MARK K. HIRSCHHORN, M.D., P.A. UROLOGY
SOUTHERN MAINE MEDICAL OFFICE PARK
24 WEST COLE ROAD
BIDDEFORD, ME 04005-9404
TELEPHONE: (207) 282-0600 OR (207) 283-1602
FAX: (207) 282-6835
TRANSRECTAL ULTRASOUND & PROSTATE BIOPSY


The transrectal ultrasound (TRUS) examination of the prostate enables your physician to better evaluate prostatic changes suggested by an abnormal digital rectal examination (DRE) or an elevated prostate specific antigen (PSA) blood test. The TRUS also permits accurate localization of the prostate which, in turn, allows for accurate biopsies of the gland. The TRUS/Bx procedure is performed in the office and does not require anesthesia.

PREPARATION:
  • On the day prior to the biopsy:
    1. Take Cipro 500 mg in the morning and in the evening.
    2. Eat and drink normally.
  • On the day of the biopsy:
    1. Take Cipro 500 mg in the morning and in the evening.
    2. Eat and drink normally up to the time of the biopsy.
    3. Self-administer one Fleet Enema just prior to coming in for the biopsy.
    4. Take all of your usual medications (except for blood thinners).
  • On the day after the biopsy:
    1. Take Cipro 500 mg in the morning and in the evening.
IMPORTANT: DISCONTINUE ASPIRIN AND PRODUCTS CONTAINING ASPIRIN 5 DAYS PRIOR TO BIOSPY. IF YOU TAKE COUMADIN OR OTHER BLOOD THINNERS, NOTIFY YOUR DOCTOR AS SOON AS POSSIBLE.

PROCEDURE:

DATE: ___________________

TIME: ___________________

POST-PROSTATIC BIOPSY INSTRUCTIONS
  1. A few patients feel light-headed or somewhat faint within a short time after the biopsy. Please remain flat or sitting and notify the doctor immediately if this feeling occurs.
  2. You may experience slight rectal bleeding for 24 hours, urinary bleeding for 5 days and blood in the ejaculate for up to one month after the biopsy. If bleeding is heavy or extends beyond these time periods, please contact this office (207-283-1602).
  3. Take the antibiotic prescribed for you.
  4. Drink at least two quarts of non-alcoholic fluid per day until urinary bleeding stops.
  5. You may resume aspirin after 3 days or when the urinary bleeding stops (whichever comes last).
  6. Acitivites to avoid:
    7. a. strenuous or heavy physical activity for 24 hours after biopsy (e.g., jogging, tennis, golf, lawn-mowing, snow-shoveling)
    b. sexual activity for 72 hours after biopsy
    c. straining to move your bowels; use an enema or laxative if necessary.
  7. Call this office (207-283-1602) if you have:
    8. a. pain uncontrolled by Tylenol 500-1000 mg.
    b. persistent or severe passage of blood. Blood in your urine should not be thicker or darker than rose wine.
    c. any other symptoms that concern you.