prostate biopsy anesthesia

prostate biopsy anesthesia

Prostate Biopsy Procedure Types

What is a Prostate Biopsy?

The prostate gland is found only in males. It sits below the bladder and wraps around the urethra (the tube that carries urine out of the body). The prostate helps make semen.

A biopsy is a procedure used to remove a small piece of tissue or cells from the body so it can be examined under a microscope.

In a prostate biopsy, prostate gland tissue is taken out with a biopsy needle or during surgery. The tissue is checked to see if there are cancer or other abnormal cells in the prostate gland.


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A prostate biopsy may be done in several different ways:

. Transrectal method. This is done through the rectum and is the most common.

. Perineal method. This is done through the skin between the scrotum and the rectum.

. Transurethral method. This is done through the urethra using a cystoscope (a flexible tube and viewing device).

Ultrasound is usually used to look at the prostate gland and guide the biopsy needle.

What happens during a prostate biopsy?

A prostate biopsy is usually done on an outpatient basis. Procedures may vary depending on your condition and your healthcare provider's practices.


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Generally, a prostate biopsy follows one of these processes:

. Transrectal method

  1. You will remove your clothing and put on a hospital gown.
  2. You will be positioned on your left side, with your knees bent.
  3. This type of biopsy may be done with a local anesthetic to numb the tissue the needle will pass through.
  4. Usually, a transrectal ultrasound (TRUS) will be used to guide the placement of the biopsy needle.
  5. The healthcare provider will use a spring-loaded tool that quickly inserts a needle through the wall of the rectum into the prostate gland. You may feel discomfort or pressure when the needle enters the prostate gland.
  6. The needle is put in several times to take tissue samples from different parts of the gland.
  7. The prostate tissue samples will be sent to the lab for exam.

. Perineal method

  1. You will remove your clothing and put on a hospital gown.
  2. You will be positioned on your left side, with your knees bent, or lying on your back with your knees bent and thighs apart.
  3. The skin between your scrotum and rectum will be cleaned with an antiseptic solution.
  4. You will feel a needle stick when the local anesthetic is injected. This may cause a brief stinging sensation.
  5. When the area is numb, the healthcare provider may make a tiny incision (cut) in the skin.
  6. The healthcare provider will place a gloved, lubricated finger into your rectum to locate and stabilize the prostate gland.
  7. The biopsy needle will be inserted through the incision and into the prostate several times to get samples from different parts of the gland.
  8. The biopsy needle will be removed and firm pressure will be applied to the biopsy site until the bleeding has stopped. Sutures are usually not needed.
  9. The prostate tissue samples will be sent to the lab for exam.

. Transurethral method

  1. You will remove your clothing and put on a hospital gown.
  2. You will be positioned on your back with knees bent and thighs apart.
  3. The procedure may be done under a local or general anesthetic. (Local anesthetic means medicines are used to make you numb. General anesthetic means medicines are used to put you into a deep sleep during the procedure.)
  4. The healthcare provider will insert a cystoscope (a flexible tube and viewing device) into the opening at the end of your penis, through the urethra, and up to the prostate gland.
  5. The healthcare provider will insert tiny instruments through the cystoscope to take out samples of the prostate gland.
  6. The cystoscope will be removed.
  7. The prostate tissue samples will be sent to the lab for exam.


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10 common questions about prostate biopsy anesthesia

