Why get a prostate biopsy?
Having a prostate biopsy does not necessarily mean you have cancer. In fact, it can be used to eliminate cancer as the cause of your prostate issues.
This procedure is known as a transrectal ultrasound (TRUS) with prostate biopsy. Ultrasound uses high-frequency sound waves to create an image. This image lets us see and measure the prostate and guides the doctor to specific tissues from which to take samples.
Your urologist may recommend a biopsy if you:
Along with visiting the additional information tabs on this page, click here to read our guidebook Prostate Biopsy: What it means and what to expect.
How the procedure is performed
The procedure will take place at The Urology Center in Norwood, Ohio. You will need someone to drive you home after the procedure, unless you are not having anesthesia/sedation.
Here is a general description of the procedure:
Once you are prepped, the entire procedure is usually completed in 10-15 minutes.
Click here for more information, including pre-op instructions and post-op expectations.
One of our pathologists will evaluate your prostate biopsy samples, determine if cancer is present, and estimate how aggressive it is. Someone will call you with results or to schedule an office visit within 10 business days of your biopsy.
Your pathology report will typically include:
Depending on your situation, your urologist may order additional testing related to your biopsy. This is sometimes determined after you have left your office appointment.
Here are some common types of additional testing:
Prostate MRI or MRI fusion biopsy
If you have had a prior prostate biopsy then we will request that you schedule an MRI of your prostate before the biopsy. This provides a different type of imaging that looks for abnormal areas in your prostate.
MRI/ultrasound fusion technology allows the urologist to match the MRI images to the ultrasound images and mark the biopsy targets. This subsequently allows direct sampling of any suspicious areas.
Know Error® DNA test
We recommend that all prostate biopsy patients receive this pre-procedure test. A cheek swab will be taken from your mouth at the time of the biopsy. If you are found to have cancer in a biopsy, the DNA from your cheek will be used to confirm that the biopsy matches your DNA. The informed consent form will be given to you to sign prior to the biopsy.
Molecular testing on prostate biopsies
Your physician may order molecular tests on your biopsy tissue. You will receive a call from our Navigation Department to discuss the test.
Medications to avoid
If you are scheduled for a prostate biopsy, you should avoid taking certain medications.
Below is a partial list of medications you may be asked to discontinue before your procedure (click here for a complete list). Let the scheduler know if you are currently taking any of these medications when he or she calls. You may need to check with your prescribing doctor before stopping these medications.