Overview

A Transrectal Ultrasound (TRUS) based biopsy is a special procedure to diagnose prostate cancer and assess abnormalities found during a digital rectal exam, PSA blood test, or imaging findings. The procedure involves real-time ultrasound imaging along with the biopsy needle to take small samples of tissue from various parts of the prostate for laboratory examination. It is a perfect procedure for either confirming or excluding the diagnosis of prostate cancer, thus helping in making treatment decisions and monitoring disease progression.

Why TRUS-Guided Biopsy?

For confirming prostate cancer in men with high PSA.
To evaluate suspicious findings from MRI prostate or physical examination.
To assess the aggressiveness (Gleason grade) and stage the tumor.
To distinguish benign conditions (like prostatitis or benign prostatic hyperplasia) from malignancy.

Before The Procedure

The patient must stop taking blood-thinning medications (after consulting with the doctor).
Antibiotics may be the option to prevent subsequent infection.
Bowel cleansing with an enema may become essential before the biopsy.
Patients are usually not required to fast, but instructions may vary from one patient to another.

During The Procedure

The patient lies in a lateral position with knees bent toward the chest.
A lubricated ultrasound probe is inserted gently into the rectum, enabling visualization of the prostate.
Using ultrasound guidance, a spring-loaded biopsy needle is advanced through the probe into the prostate to obtain tissue sampling (10-12 cores) from different regions.
The time taken for the procedure is 15-30 minutes, and it works with local anesthesia, sometimes with a mild sedation.

After The Procedure

Mild discomfort, blood in urine, stool, or semen may persist for a few days.
Antibiotics continue to prevent infection.
Normal activities can resume within 24 hours unless otherwise advised.
Results are usually available within a week to plan the next step in management.

Benefits & Risks

Benefits:

Accurate tissue diagnosis of prostate cancer.
Gives information about cancer grade and aggressiveness.
Minimally invasive, outpatient procedure.

Risks:

Infection or sepsis (rare but serious).
Rectal bleeding, blood in urine, or semen (temporary).
Discomfort at the site of the biopsy.
Minimal risk of urinary retention.

FAQs on TRUS-Guided Biopsy

Is the biopsy painful?

Most feel mild pressure or discomfort with the use of local anesthesia.

How long does recovery take?

Most men recover in 24 to 48 hours, though slight bleeding may remain for several days.

Can the biopsy miss prostate cancer?

Yes, in unusual situations. If there is a reasonable suspicion, a repeat biopsy or further imaging with an MRI-targeted biopsy may be the best procedure.

What preparation do I need to do for the test?

Follow your doctor's instructions for stopping certain medications, taking antibiotics, and bowel preparation.

Will the biopsy interfere with sexual functions?

Blood in semen is likely to be temporary. In the majority of cases, the procedure would not interfere with sexual performance or fertility.

Why choose Tender Palm Super-Speciality Hospital for TRUS-Guided Prostate Biopsy in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for TRUS-Guided Prostate Biopsy in Lucknow, India. Our experienced uro-oncologists use advanced tools to give accurate results, quick diagnosis, and better long-term care. We offer the best evaluation and treatment support with effective and affordable pricing, making the TRUS-Guided Prostate Biopsy cost suitable for patients seeking high-quality urology care in Lucknow, India.