MR. RAYMOND TONG Urological Surgeon
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Urology consultations at the following locations
 
Suite 8.6, Level 8, Bridge Rd Tower,
Epworth Hospital, 89 Bridge Rd. Richmond VIC 3121
(Main rooms)

Suite 20, Level 3, Epworth Eastern Medical Centre,
1 Arnold St. Box Hill VIC 3128

7/307 Ballarat Rd. Footscray VIC 3101

Knox Private Hospital Consulting Suites, 262 Mountain Hwy, Wantirna VIC 3152




Archive

 

TRANSPERINEAL PROSTATE BIOPSY

Dr. Raymond Tong - Urologist

 

 

WHY IS THIS REQUIRED

 

A biopsy of the prostate is required to accurately confirm the presence of cancer and provide information, which will affect treatment choice and prognosis.

 

It will provide information about:

1. Grade of cancer (aggressiveness):

Gleason Score out of 10

- Gleason

- Gleason =     7/10 is moderate grade

- Gleason =     8 to 10/10 is high grade

 

2. Amount of cancer

- Microscopic cancer versus multiple sites and significant volumes of cancer

 

3. Presence of any precancerous changes

 

4. Presence of inflammation

 




WHAT IS INVOLVED

 

Usually a day case

 

Performed under general anesthetic

 

Blood thinners will need to be stopped prior to the procedure

 

Needle biopsy samples are taken through the skin behind the scrotum into the prostate to sample mainly the outer part of the prostate

 

If an MRI has been performed prior: abnormal looking areas in the prostate will be targeted with biopsy (Target biopsy)

 

WHAT TO EXPECT AFTERWARDS

 

Mild soreness behind the scrotum

 

Bruising of the skin behind scrotum

 

Blood in urine (approx. 1 week)

 

Blood in semen (approx. 6 - 12 ejaculations)

 

Prostate swelling from the biopsies

- Temporary decrease urine flow

- Temporary decrease erections

 

Tamsulosin is given for about 10 days from the day before biopsy to decrease swelling and improve urine flow.

 

There is a low risk of infection

 

Antibiotics are given for 3 days from the day prior to biopsy to prevent infection.  

WHAT ARE THE NEXT STEPS

 

Rest, No exercise or straining for one week after biopsy

 

If cancer is present then you will require scans to make sure there is no spread of disease.

 

If cancer is localised to the prostate only, a discussion about treatment options will occur to decide the best treatment for the severity (grade, amount) of cancer taking into account your age and other medical problems.

 

It there is no cancer, we would generally follow up with PSA in three months to make sure it is stable and not continuing to rise.

 

There is a small risk that the prostate biopsy will miss significant cancer and will need repeating.