June 14, 2024

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Is prostate biopsy necessary?

Is prostate biopsy necessary?

Is prostate biopsy necessary? Regarding prostate puncture, many men find that there is a problem with the prostate during the physical examination, or a certain indicator of PSA is elevated, and they have concerns and questions. Do I need to perform a prostate puncture to make further judgments?

Prostate biopsy can obtain prostate tissue, which is an important means to diagnose prostate cancer. However, most patients with early prostate cancer have no obvious symptoms, and the growth of cancer cells is relatively slow. If it is a high-risk group of prostate cancer, prostate puncture is still necessary to avoid missing the best time for treatment.

Is prostate biopsy necessary?


Is prostate puncture scary? What are the risks during the operation?

There are two most commonly used methods for prostate puncture. One is transrectal puncture, which is to insert an ultrasound probe into the rectum under local anesthesia to observe the prostate and surrounding tissues to systematically sample different parts of the prostate. One is the examination performed by perineal puncture under local or general anesthesia in the operating room. The biopsy needle is inserted into the prostate through the perineum (the skin between the scrotum and anus) to obtain a tissue sample.

Regardless of the method of operation, doctors generally take multi-point sampling to increase the detection rate of prostate cancer. Warm reminder, for the transrectal method, it is best not to touch the anal sphincter, which has nerve fibers that are sensitive to pain.


The operation of prostate puncture operation should be carried out according to the situation of each hospital. Some are performed in an outpatient operating room, while others require inpatient operations. This depends on the hospital’s medical conditions and the level of doctors.

Although it is a very simple and common operation, there are certain risks. For transperineal puncture, the most is to penetrate the urethra. The patient may have transient hematuria and dysuria, or mild dysuria, and the transrectal route requires bowel preparation. A few patients may have fever and sepsis during the operation.


Having said that, who would we recommend a prostate puncture?

  • 1. Digital rectal examination (DRE) palpable induration, suspected of tumor.
  • 2. B-ultrasound finds prostate hypoechoic nodules or MRI finds abnormal signals, suspected of tumor.
  • 3. Serum prostate specific antigen (PSA)> 10.0 ng/ml.
  • 4. PSA is 4.0-10.0ng/ml, f/tPSA is abnormal or PSAD value is abnormal.

This kind of professional terminology, I guess you will not understand it! Then follow the doctor’s request to operate, if you don’t let you do it, there is no need to ask for this check all the time! When this check is needed, choose a doctor in a regular hospital to check it more accurately, check out your condition, and get treatment early.


(sourceinternet, reference only)

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