Transperineal Prostate Biopsy

This procedure enables Prof Lawrentschuk to determine whether your prostate contains cancerous cells. A biopsy may be recommended if:

The procedure may involve the use of an ultrasound probe as well as a flexible cystoscope.

The ultrasound probe is a small device inserted into the rectum to provide real-time imaging during the procedure. Whereas the flexible cystoscope is a fine camera that is used to pass through the urethra to check for blood clots and assess the prostate’s configuration. Any clots found are flushed out.

Prof Lawrentschuk will explain the benefits and risks of the procedure. Once you are informed, you will be asked to sign a consent form. Please feel free to raise any questions before signing.

Difficulty passing urine (2% risk)

• Template prostate biopsies may cause internal bruising that can create difficulty in passing urine.
• If this happens, you may need a catheter and should visit your local Emergency Department.
• To prevent this, nurses will check that you can urinate before you go home, and if needed, you may be kept for observation.
• Very rarely, a temporary catheter may be passed after biopsy to allow the prostate to settle down.

Infection (1% risk)

• If you develop a fever, pain, or burning when urinating, you may have an infection.
• Contact Prof Lawrentschuk, his nurse, the hospital, or your GP if you experience symptoms.

Blood in urine or semen (common)

• Urine may appear pink or dark red and semen
• Drink plenty of fluids and avoid physical activities like heavy lifting and cycling especially if you notice blood in your urine.
• If bleeding is heavy or persistent please visit your local Emergency Department and tell them about your recent biopsy.

Allergic reaction - Some people may react to medications they have been given. Please inform us of any known allergies before your biopsy. How do I prep

You will be contacted 1–2 weeks prior to your scheduled procedure with specific fasting instructions and hospital admission details. You will also receive a link to complete your online admission forms.

It is important to advise the rooms if you are taking any blood thinners or any prescribed medications for diabetes or weight loss purposes. The rooms can be contacted on 03 9329 1197.

A prostate biopsy may also be performed by passing the biopsy needle through the rectum rather than through the skin. However, this approach has a higher risk of infection.

The biopsy is performed under general anaesthetic, which is administered through a small needle in the back of your hand. You will be asleep and pain-free throughout the procedure.

Post-procedure, you may feel drowsy, nauseous, or unsteady. Avoid driving for at least 24 hours and ensure someone can accompany you home. A general anaesthetic takes at least 24 hours to wear off, so please rest during this period.

Some patients are given medication to help them pass urine. If these have been given to you, you will need to take them until they have finished.

Your results will take up to a week to come back. Prof Lawrentschuk will call you with the results as soon as he has them and will advise you when to expect a call. Please make sure you have an appointment for the follow-up if that is requested at the time of results.