Annually Supplement cancer mortality statistics of the population. For men over 45 years the most common diagnosis is prostate cancer, and the danger is asymptomatic throughout the disease. Timely diagnosis improves the clinical picture, allows you to begin intensive therapy at an early stage of the disease, but first you need to pass the procedure name ml prostate biopsy. Many fear her, but in vain. .
What is a transrectal prostate biopsy
For the diagnosis requires a qualitative study of the tumor involving invasive methods. The most informative among them is biopsy, which is performed in a hospital environment. This is a nasty painful procedure, which is carried out for 15-30 minutes, involves the discharge of a patient after completion of all surgical manipulations.
Biopsy of the adenoma of the prostate provides histologic verification of the disease, visualizes the localization and focal the prevalence of dangerous disease, gives the forecast. Mandatory laboratory study determines staging of malignant neoplasms, effective method of adequate treatment.
How is the biopsy
Conducting invasive diagnostic technique is appropriate in a hospital environment by a trained physician. Biopsy for prostate cancer is performed under local anesthesia. The task of the anesthesiologist: for 30-40 minutes before manipulation to introduce a sufficient dose of powerful drugs to reduce the pain threshold and anxiety level. As soon as the medicine begins to operate, the patient lies down on the couch on her side, pressed her knees to her chest, trying to relax. This is the best position for the biopsy.
At this time, the doctor inserts into the anus gel with lidocaine for reducing pain during penetration of a thin needle and ultrasound transducer in the rectum. When properly installed the screen is visible the prostate gland. Next, using a thin needle that is introduced into the rectum, takes a piece of tissue for further histopathological study. The biopsy is completed.
Transrectal ultrasound of the prostate provides controlled sampling of biological material, reduces the risk of incorrect manipulation and complications in the rehabilitation period. After the procedure to prevent the patient after discharge shows the course of antibiotic therapy, but first the physician should confirm the absence of side effects after the biopsy.
Diagnosis of prostate cancer in the outpatient setting. A biopsy is a complicated invasive methods, it is therefore required thorough preparation for the procedure. It is important to remember the body’s response to certain medical drugs, the rate of blood clotting. Information to provide your doctor before your prostate biopsy is to determine the full clinical picture.
If in the course of surgical procedures a local anesthetic is used, you must conduct a cleansing enema. With the introduction of General anesthesia for biopsy for 6-7 hours is required to completely abstain from food and drink. The final choice of a sedative drug is chosen individually for each patient and strictly on the evidence.
How do the biopsy
Transrectal ultrasound examination is a mandatory component of invasive method of diagnosis. If you perform a prostate biopsy is «blind», high probability of postoperative complications. Doctors operate strictly according to the given plan, draw on the help of ultrasound machine. The biopsy is performed in the following sequence:
- Preparations at home.
- Performing anesthesia before biopsy.
- Treatment future place of the puncture with antiseptic.
- The introduction of sensor ultrasound and a thin needle.
- Sampling of biological material for histological examination.
- Hospital discharge with satisfactory state of health of the patient.
- Taking antibiotics after the biopsy during the rehabilitation period.
It hurts or not
The procedure unpleasant, but necessary for suspected prostate cancer. Invasive method of diagnosis in itself implies pain, but their intensity decreases under the influence of painkillers. The first time the patient suffers from high blood pressure and discomfort in the rectal area. Blood after biopsy may appear on underwear, but a one-time thing, should not be excessively worried.
Be prepared for results after the biopsy only in 10 days at the reception of the attending physician. If cancer cells are found, the necessary Glisson indicator to identify one of the five gradations of degree of tumour differentiation. The doctor determined the diagnosis, but it can be questioned if the study was taken a little fabric.
Consequences and complications
Multifocal biopsy and other invasive diagnostic methods, involves the risk of complications. The following pathologies of the male body:
- bleeding of the rectum;
- an allergic reaction to antiseptics, anesthesia, General anesthesia;
- hemorrhage into the bladder or the urethra;
- a urinary tract infection.
If after biopsy the patient starts a fever, attacks of acute attacks of pain that require immediate hospitalization with further carrying out resuscitation measures. Malignant prostate cancer – fatal diagnosis that requires surgical intervention. Prostate biopsy identifies pathologic process in the stage of possible treatment. To read more about this procedure, it is recommended to watch the video.
Video about biopsy with transrectal ultrasound
Maxim, 52 years: did the biopsy twice. Sensations the most unpleasant, though the doctor used a local anesthetic. Pleased only that terrible diagnosis in the end was not confirmed. Don’t want to be on the couch in an unusual pose with low self-esteem. I then prescribed the procedure when inflated the results of a blood test for PSA.
Matthew, 46 years: I once did a biopsy under General anesthesia, therefore I a little that remember. After sampling the doctor prescribed antibiotics and was immediately sent back home to recover. The first day was disgusting feeling in the anus, but then everything went. For men it’s not the most pleasant procedure, but for your health it should promptly pass and to survive.
Ilja, 43 years: After the procedure I went to the week, as not himself. In the anus something ached, his underwear remained blood, be go normally to the toilet without tears was impossible. Long suffered, while a bit easier. Pleases only that the diagnosis was not confirmed, but it sure would be crazy. Don’t want again to face a similar problem, disgusting memories.