Prostate Exam

Prostate Exam Biopsy

Prostate Exam BiopsyProstate exam with a biopsy may be needed if our urology specialists find any abnormality with your prostate, such as a prostate nodule. A prostate biopsy may also be ordered if your blood test results show high levels of prostate specific antigen (PSA), an indication that prostate cancer may be present. A prostate ultrasound with biopsy is a test in which our doctors will remove tissue from your prostate, which will then be examined under a microscope for any possible cancer cells.

Prostate exam with a biopsy is performed by inserting a thin needle through the rectum, the urethra, or the perineum, which is the area between the anus and scrotum. The method through the rectum is called a transrectal prostate biopsy and is the most commonly used and takes about 30 minutes.

Our urologists can perform a prostate biopsy in our Miami office. You may be asked to kneel, lie on your side, or lie on your back with your feet in stirrups. Then we will inject a local anesthetic around the prostate gland to numb the area, which may sting a little. We use transrectal ultrasound (TRUS) to help guide the needle to the correct location. During the prostate biopsy procedure, you may feel pressure in the rectum as well as a sharp pain when the needle enters the prostate. Our doctors may extract between six and twelve tissue samples for testing. After a prostate biopsy, it’s normal to have mild pain or blood in your urine, semen, or stool for a few days.

If cancer cells are found in the tissue samples, a Gleason score for prostate cancer will be given. This is a way to grade how aggressive the prostate cancer is. If results show a prostate cancer metastasis (how much the prostate cancer has spread) further tests will be ordered to determine the prostate cancer staging. Stage I cancer is mild and treatable, thus improving your prostate cancer survival rate. On the other hand stage 4 prostate cancer is considered advanced prostate cancer and may require extensive treatment, such as prostate cancer chemotherapy or radiation therapy for prostate cancer.

Prostate exam with a biopsy is a necessary step to evaluate any signs of prostate cancer that you may have. Prostate cancer patients who have their cancer found early on have a better prostate cancer prognosis. Before consenting to a prostate biopsy, be sure to discuss the risks and benefits from the procedure with our doctors. Dr. Fernando Bianco and Dr. Edward Gheiler are two of the most highly qualified and expert urologists in the world. At Urology Specialists, you can be assured that you are in the best of hands.


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