Klinika Urologii Ogólnej, Onkologicznej
i Czynnościowej Warszawskiego Uniwersytetu Medycznego
We encourage you to do the test: the biopsy lasts about 40 minutes and can confirm the presence of abnormal cancer cells in the early stages of the disease. Detection of prostate cancer before metastasis to other organs gives the possibility of effective therapy.
Prostate biopsy described by professor Piotr Radziszewski and doctor Agnieszka Chomicz
The patient should be adequately prepared for biopsy. Before the examination the doctor will make an accurate interview, during which you will be asked about concommitant diseases and medications. One week before the planned procedure the patient, after a consultation with the doctor, should discontinue anticoagulants. It is recommended that the patient before the biopsy should take a medicine with antibacterial activity. All previous examinations results should be brought to the visit.
Prostate biopsy involves taking a dozen or so specimens of this organ with a special pistol ending with a few millimeter needle. The procedure is performed transrectally, under ultrasound guidance and under local anesthesia. Sometimes a biopsy is performed using magnetic resonance images. This is called fusion biopsy.
Because it allows the collection of prostate cells and their assessment under the microscope / histopathological examination.
Prostate biopsy is not associated with the need for hospitalization of the patient, if local anesthesia is used it is necessary to remain in the medical facility for about 30 minutes after the procedure. Due to the invasive nature of the procedure, the following complications may occur: slight bleeding from the anus and urethra, inflammation of the prostate, fever and urinary retention. Both before and after the biopsy the patient takes an antibiotic for antibacterial prophylaxis.
|Elevated PSA level (prostatic-specific antigen)|
|Irregularities in the rectum examination – palpable nodules|
|Patologies in prostate magnetic resonance imaging (mp MRI)|
|Found patologies in transrectal ultrasound|
|The previous biopsy showed no changes, but the PSA level is elevated|
|The previous study showed cells of abnormal structure, but these were not malignant lesions|