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Deciphering Prostate Biopsy: procedure and risk factors.

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Prostate Diseases

Prostate biopsies are operations when tissue samples are taken from the prostate. During a prostate biopsy, tissue samples are extracted from your prostate gland using a needle. 

A urologist is a medical professional who specializes in male sex organs and the urinary system.


What is the definition of a prostate biopsy? 

During a prostate biopsy, a small sample of tissue from the prostate gland is removed for microscopic examination. It is carried out to look into anomalies found during prostate cancer screening, like increased levels of the antigen specific to the prostate or unusual results from a digital rectal exam. The biopsy aids medical professionals in identifying the presence of prostate cancer as well as other disorders that impact the prostate gland, such as infection or inflammation. The best urologist in Ludhiana is known for treating the urological conditions. 


What are the causes of the prostate biopsy? 

A prostate biopsy aids in the identification or exclusion of prostate cancer. In the following scenarios, your doctor might recommend a prostate biopsy:

  • A PSA test produces results that are higher than usual for your age
  • Your doctor may find a palpable lump or hard consistency in the prostate during a digital rectal exam.
  • Although the results of your prior biopsy were average, your PSA levels on monitoring are continuously rising.
  • A previous biopsy had shown abnormal cells.


Procedure of the prostate biopsy. 

Numerous techniques are available for taking prostate biopsy samples. Your prostate biopsy may comprise the following procedures.

  • Transrectal biopsy: During the transrectal biopsy, a small needle is inserted into the prostate and via the rectum to extract a sample of tissue. Through transrectal ultrasonography, the needle is directed. To determine whether the sample contains cancer, a histopathologist uses special stains to examine it under a microscope. 
  • MRI/TRUS Fusion Biopsy: Transrectal Ultrasonography is referred to as TRUS. It uses an ultrasonic probe to take a real-time picture of the prostate gland. To get a targeted prostate biopsy, fusion guided prostate biopsy combines ultrasonography and magnetic resonance imaging. Patients with consistently elevated PSA results despite a negative biopsy in the past and prostate lesions that are difficult to target, like those located anteriorly precisely, may consider this approach.
  • Transperineal biopsy: A small incision is made in the skin between the anus and the scrotum. The biopsy needle is inserted into the prostate through the incision to get tissue samples. Usually, this treatment is guided by images. 


Risk of prostate biopsy

The following are among the risks of a prostate biopsy:

  • Blood at the site of the biopsy. Bleeding following a prostate biopsy is not uncommon.
  • Your semen is bloody. A common side effect of a prostate biopsy is the appearance of crimson or rust-coloured semen. There is blood present, but this is not a reason for alarm. After the biopsy, there can still be blood in your semen for a few weeks.
  • Urine with blood in it. Usually, this bleeding is not too severe.
  • Having trouble urinating. Urinary problems may occasionally arise following a prostate biopsy. Rarely does the need to install a temporary urinary catheter occur.
  • Infection. On rare occasions, a prostate biopsy may result in an infection that needs to be treated with antibiotics for the urinary tract or prostate.

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