Transrectal Prostate Biopsy (ultrasound-guided)
Prostate cancer is the most common malignant neoplasm in man, and if suspected, the definitive diagnosis can only be obtained by performing a prostate biopsy.
The test is in every way similar to a conventional transrectal prostate ultrasound. However, harvesting the fragments of prostatic tissue requires the administration of a periosteal local anesthesia to make the procedure painless. Multiple tissue samples are taken from the various quadrants of the prostate, which are then analyzed under a microscope in an Anatomical Pathology laboratory.
Previous preparation for the test usually consists in performing antibiotic prophylaxis and administering an enema for lower bowel cleaning, but your doctor's advice will always prevail.
It is extremely important that you inform not only the doctor following you, but also the doctor who will biopsy you if you are on blood clotting medication, namely platelet anti-aggregators or anti-coagulants. In this case, it will be necessary to stop taking them a few days before the test, following the advice of your doctor.
A transrectal prostate biopsy will always be performed by an experienced Urologist physician in performing this procedure.