When is a TRUS biopsy necessary?
A TRUS (transrectal ultrasound) biopsy, i.e., transrectal (rectal) or transperineal (perineal) ultrasound-guided prostate sampling, is required when an elevation in PSA (Prostate Specific Antigen) level and/or a physical digital rectal examination of the prostate and/or a multiparametric MRI scan of the prostate has raised suspicion of malignancy. In this case, histopathological examination is necessary to establish the diagnosis and further therapy. If prostate cancer remains hidden, treatment cannot start in good time, which can significantly affect the chances of cure, and prostate cancer that is not detected in time is less likely to be cured.
What preliminary tests are required?
In addition to the urological examination, laboratory tests and an anesthesia consultation are required before the procedure.
How should patients prepare for a TRUS biopsy?
The day before the procedure, the last meal is lunch, and dinner must be skipped. A Betadine rectal suppository should be used that evening and the antibiotic prescribed by the doctor should be taken. On the day of the procedure, you should arrive on an empty stomach and again in the morning you will need to use the Betadine rectal suppository. These preparations will help reduce the risk of possible infectious complications. Please follow your doctor's instructions exactly for a safe and successful procedure.
How is a TRUS biopsy performed?
The procedure is performed under general anesthesia with appropriate antibiotic protection. Samples are taken through the rectum or the perineum using an ultrasound probe with a thin needle. Usually, six samples are taken from each prostate lobe, but this may vary in some cases. The number of samples required is determined by age, previous test results (prior MRI scan) and the size of the prostate.
What to do after a TRUS biopsy?
The patient can leave the hospital 4-5 hours after the procedure. The antibiotic prescribed by your doctor after the procedure must be taken that evening. It is important to drink adequate amounts of fluids after the procedure. Physical exertion should be avoided for 4 weeks. The TRUS biopsy has no effect on your general condition or sexual function, so you can continue with your normal lifestyle.
What are the risks of a TRUS biopsy?
After the procedure, you may have problems with urination, such as irritative complaints, a frequent urge to urinate or even urinary retention. In addition, bloody urine or bloody semen may also be passed. These symptoms disappear spontaneously after a few days or weeks.
Less commonly, inflammatory complications such as urinary tract infections or prostatitis may also develop. In addition, although extremely rare, hospital-acquired infections and deep vein thrombosis can occur, however the risk of these is minimal if the correct protocols are followed.
The TRUS biopsy fee
You can find our current fee on our price list.
WHY CHOOSE DR. ROSE PRIVATE HOSPITAL?
- Trained specialists, modern diagnostic and therapeutic equipment.
- Empathetic, people-oriented approach. Our specialists always keep the comfort and safety of patients in mind.
- Premium quality inpatient department. 3 operating theatres and 24 patient rooms with 33 beds to meet all your needs. The highest professional standards are combined with an exclusive healing environment, so that you can recover in safety and with complete peace of mind.
- Fast and predictable appointments. Within 1-2 weeks from the first consultation with a specialist, we will arrange an appointment for the necessary intervention.
For all your urological complaints, feel free to contact the doctors at Dr. Rose Private Hospital.