Prostate cancer screening by TRUS C BX biopsy

Prostate cancer is naturally a disease that has no symptoms in the early stages, which is the stage where treatment is effective and the goal of treatment is to completely cure the disease. Therefore, screening in men over 55 years old to detect it in the early stages is important. Currently, prostate cancer screening mainly uses PSA (Prostatic Specific Antigen) testing. That is, if PSA > 4, there is a chance of having prostate cancer.

When referring to the word "cancer" in medicine, it is necessary to have a confirmed biopsy result. To obtain a biopsy of the prostate, a transrectal prostate biopsy (TRUS c Bx) is the insertion of an ultrasound instrument with a spring needle slot to cut a piece of tissue from the prostate for pathological examination. It can be done under general anesthesia, spinal anesthesia, or local anesthesia. The patient can go home after the biopsy.

Indications for prostate biopsy

• Men with PSA > 4
• Men with abnormal prostate on rectal examination

Preparation for prostate biopsy

• Stop taking anticoagulants (if you are taking them and can stop) 7 days before the biopsy
• Take the antibiotics you received 1 day before the surgery
• Enema with Unison enema the night and morning before the prostate biopsy
• Fast forward after midnight

Complications from prostate biopsy

• Excessive bleeding (a little blood in the urine or stool is normal)
• Sepsis
• Temporary inability to urinate after the biopsy