Transrectal Ultrasound (TRUS) guided biopsy is a needle biopsy procedure to detect the presence of cancer cells in the prostate gland. A special biopsy needle is inserted in the prostate gland through the walls of the rectum to remove small tissue samples for lab analysis. The surgeon removes these samples from the prostate gland using the transrectal ultrasound. These cells are then studied under a microscope to check for cancer.
How is TRUS-guided biopsy performed?
Before surgery:
The patient will need to inform the surgeon about his ongoing medicines and allergies, if any.
The patient is asked about his medical conditions and any recent illnesses by the surgeon.
The patient is advised to stop taking blood thinners at least 7-10 days before the procedure.
The patient will have to start oral antibiotics before the procedure to prevent infection.
It is advised to eat light meals before the procedure.
The patient needs to empty his bowel entirely with the help of an enema before the procedure.
During surgery:
The patient will be given general anaesthesia and is made to lie on his left side with legs bent up towards the chest.
The doctor will give a digital rectal exam (DRE) to check for any other issues.
The urologist will insert the ultrasound scope into therectum.
With the guidance from the ultrasound images, the doctor will use a needle to take tissue samples from theprostate gland.
The process will be repeated multiple times to obtain as many tissue samples from different areas as possible.
After surgery:
After the procedure, the patientwill be given a pad to wear to collect the residual blood from the rectum.
The patient is required to rest and drink something before leaving.
He is asked to drink plenty of fluids for the next 24 hours.
The patient will be kept under observation for 24 hours.
Cost of TRUS Guided Biopsy
Description
Cost
 Cost
 2,970 – 4,000 INR
Surgery details
Description
Number of days in the hospital
1 day
Type of surgery
Minor
Type of Anaesthesia
 General anaesthesia
Number of days required to recover
4-6 weeks
Duration of the procedure
20-30 minutes
Type of surgical options available
Minimally invasive
Risks and complications
Risks of TRUS guided biopsy surgery are as follows:
Infection
Continuous bleeding
Pain
Difficulty in passing urine or stools
Bleeding in the patient’sr urine or stools
Urinary tract infections
Erectile dysfunction
Urinary retention
Frequently Asked Questions about TRUS guided biopsy
The accuracy and specificity of TRUS-guided biopsy is about 48%. It can go wrong in certain cases where the exact cancerous cells are not removed from the prostate.
A TRUS-guided biopsy can cause discomfort but isn’t painful.
MRI is less invasive than a biopsy, can be performed quickly, and leaves little or no scarring.
The patient will have a TRUS-guided biopsy under local anaesthesia. He can eat and drink normally before and after ther surgery. the patient can take his regular medicines as per schedule before the surgery unless ther doctor advises otherwise. If the patient is on any blood thinners or other medications that can cause problems in the surgery, he may have to stop taking those medicines before the biopsy.
The patient will be asked to clear hisr bowel before the transrectal ultrasound. An enema will be given 1-4 hours before the procedure to clean out the rectum and the colon. The patient will have to completely empty the r bladder before the procedure.
The patient may need about four to six weeks to recover after a prostate biopsy. The recovery depends on the patient’sr overall health and age. The patient can start with light activities 24-48 hours after the prostate biopsy.
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