M At The Doctor

Biopsy of the prostate: the complications

And after a prostate biopsy what's going on? The following days, small bleeding may occur. Bleeding in the urine and sperm (your prostate was pricked in many places is normal), but sometimes bleeding from the anus. In this case, it may be small hemorrhoids attacked by the ultrasound probe. All this is not serious. The doctor will compress the areas that are bleeding. However, if the bleeding is too important, tell your urologist.

Complications

To prevent certain infectious complications, precautionary measures are put in place. The antibiotic treatment that has been prescribed (and that the patient has taken a few hours before the examination), will prevent the risks of prostatitis which are the most common risks, although rare: less than 2% of cases.

However, it can happen, in very rare cases (only 1%) that the examination leads to sepsis. If, in the days that follow, the patient presents a fever higher than 38.5 ° C, chills, discomfort, or even urinary burns, he must immediately warn his doctor.

An antibiotic treatment will be prescribed. This is a therapeutic emergency.

The results

At the time of the examination, each sample taken from the prostate will be placed in a separate tube. These small tubes then go to the anatomo-pathology laboratory for analysis under the microscope. The results will be announced in consultation at the earliest after eight to ten days.

Caution: If the biopsy is positive, the urologist will guide the patient for treatment to consider. If the biopsy is negative, it does not mean that you do not have cancer. If the presumption is too strong, the doctor may ask to have a new biopsy or to have a closer look. This is what happens in 15 to 20% of cases of negative biopsies.

At the end of the work done by the pathologist in his laboratory analysis, it will be possible to evaluate the aggressiveness of cancer cells and the volume of the tumor or tumors. Thus, the Gleason score will be calculated from 6 to 10, above 8 it is a very progressive cancer. But even if the biopsy provides crucial information, it can underestimate the aggressiveness or the volume of the tumor, if by bad luck the samples of the prostate biopsy were made on healthy areas.

Sometimes repeated biopsies every year can be offered for active surveillance of prostate cancer.

Biopsy of the prostate is now often coupled with MRI. This examination of medical imaging makes it possible to visualize the prostate and to bring a lot of information on the prostate tumor (s). It is recommended to perform an MRI before the biopsy, because the first examination already allows to analyze the suspicious zones, which will help to carry out the biopsy (and then make a little more than 12 samples).

In any case, you should not hesitate to ask all your questions to your doctor or the urologist. They are used to meeting anxious patients and they are there to provide answers.

You want to react, to give your testimony or to ask a question? Appointment in our FORUMS or A doctor answers you!

Read also :

> The operation of prostate cancer.
> All about prostate cancer: causes, symptoms and treatments.

Sources and notes:
> Afu sites, Inca. 2015
> Surgery in the local control of prostate cancer. Report of the 109th French Congress of Urology, 2015.

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