Transrectal ultrasound (TRUS) w/biopsy

Transrectal ultrasound (TRUS) w/biopsy printable instructions

A TRUS, accomplished with color-flow Doppler, is a procedure by which an image of the prostate is created through sound waves directed onto the prostate, via a probe inserted into the rectum, and viewed on a monitor. This exam is normally ordered, regardless of PSA results, if a digital rectal exam indicates the likelihood of cancer. A needle biopsy is done in conjunction with this exam to obtain a definitive diagnosis 

TRUS is primarily used to: 

  • Guide the physician in biopsying the prostate
  • Establish the volume of the prostate or PSA density.  

Pre-procedure instructions 

Prostate Biopsy Prep 

Fourteen (14) days before your procedure:

Discontinue the use of all herbal supplements, vitamin E, garlic pills and ginkgo biloba. 

Ten (10) days before your procedure:

Discontinue the use of aspirin, Advil, Motrin, Ibuprofin, Aleve and Nuprin. 

Seven (7) days before your procedure:

Discontinue the use of Pletal and Plavix after conferring with the prescribing physician. 

Five (5) days before your procedure:

Discontinue the use of Coumadin, after conferring with the prescribing physician. 

The day before your procedure:

         Take one at bedtime:  _______ Cipro Tablet                 _______ Levaquin Tablet 

        Use one Fleets enema at bedtime.  (Get Fleets enema at your local pharmacy) 

The day of your procedure: 

         Have a light breakfast (example:  toast or cereal and juice).

        You may drink as many liquids as you like; liquids are not restricted.

        Do not eat anything after breakfast.       

        Take one with breakfast:       _____ Cipro Tablet          _______ Levaquin Tablet 

        Use one Fleets enema approximately one hour prior to your procedure. 

        Take one with your evening meal:  ______ Cipro Tablet      _______ Levaquin Tablet 

The day after your procedure: 

Take one with breakfast:   ______ Cipro Tablet         _______ Levaquin Tablet 

Procedure Date:  _________________________       Time: ____________________ 

Follow-up Appointment to obtain biopsy results: 

Date:  _______________________  Time: ________________________

 The day before your procedure  

  • Your physician will prescribe an antibiotic to be taken at bedtime.
  • Your physician will instruct you regarding a bedtime enema.  

On the day your procedure take place  

  • Have a light breakfast (toast or cereal and juice); then consume no more solids until after your procedure. You may drink as much liquid as you want. Liquids are not restricted.
  • Repeat the antibiotic as prescribed.
  • Repeat the enema as directed by your physician.  

Post-procedure instructions 

  • Antibiotics will be prescribed for you to take the evening of your procedure and the following morning.
  • Take life easy, relax the first day post-procedure.
  • Dress comfortably.
  • Drink plenty of liquids.
  • Keep household chores to a minimum.
  • Avoid aspirin and Motrin and/or ibuprofen, because they may increase bleeding.  

Concerns that are normal: 

  • Blood in semen up to six weeks post-procedure
  • Pink-tinged urine the first 10-14 days post-procedure
  • Slight pain the first week post-procedure
  • Slight bleeding from the rectum 

Concerns that should be addressed at once: 

  • Persistent bleeding
  • Temperature 101.5 degrees or greater