Prostate Biopsy
A Prostate biopsy is a procedure to remove samples of suspicious tissue from the prostate. During a prostate biopsy, also called a core needle biopsy, a fine needle is used to collect a number of tissue samples from your prostate gland.A prostate biopsy is done by an urologist, a doctor who specializes in the urinary system. Following a prostate biopsy, tissue samples from the prostate biopsy are examined under a microscope for cell abnormalities that are a sign of prostate cancer. If cancer is present, it is evaluated to determine how quickly it's likely to grow and spread, and to determine your best treatment options.
Why it's done: - A prostate biopsy is used to detect prostate cancer. Your doctor may recommend a prostate biopsy if:
· Results of a prostate-specific antigen (PSA) test are higher than normal for your age.
· Your doctor found lumps or other abnormalities during a digital rectal exam.
· A previous biopsy revealed prostate tissue cells that were abnormal but not cancerous.
Risks:- Common risks associated with a prostate biopsy include:
· Infection. The most common risk associated with a prostate biopsy is infection. Rarely, men who have a prostate biopsy develop an infection of the urinary tract or prostate that requires treatment with antibiotics.
· Bleedingat the biopsy site. Bleeding is common after a prostate biopsy. Don't start taking any blood-thinning medications after your biopsy until your doctor says it's OK.
· Blood in your semen. It's common to notice red or rust coloring in your semen after a prostate biopsy. This indicates blood, and it's not a cause for concern. Blood in your semen may persist for four to six weeks after the biopsy.
· Difficulty urinating. In some men prostate biopsy can cause difficulty passing urine after the procedure. Rarely, a temporary urinary catheter must be inserted.
How you prepare: - To prepare you for your prostate biopsy, your urologist may have you:
· Stop taking medication that can increase the risk of bleeding, such as warfarin(Coumadin), non-steroidal anti-inflammatory medications (NSAIDs), such as aspirin and ibuprofen, and certain herbal supplements for several days before the procedure
· Take antibiotics 30 to 60 minutes before your prostate biopsy, to help prevent infection.
Call your doctor if you have:
1. Prolonged or heavy bleeding.
2. Pain that gets worse.
3. Swelling near the biopsy area.
4. Difficulty urinating.
Results
A doctor who specializes in diagnosing cancer and other tissue abnormalities will evaluate the prostate biopsy samples. This doctor (a pathologist) can tell if the tissue removed is cancerous and, if cancer is present, estimate how aggressive it is.The pathologist compiles the laboratory findings in a pathology report that's given to your doctor. Your doctor will explain the findings to you and, if you like, you can ask for a copy of your pathology report for future reference.
Your pathology report may include:
· Information about your medical history. A pathology report may include a discussion of your medical history and any other tests that prompted your doctor to recommend a prostate biopsy.
· A description of the cells. This section of the pathology report describes how the cells appear under a microscope.Prostate cancer cells may be referred to as adenocarcinoma in a pathology report. Sometimes the pathologist finds cells that appear abnormal but aren't cancerous. Words used in pathology reports to describe these noncancerous conditions include prostatic intraepithelial neoplasia and atypical smallacinar proliferation. If the pathologist finds cancer, it's graded on a scale called the Gleason score. This scale rate show different the cancer cells are from normal tissue. The lowest rating is 2 and the highest is 10. Cancers with a high Gleason score are the most abnormal and are more likely to grow and spread quickly.
· The pathologist's diagnosis: This section of the pathology report lists the pathologist's diagnosis. It may also include comments, such as whether other tests are recommended.·
New Non-surgical treatment for
BenignProstatic Hyperplasia (BPH) or enlarged prostate
ByProstatic Artery Embolization (PAE)
The patients are admitted to the hospital on the day of the procedure. Embolizationis performed under local anesthesia by right femoral artery. Initially pelvicangiography is performed to evaluate the prostatic arteries. Then, an angiography catheter is introduced to catheterize the prostatic vessels. For embolization,PVA particles are used which causes slow flow or near-stasis in the prostaticvessels with interruption of the arterial flow.
Advantagesof Prostatic Artery Embolization (PAE)
· It does not produce the side effects that TURP does and makes for faster recovery.
· PAE can be performed on any size prostate,
· Whole procedure done through a small nick around the skin in the groin region.
· No sexual dysfunction following prostatic artery embolization and a quarter of patients report that sexual function improved after the procedure.
· PAE procedure needed no general anesthesia / No blood loss or risk of blood transfusion.
· No surgical ugly scars and makes for faster recovery with 98% success rate.
Low cost non-surgical treatment of enlarged prostate in Delhi, India as compare to other cities of India like Mumbai, Bangalore, Chennai Ahmedabad,Hyderabad, Pune.
For more in-depth information contact:
Dr. Pradeep Muley M.D.
Senior Consultant Interventional Radiologist
Mobile or Whatsapp - 098104 92778
E-mail - muleypradeep@hotmail.com
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