If you are found to have an abnormality of the prostate gland on digital rectal exam or if your PSA blood test is elevated, the next step is usually a prostate ultrasound with biopsies of the prostate gland, an office procedure.

Prostate ultrasound is an effective means of imaging using sound waves that are generated by a probe placed in the rectum. Reflected echoes create a high resolution image of the prostate and any abnormalities can be readily biopsied. Local anesthesia using Lidocaine will be achieved immediately prior to the biopsy to minimize discomfort. A skilled pathologist will carefully scrutinize the biopsied prostate tissue with results available within 10 days or so.

It is imperative that a fleets enema be performed the night before the scheduled test, purchased over the counter at a local pharmacy. This will help to insure a lower risk of possible infection.

It is also imperative that antibiotics are taken prior to and after the biopsy because the biopsies are performed via the rectum. You will be given a prescription for a potent oral antibiotic to start the day prior to the biopsy and to be continued for several days after the biopsy.

You will also be given a prescription for Diazepam (generic Valium) to be taken one hour prior to the scheduled biopsy. This is a very effective relaxing agent/sedative that will allay anxiety as well as relax the rectal muscles, facilitating a very comfortable biopsy. You must have someone drive you to and from the office and you should not drive for 6 hours after taking the Diazepam.

After the biopsy, it is important to drink copious volumes of fluids and to take it relatively easy for a few days. You may experience some blood in the urine, stool, or ejaculate, and this should not be a reason for concern. Contact us if you develop a high fever, shaking chills, or the inability to urinate. We can be reached after hours by dialing 201.342.6600.

If you are taking aspirin, blood thinners, anti-inflammatory medication, or any of the medications listed on the following page, it is important that they be stopped for a week prior to the biopsy to minimize the chance of bleeding.