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Prostate Problem Guide

Prostate Biopsy Procedure - What You Should Expect

Although the prostate specific antigen, or PSA, test and the digital rectal examination, or DRE, can indicate the possible presence of prostate cancer, the only way to make a positive diagnosis is through a prostate biopsy.

So, for people who have been identified as being at high risk from prostate cancer the prostate biopsy is an essential test and, while many men tend to fear the procedure and to put it off as long as possible, this fear is really more imagined than real.

Most men report that the prostate biopsy is a relatively painless procedure and only a very small number of men report pain following the procedure. This said, it is fair to say that a prostate biopsy is an uncomfortable procedure.

There are various prostate biopsy procedures in use today and perhaps the most common procedure is the core needle biopsy. Here several very small tissue samples are removed from the prostrate gland using a biopsy gun which fires a needle into the area from which the sample is to be taken and removes the required sample in a fraction of a second. The samples collected are then analyzed in a laboratory to see whether cancer is present and, if it is, to assess just how much of the prostate gland is affected.

In the majority of cases the prostate gland is accessed through the wall of the rectum as this offers relatively easy access to the prostate gland. This procedure, which is normally carried out under local anesthetic, takes about 30 minutes.

In other cases the prostate is accessed through the urethra, which passes through the prostate gland. Here a lighted scope which incorporates a small cutting loop is inserted into the urethra and the samples are again collected under local anesthetic (or occasionally under general anesthetic) in a procedure that takes between 30 and 45 minutes.

A less common option is to collect samples through the perineum, which is the area that lies between the anus and the scrotum. Here the urologist uses a finger inserted into the rectum to hold the prostate gland still and inserts the biopsy needle through a small incision in the perineum. This procedure is again carried out under local anesthetic (or again occasionally under general anesthetic) and takes about 15 minutes.

Further information on the prostate biopsy:

Prostate cancer detection rates of magnetic resonance imaging-guided prostate biopsy related to Prostate Imaging ... - UroToday


EurekAlert (press release)

Prostate cancer detection rates of magnetic resonance imaging-guided prostate biopsy related to Prostate Imaging ...
UroToday
Recent studies have shown that multiparametric magnetic resonance imaging and magnetic resonance imaging-guided prostate biopsy in patients with suspected prostate cancer increase detection rate and clinical significance of diagnosed tumors. Purpose ...
PET/CT imaging of prostate cancer proves accurate biopsy guideEurekAlert (press release)
Study aims to find out if MRIs can reduce need for biopsies in suspected prostate cancer casesVancouver Sun
Test to Classify Metastasis Risk in Prostate Cancers Validated by Study, GenomeDx ReportsProstate Cancer News Today

all 7 news articles »

Management of men with previous negative prostate biopsy. - UroToday


Huffington Post

Management of men with previous negative prostate biopsy.
UroToday
Up to 70% of prostate biopsies are negative in men with suspected prostate cancer. Because of inherent limitations in biopsy strategies, a significant proportion of cancers are missed on initial biopsy. Following negative biopsy, men frequently exhibit ...
PSA Test Best Way To Detect Fatal Prostate Cancer, Explains New StudyHuffington Post
Could PSA Screening Predict Lethal Prostate Cancer Later in Life?Cancer Network
Lubbock man wants prostate cancer experience to encourage others to be proactiveLubbockOnline.com
Huffington Post Canada -Trinidad Guardian
all 21 news articles »

Effect of hypertension on bacteria composition of prostate biopsy in patients with benign prostatic hyperplasia and ... - UroToday


Effect of hypertension on bacteria composition of prostate biopsy in patients with benign prostatic hyperplasia and ...
UroToday
Diagnostic prostate cancer (PC) is difficult to diagnose by prostate biopsy, even in patients with markedly elevated PSA levels. Therefore, we aimed to identify a new, better technique to detect PC in a more consistent manner. A variety of steps were ...

and more »