gentamicin with ceftriaxone? Thank you...

For a TRUS/prostate biopsy, do you prefer prescribing Cipro (ciprofloxacin) alone, or with gentamicin?  Or, gentamicin with ceftriaxone? Thank you...

Cipro (ciprofloxacin) alone: The most commonly used and recommended prophylactic antibiotic regimen for prostate biopsy is a fluoroquinolone (such as ciprofloxacin) alone, i.e. no aminoglycoside. See http://www.ncbi.nlm.nih.gov/pubmed/21563156: "...there were no significant differences between several classes of antibiotics for the outcomes tested (bacteriuria, bacteremia, fever and the need for hospitalization)." ...Read more

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

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

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. ...Read more

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Is a blood clot in urine normal after prostate biopsy?

Is a blood clot in urine normal after prostate biopsy?

Common: This occurs relatively commonly. If limited and otherwise does not hinder voiding, a watch and wait approach is reasonable. If not, call your doctor. ...Read more

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Can you tell me more about prostate biopsy?

Can you tell me more about prostate biopsy?

See below: After cleaning the lower colon, an ultrasound probe is inserted into the rectum to visualize the gland and lesions, if detectable. A modified large bore needle is used to take cores, usually multiple, from the gland. The tissue is examined by a pathologist for diagnosis for cancer. See this site for more info. http://www.mayoclinic.com/health/prostate-biopsy/my00182. ...Read more

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Hi doctors, can you tell me what is involved in a prostate biopsy?

Here are...: Bowel prep to keep rectum empty so to avoid sound transmission; take antibiotics timely; do urinalysis to make sure of no active UTI; insert ultrasound probe through anus into rectum while hip in full flexsion (usually in lateral position); Doc will visualize the shape and texture of prostate tissue to selectively or randomly obtain small piece of tissue (1 x 20 mm) with special needle under aneth ...Read more

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

Maybe: If you haven't already had one, you definitely need a good exam of your prostate, called a "digital rectal exam". This means your doctor feels the surface of your prostate gland with his or her finger inserted into your rectum. Any enlargement or nodules on your prostate gland would favor biopsy. This simple exam is often skipped due to embarrassment of the doctor or the patient. Ask for it! ...Read more

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

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. ...Read more

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Hello, My PSA went up to a 5, recommended prostate biopsy. The result was negative. Should be concerned? Thanks!

Follow-up: A negative biopsy result is good, however, you should follow your doctor's advice for continued vigilance and periodic check-ups. There is no need to worry. ...Read more

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Blood clots after prostate biopsy, how long?

Blood clots after prostate biopsy, how long?

Couple of days: Blood clots after prostate biopsy are not common though bleeding to some extent may last up to about a week. ...Read more

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How long should I expect to have blood in my pee after having a prostate biopsy?

How long should I expect to have blood in my pee after having a prostate biopsy?

Prostate biopsy: Blood in the urine is very common after prostate biopsy. It ususally clears up in a few days (3-5), but it may be sporadically present 1-2 weeks after the biopsy. If there are multiple blood clots and or difficulty urinating/retnetion of urine you should see you physician immedialtely or go to the emergency room. ...Read more

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Can a urologist perform a prostate biopsy at the same time he scopes the urethra?

Possible, but...: Theoretically, this combination is possible, but in practice, it is not advisable because the need for prostate biopsy is judged by changing psa with the finding of digital rectal exam (dre) on prostate, and concern for urination from prostate is usually and sufficiently enough by history, checking residual urine, etc. But, you can ask urologist for priority and sequence of care... Best wish... ...Read more

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Urine test showed a 6.7 psa level, should I accept the recommendation for a prostate biopsy?

Urine test showed a 6.7 psa level, should I accept the recommendation for a prostate biopsy?

Probably: A blood test with a psa of 6.7 is hi. But other factors need to be taken into account such as your age, overall health, and your 10 year life expectancy. If you are young anf healthy, then a biopsy is usually recommended. As an alternative, active monitoring of the blood in 3 months is also an option but you must closely monitor the psa as it may signify prostate cancer. ...Read more

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Dr. Sheila Smith
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


Dr. Amrita Dosanjh
7 doctors shared insights

Prostate (Definition)

The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more