1Does prostate biopsy require anesthesia?
Transurethral biopsy and perineal biopsy: General anesthesia —Blocks pain and keeps you asleep through the surgery. This will be used for a transrectal prostate biopsy. Local anesthesia—Just the area that is being operated on is numbed, given as an injection and may also be given with a sedative
2How painful is a biopsy of the prostate?
Once your doctor decides to do a prostate biopsy, it's a simple, 10-minute procedure. He inserts a needle through the wall of your rectum and into the prostate to extract the cells for testing. ... The idea of such a procedure can make men nervous and it sounds painful. But the biopsy usually causes just brief discomfort
3How dangerous is a prostate biopsy?
The most common risk factors include infection and bleeding. Other risks include blood in the semen or urine, discomfort in the area of surgery for a few days, and difficulty urinating. To help prevent further complications after the biopsy, men should look out for these signs: prolonged or heavy bleeding
4What is the normal PSA for a 60 year old man?
The normal PSA value is usually stated to be less than 4.0. However, because of the fact that benign enlargement of the prostate gland tends to occur as men get older, an age-adjusted scale has been developed: 0-2.5: Normal for a man 40-50 yrs. 2.5-3.5: Normal for a man 50-60 yrs.
5Do you get sedated for prostate biopsy?
Some things you can expect before a prostate biopsy include: Your healthcare provider will explain the procedure and you can ask questions. ... You may need to stop these medicines before the procedure. Generally, no prior preparation, such as fasting or sedation, is needed for the transrectal or perineal method.
6What is the best prostate biopsy procedure?
Biopsies are most commonly performed under ultrasound guidance. During the procedure, a special biopsy needle is inserted into the prostate gland through the wall of the rectum to remove several small samples of tissue for pathologic analysis. This method is known as transrectal ultrasound (TRUS) guided biopsy
7At what PSA level should a biopsy be done?
Why it's done A prostate biopsy is used to detect prostate cancer. Your doctor may recommend a prostate biopsy if: A PSA test shows levels higher than normal for your age. Your doctor finds lumps or other abnormalities during a digital rectal exam
8Can I drive after prostate biopsy?
You will be able to drive home and there are no restrictions on what you can do after the biopsy. Drink plenty of non-alcoholic fluids and take any regular medication as normal
9What's a normal PSA level by age?
The use of age-specific PSA ranges for the detection of prostate cancer is helpful to avoid unnecessary investigations in older men with larger prostate glands (typically walnut-sized). Median PSA value for men aged 40 to 49 years is 0.7 ng/mL and for men 50 to 59 years is 0.9 ng/mL
10What not to do after prostate biopsy?
Drink plenty of fluids to prevent blood clots and infection in the bladder. Avoid strenuous exercise such as jogging, heavy lifting, golfing, and bike riding for at least 7 days. Take your antibiotics as directed and complete the full dose given. Do not drink alcoholic beverages until after completing your antibiotics.


  1. Mayotly says:

    hi,please tell can prostate biopsy make the cancer spread?

    • Iranian Surgery Adviser says:

      according to Mayo researchers ,cancer biopsies do not promote cancer spread. however other studies shows that there is small possibility for that in prostate biopsy.

  2. Naranbaatar says:

    my doktor tell me my prostat biger get, i do biopsi an now i bled shud I go to doctor bakc or you tell me mi problem?

    • Iranian Surgery Adviser says:

      Thank you for leaving us a comment and asking about your condition, our first suggestion would be to check up with your physician because we are not familiar with any of your conditions or how serious your problem is.
      However, normally, during a prostate biopsy, a needle is used to collect a number of tissue samples from the prostate gland. This procedure is performed by a doctor who specializes in the urinary system and male sexual organs (urology).
      Bleeding at the biopsy site like anal bleeding is common after a prostate biopsy. Blood in the semen is usually seen after a prostate biopsy too. Bleeding in semen may continue for several weeks after the biopsy and if you see Blood in the urine, it is usually minor.

  3. immisuami says:

    May I know if they do anesthesia for prostate biopsy or not?

    • Iranian Surgery Adviser says:

      Hello. For a prostate biopsy, a thin needle is passed through the rectum and urethra or the area between tetanus and the scrotum (transrectal biopsy and perineal biopsy). Prostate biopsy anesthesia is either local or general. If a biopsy is performed under general anesthesia, the doctor will give you instructions regarding not consuming food and drinks, which must be followed accordingly.

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