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Westgerman Prostate Center
Klinik am Ring
Hohenstaufenring 28
D-50674 Cologne, Germany

Fon.: +49-221-92424-470
Fax:  +49-221-92424-460
info@wpz-koeln.de

Prostate Biopsy

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Abnormal palpation of the prostate, abnormal transrectal ultrasound or an elevated PSA level may point to the presence of a prostate carcinoma.

A prostate gland biopsy is a test to remove small samples of prostate tissue to be examined under a microscope by a pathologist. The prostate gland biopsy. Currently, the diagnosis of prostate cancer can be confirmed only by a biopsy.

To avoid infection, two days prior to performing a biopsy, antibiotics are administered. It is also very important for the patient to report previous intake of medications that affect blood clotting, such as Aspirin, Marcumar, etc.) 

The procedure is usually an outpatient procedure, and performed administering a local anesthetic or short anesthesia. 
Under ultrasound guidance, at least 12, for larger prostate often 18 – 24, samples from the prostate gland are taken. If areas of the prostate show abnormalities, tissue samples are taken additionally from those areas. 

The areas from which the samples were taken are being documented so that they may be categorized for a later treatment plan. The tissue samples are examined by a pathologist. If the indication of a prostate carcinoma is conformed, the grade of the malicious tumor cells will be determined.

Generally, there will not be any complications during a prostate gland biopsy. After the procedure small amounts of blood in the urine, in the semen or in the stool as well as a slight pressure at the rectum may persist for a few days. In rare cases, the patient may experience pain or an elevated body temperature or even chills. If the patient experiences any of these symptoms, he should immediately consult with the physician, since a prostate infection could bet he cause. A physician should also immediately be consulted, if there is a strong bleeding from the rectal or the urethra, or if there are problems with the blood circulation. 

The prostate biopsy is a safe procedure. According to today’s knowledge, it will not cause the spreading of tumor cells at the areas from which the tissue samples were taken, cause metastases or affect the growth behavior of the cancer