Instructions for Prostate Ultrasound and Biopsy

The prescription you will be given is an antibiotic. Have the prescription filled and take the medication “1 hour” prior to your appointment time. Please advise the nurse if you have ever had an allergic reaction to antibiotics or to any other medication.

You will need to purchase an adult rectal fleets enema. You need to use this
2 hours prior to your appointment. Please note: if you do not use an enema, your appointment will be cancelled.

Do not take any aspirin or blood thinning agents 5 days before your appointment. Please see the below list for medications containing blood thinning agents.

Medication Instructions

For a period of 5 7 10 days before the procedure, you must stop the use of aspirin or medications containing aspirin. Studies indicate and our personal experience shows that taking aspirin increases bleeding during and after procedures or surgeries because it is such a powerful anticoagulant.

Below is a list of most of the medications that contain aspirin that are available with and without a prescription.

AdvilExcedrin
Alka-Seltzer Effervescent Pain Reliever and AntacidExtra Strength Bufferin
Alka-Seltzer Plus Cold MedicineFiorinaal
Aleve4 Way Cold Tablets
Anacin Analgesic (capsules & tablets)Goody’s Headache Powders
Anacin maximum Strength Analgesic
(capsules and tablets)
Halfprin
Arthritis Strength BufferinIbuprofen
ArthrotecLortab ASA
AscriptinMotrin
Ascriptin A/DMicrainin
AspergumMidol
Aspirin suppositoriesMomentum
Bayer AspirinNorwich Aspirin
Bayer Children’s Chewable AspirinNuprin
Bayer Children’s Cold TabletsOrudis
Bayer Time Release AspirinP-A-C Analgesic
BufferinPanagesic
CongespirinPepto Bismol
CopePercodan
Coricidin “D” Decongestant tabletsPlavix
Coricidin Demilet tabletsQuiet World Analgesic Sleep-aid
Coricidin Medilets tabletsRixiprin
Coricidin tabletsSt Joseph’s Aspirin for kids
CoumadinSt Joseph’s cold tablets for kids
Darvon Compound-65Sine-Off Sinus Medicine
Dristan Decongestant/ Antihistamine / Analgesic
Tablets
Sloprin
EasprinTriminicin tablets
EcotrinVanquish
EmpirinVio-Med tablets
Entab-650 tabletsVitamin E
Voltaren
Zorprin

Consent for Needle Biopsy of the Prostate

Prostate ultrasound is a procedure which uses sound waves to visualize the inside of the prostate gland, similar to sonar used by ships to detect submarines. It is accomplished by placing a probe into the rectum, similar to a digital rectal exam. Transducers on the end of the probe send sound waves into the prostate. When they encounter tissue of a different texture, they are reflected back to the transducer. A computer measures the time it takes for the sound waves to travel out and back, and transforms this information into an image on a TV screen.

The ultrasound examination may reveal an area in your prostate that is different from the surrounding normal gland. Several conditions can cause this change: inflammation, cysts, vascularity, benign growths, prostate stone and cancer.

The quality of the examination is dependent on adequate preparation. This preparation consists of giving yourself a Fleets enema at home (available at drug stores or pharmacies) approximately two hours before the ultrasound.

The area in question may be biopsied by taking a core of tissue with a hollow needle. The needle is guided accurately using the ultrasound image. The procedure is rapid and accompanied by minimal discomfort. Usually, five or six biopsies from each side are performed.

  • The potential complications of a transrectal needle biopsy are:
  • Hematuria (blood in the urine) usually for up to two weeks
  • Hematospermia (blood in the semen) for up to six weeks
  • Slight bleeding from the rectum for up to two weeks
  • Fever. This is the most serious complication and is due to infection. It occurs in fewer than 1 in 100 biopsies. If you should develop fever, chills, or flu-like symptoms, call our office immediately.

A simple step can be taken to lessen the chances of infection. You will be given an antibiotic.
Please take it one hour prior to coming to the office.

The reason for a needle biopsy is to determine if the suspicious area contains cancer. Although an ultrasonically guided needle biopsy is very accurate, cancer may exist in the prostate that may not be detected with either a transrectal ultrasound or an ultrasonically guided biopsy. Therefore, a negative biopsy may not completely exclude the possibility of cancer. The alternative to a needle is to repeat the ultrasound examination in six to twelve months to detect any changes in the area in question.

I HAVE READ AND UNDERSTAND THE ABOVE DESCRIPTION AND DO HEREBY CONSENT TO A TRANSRECTAL NEEDLE BIOPSY OF THE PROSTATE GLAND WITH ULTRASONIC GUIDANCE PERFORMED BY MY DOCTOR.

I AM NOT ON COUMADIN, ASPIRIN OR ANY OTHER ANTICOAGULANT OR BLOOD THINNING  MEDICATIONS.

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