Dr Jo Schoeman
Urological Surgeon

        

Trans Perineal Ultrasound Guided Prostate Biopsies / Saturation TPUS biopsies

Product Summary: Trans Perineal Ultrasound diagnostics Prostate biopsies. All fees are charged according to Australian Medical Association rates

Item Number: 37219, 55603, 105

Why is this done?

  • This is diagnostic procedure used to make a diagnosis for an elevated PSA.
  • It is done as a day surgery procedure. You are required to remain starved 6-8 hours prior to the procedure.
  • You would have had a 3T MRI study prior to pin point any suspicious high grade lesions. Usually 1tagetted biopsies are taken of the prostate via the rectum.
  • The 3 possibilities of an elevated PSA is:
  • Benign Prostate Hyperplasia.
  • Prostatitis.
  • Prostate Cancer.

Saturation biopsies include numerous biopsies and are generally recommended for second/third time biopsies.

How is it done?

  • This procedure: is done under GA as a day procedure and takes approximately 40min (Incl anaesthetic time).
  • It is performed with the patient lying in the supine (on your back) position with legs in stirrups.
  • Perineal skin (area between scrotum and anus) is disinfected
  • An ultrasound probe is placed in the rectum to visualise the prostate
  • Transperineal ultrasound guided biopsies are taken of the MRI identified lesions on your prostate
  • Prophylactic antibiotics are essential and a script with details are provided on the day of signing consent. You will start the Ciprofloxacin 500mg the night before the procedure, with the next dose the morning of the procedure with a small sip of water.

Prohylaxis

  • Ciprofloxacin 500mg twice daily starting night before procedure for 3 days.
  • Cease all Anti-coagulants i.e.: Warfarin and Asprin 7-10 days prior to surgery.
  • A script for Clexane 40mg daily subcutaneously will be provided to be commenced 7 days before biopsy when you Warfarin is ceased.

What to expect afterwards

  • Post-procedure the staff in the day surgery will confirm that you are passing urine successfully without issues.
  • You will pass blood in the urine for the next few days.
  • You have an almost 0% chance of infection or sepsis. 
  • You may also experience bloodstained ejaculate one you get around to this a few days after the biopsy.

Phone my rooms the day before the procedure to check your expected times for the following day.

You are to continue your antibiotics for the next 2 days.

Should there be any signs of fever or cold shivers, you are to return to the Hospital or Emergency Department without hesitation.


Complications

  • Hematuria (blood in urine) 2-3days.
  • Hematospermia ( blood in ejaculate) will become less the more often you ejaculate.

ANY FEVER OR RIGORS REQUIRES URGENT ATTENTION

Trans Rectal Ultarasound Guided Prostate Biopsies Saturation TRUS Biopsies Trans Rectal Ultarasound Guided Prostate Biopsies Saturation TRUS Biopsies (306 KB)