
LONDON UROLOGY PARTNERS For a comprehensive elective and emergency urological service in London
CONTACT DETAILS To contact Mr Barry Maraj Consultant Urologist
EDUCATIONAL BACKGROUND summary of educational background and urological training
ACADEMIC BACKGROUND AND PUBLICATIONS
MEMBERSHIPS Memberships to important medical associations
'KEY HOLE' SURGERY Laparoscopic Urological Operations
BOTOX and BALDDER PROBLEMS Botox injections for urinary frequency and urgency
HAVING A CYSTOSCOPY ? What is cystoscopy
HAEMATURIA Blood in your urine
HAVING A TURP A guide for patients having a TURP
Photosensitive Vaporisation of the Prostate (Green Light) A revolutionary new day surgery treatment for benign prostate enlargement
PSA Prostate Specific Antigen and Prostate Cancer
Trans-rectal ultrasound (TRUS) guided biopsy of the prostate Having a TRUS biopsy of your prostate?
MULTIDICIPLINARY TEAM MEMBERS GYNAECOLOGISTS, GENERAL SURGEONS, GASTROENTEROLOGISTS, RELAXATION SPECIALISTS AND NUTRITIONISTS
NEED TO SEE A GP ? Same day and Emergency call out GP service
ROBOTIC UROLOGICAL SURGERY The Da Vinci si system is now widely used for a number of urologic disorders including prostate kidney nad bladder cancer and obstructed kidneys (UPJO)

Trans-rectal ultrasound (TRUS) guided biopsy of the prostate

Illustration of the male pelvic organs

Transrectal Ultrasound and Biopsy of the Prostate Gland

This investigation provides a detailed ultrasound examination of the prostate gland and enables a sample of prostate tissue to be taken and sent to the laboratory for analysis.

The procedure will be performed in an outpatient clinic and takes approximately 15 minutes. You will be required to lie on your side and a small ultrasound probe is passed into the rectum. As the probe is being passed through you may feel slight discomfort which will soon pass. The prostate is then examined in detail and biopsies taken.

A very fine needle is passed alongside the transrectal probe and biopsies of prostate tissue are taken. Following the procedure you will be able to leave the outpatient department in half an hour providing you have passed urine. Once the biopsies are obtained they are sent to the laboratory for analysis.

You will be given an appointment to be reviewed with the results in one week.

Your preparation for the biopsy

The risks of this procedure are bleeding and infection. To prevent an infection it is very important to take antibiotics:

CIPROXIN 500MGS TWICE A DAY (MORNING AND EVENING) FOR 3 DAYS STARTING ON THE MORNING OF YOUR BIOPSY

IT IS IMPORTANT TO INFORM YOUR UROLOGIST IF YOU ARE TAKING ASPIRIN OR WARFARIN (OR OTHER MEDICATIONS THAT SLOW YOUR BLOOD CLOTTING TIME) AS THESE MEDICATIONS MAY NEED TO BE DISCONTINUED PRIOR TO YOUR PROCEDURE. ALSO PLEASE INFORM US IF YOU HAVE A LATEX ALLERGY.

What to expect after the procedure

You may be uncomfortable for a couple of hours after the procedure. However if you have severe pain please contact Mr Maraj on 020 8347 8829

Expect to see some blood in your bowel motions, urine or semen that may last for up to 10-14 days.

Although the risks of complications are very low, if you experience any of the following please contact us at 0208 347 8829:

· Excessive bleeding
· Inability to pass urine
· Fever, chills, shivering or shaking
· Feeling generally unwell

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