Instructions for Prostate Ultrasound and Biopsy/FIDUCIAL MARKERS
The procedure is performed in the office with the patient comfortably lying on his left side. A thin ultrasound probe is placed a short distance into the rectum and the prostate gland is examined. If a biopsy is required then a very fine needle can be passed at this time to painlessly obtain the specimen. The patient will be given a local anesthetic.
Prior to the procedure:
- No aspirin or aspirin containing products should be taken for one week prior.
- No non-steroidal anti-inflammatory agents such as Motrin, Advil or Naprosin should be taken for one week prior. No Vitamin E, Multi-vitamins, Ginseng should be taken for one week prior.
- Patient taking Coumadin must stop this medication several days before. This will be arranged in conjunction with your Cardiologist/or Physician.
- If you are allergic to any antibiotic, please tell the nurse.
- The night prior to procedure use one Fleets Enema and also the morning of procedure.
- An antibiotic will be prescribed. Take one tablet the night before (either at dinner or at bedtime) and one tablet the morning of procedure, then 1 daily until finished.
- Patients with orthopedic appliances such as hip, shoulder, knee prosthesis, cardiac stents, heart valves, or a history of Mitral Valve Prolapse may require additional antibiotics before the procedure. Please notify nurse.
- A normal breakfast and lunch can be eaten that day and all usual medications should be taken (other than aspirin or aspirin containing products).
If a biopsy is performed, the patient can expect to see mild bleeding with the next bowel movement, possibly transitory blood in the urine and probably some blood with the next few ejaculations. This can last 5 minutes to several weeks.
In the rare circumstances that high fevers or chills occur within hours or days of the biopsy, please contact your Physician immediately.
If there are any further questions or concerns, please feel free to contact the Nursing staff or your Physician.
Ceftriaxone and Gentamicin are injections and can be picked up at Medical Centre Pharmacy (914) 949-7000, located on the ground floor of our building.