Ultrasound Prostate Biopsy Preparation Instructions

Pre-Preparation For Outpatient Prostatic Needle Biopsy: Office

You have been scheduled for needle biopsy of the prostate. This will be done in our office and entails the passage of a skinny needle into the prostate gland in the area of the suspicious nodules. Ultrasound guidance may be used to help localize the areas of concern if they cannot be felt easily with the examining finger. The entire procedure should not take longer than 10 to 15 minutes. To make the process easier for us to accomplish and reduce the chances of infection we would like you to do the following things:

NO ASPIRIN OR ASPIRIN PRODUCTS 7-10 DAYS BEFORE THE BIOPSY.

  1. No dietary restrictions the day of the procedure
  2. A Fleets enema the morning of the visit is needed to clear stool from the rectum. This is very important; it is over the counter and can be purchased at any drug store.
  3. Start the antibiotic prescription the day before the biopsy. Take 1 pill. Take the second pill about an hour before the procedure. Take the last pill the next day or continue the antibiotics until they are finished.

Post-Prostate Biopsy Instructions: Office

  1. After the biopsy you will be able to drive home. Increase your fluid intake for the next 1-2 days to decrease formation of blood clots. If your urine is completely clear for the first few urinations, you will probably not have to worry about this. Some spotting of blood in the urine, stool or semen may occur for the first week and may last up to a month. This is all normal and there is no need to worry.
  2. Limit your activity, particularly strenuous ones for 24 hours. If you experience discomfort, you may take Tylenol and sit in a warm bath.
  3. You may experience the following problems after the biopsy:
    1. Excessive bleeding or blood clots from the rectum, stool or urine
    2. Chills
    3. Fever
    4. Burning, pain or frequency of urination.
    5. DIfficulty or inability to urinate

Please contact our office immediately if you develop any of these symptoms. If problems occur after hours, call our office and have the answering service page the doctor on call.

If you have questions about this preparation please ask us.

Pre-Preparation For Outpatient Prostatic Needle Biopsy: Hospital or Surgery Center

You have been scheduled for a needle biopsy of the prostate to be done at a designated surgery center or hospital as an out-patient procedure. It entails the passage of a skinny needle into the prostate gland in the area of the suspicious nodules. Ultrasound guidance may be used to help localize the areas of concern if they cannot be felt easily with the examining finger. The entire procedure should not take longer than 10 to 15 minutes. To make the process easier for us to accomplish and reduce the chances of infection we would like you to follow these instructions.

NO ASPIRIN OR ASPIRIN PRODUCTS 7-10 DAYS BEFORE THE BIOPSY.

  1. Nothing to eat or drink after midnight the night before your biopsy. This includes the morning of your biopsy. No sips of water, gum, hard candy or cigarettes! You may brush your teeth but do not swallow any water.
  2. A Fleets enema the evening before the biopsy is needed to clear stool from the rectum. This is very important; it can be purchased over the counter at any drug store or grocery store.
  3. Start your antibiotic prescription the day before the biopsy. You will have an IV antibiotic the day of your biopsy. Take the remaining antibiotic(s) the day after the biopsy until they are finished.
  4. After the biopsy you will be able to go home but you will need a driver.

Post-Prostate Biopsy Instructions: Hospital or Surgery Center

You will not be able to drive home yourself.

  1. Increase your fluid intake for the next 1-2 days to decrease formation of blood clots. if your urine is completely clear for the first few urinations, you will probably not have to worry about this. Some spotting of blood in the urine, stool or semen may occur for the first week and may last up to a month. This is all normal and there is no need to worry.
  2. Limit your activity, particularly strenuous ones for 24 hours. If you experience discomfort, you may take Tylenol and sit in a warm bath.
  3. You may experience the following problems after the biopsy:
    1. Excessive bleeding or blood clots from the rectum, stool or urine
    2. Chills
    3. Fever
    4. Burning, pain, or frequency of urination
    5. Difficulty or inabiliity to urinate

Please contact our office immediately if you develop any of these symptoms.

If problems occur after hours, call our office and have the answering service page the doctor on call.

If you have questions about this preparation, please ask us.

West Coast Urology
Lawrence R. Paletz, MD
Ernest H. Agatstein, MD FACS
Shahrad Aynehchi, MD FACS
Sepehr Nowfar, MD, MPH

Inglewood (310) 673-3333     Downey (562) 923-0706     Los Alamitos (562) 449-4183