February 15th, 2016
Prostate biopsy is a simple diagnostic procedure that involves collection of tissue samples from the prostate gland to rule out any malignant lesion or serious pathology. Prostate gland is walnut shaped male gland that is responsible for the production of a fluid (also known as prostatic fluid) that plays a major role in the transportation and nourishment of sperms.
During prostate biopsy (also referred to as core needle biopsy) healthcare professionals collects few tissue samples from different parts of the gland, with the help of a fine needle. Urologist, who particularly specializes in men’s sex organs and urinary system usually perform prostate biopsies under ultrasound guidance to minimize the risk of complications.
According to latest estimates, more than 1 million prostate biopsies are performed in the United States each year (1).
The urologist recommends prostate biopsy when the previous test results of digital rectal exam or prostate specific antigen blood test are abnormal or indicative of prostate cancer. You’re likely to be recommended the test under following circumstances:
As part of the biopsy, the samples obtained from the procedure are examined carefully under the microscope to look for abnormal cells that are suggestive of prostate cancer. If the samples do exhibit abnormalities in the morphology, configuration and other characteristics, then further evaluation is performed to ascertain cancer prognosis (as to how much time would it take on a rough scale for cancer cells to spread and grow). Then the best treatment options are considered according to the patient’s condition.
Following are some common risks associated with prostate biopsy:
According to a new study reported in the Journal of Urology (3), investigators suggested that the 30-day hospitalization rate within a 30-day period of prostate biopsy is 6.9%; however, no serious or permanent damage is usually reported.
In order to prepare for the biopsy, the urologist is likely to ask you to do the following:
Like any invasive diagnostic procedure, prostate biopsy is also associated with some risks; but since early detection of prostate cancer can greatly improve the prognosis, it is highly recommended to opt for biopsy.
1. Thompson, I. M., Ankerst, D. P., Chi, C., Goodman, P. J., Tangen, C. M., Lucia, M. S., … & Coltman, C. A. (2006). Assessing prostate cancer risk: results from the Prostate Cancer Prevention Trial. Journal of the National Cancer Institute, 98(8), 529-534.
2. RODRIGUEZ, L. V., & TERRIS, M. K. (1998). Risks and complications of transrectal ultrasound guided prostate needle biopsy: a prospective study and review of the literature. The Journal of urology, 160(6), 2115-2120.
3. Loeb, S., Carter, H. B., Berndt, S. I., Ricker, W., & Schaeffer, E. M. (2011). Complications after prostate biopsy: data from SEER-Medicare. The Journal of urology, 186(5), 1830-1834.
Schedule your private consultation with Dr. Elist
Through experience, empathy, and patient empowerment, Dr. Elist offers a comprehensive and detail-oriented treatment plan for every patient. Schedule your consultation to discuss treatments for men in Los Angeles with premier surgeon Dr. James Elist, and begin your journey confident that your best results are just ahead of you.