Introduction
Prostate is a fleshy and muscular gland of the male reproductive system. It is situated around the bladder neck. Its main function is to produce fluid for semen. Usually, if initial evaluation suggests the pathological changes of prostate, transrectal ultrasound of prostate as well as biopsy is recommended.
Preparation
- You need to clear your rectum with the prescribed fleet enema in the morning on the day of procedure
- To start oral antibiotics the day before the procedure to prevent infection
- A written consent is required
Procedure
- The procedure is done under local anesthesia
- All you need is to follow the doctor's instruction and to maintain the body position
- You will lie on a left lateral position with your knees bending upwards
- The doctor will gently insert the lubricated ultrasound probe into your rectum
- The probe emits sound waves and reflecting your prostate image on the video screen
- The doctor views the image, size, shape and structure of your prostate
- A biopsy needle can be inserted through the rectum into your prostate to take the tissues sample after ultrasound imaging if needed
- A total of l0 tissues samples will be taken
Care & Advice
- For ultrasound only
You will have no discomfort
- For ultrasound + prostate biopsy
- You may notice some rectal bleeding, blood in urine for a couple of days or some blood in semen for 2-3weeks
- Encourage fluid intake at about 2-3 litres will help urine drainage
- Please remember to complete a course of antibiotics
- If you are taking oral anti-coagulant e.g. Aspirin , please ask the doctor when it needs to be restarted
- Resume diet and exercise as before
Follow up
Follow up as scheduled
Complications
Possible complications include:
- Severe anal pain
- Severe rectal bleeding
- Severe haematuria
- Fever (temp > 38oC or l00oF) or rigor
- Difficulty in passing urine
