Item Number: 37219, 55603
MRI targeted biopsies of a suspicious lesion in prostate found on MRI investigations
Why is it done?
- This is a diagnostic procedure used to make a diagnosis for an elevated PSA.
- It is done as a day surgery procedure. You are required to remain starved 6-8 hours prior to the procedure.
- This technique allows for minimal, accurate, targeted biopsy of a suspicious nodule
- The transperineal technique allows for almost 0% sepsis rate
You would have had a 3T MRI study prior to pinpoint any suspicious high-grade lesions. The MRI image is then fused with the UroNav software to enable accurate biopsies
The 3 possibilities of an elevated PSA is:
- Benign Prostate Hyperplasia,
- Prostatitis or
- Prostate Cancer.
Saturation biopsies include numerous biopsies and are generally recommended for second/third time biopsies.
How is it done?
- This procedure: is done under GA as a day procedure and takes approximately 60min (incl anaesthetic time)
- It is performed with the patient lying in the lithotomy position.
- Rectal ultrasound probe placed
- Sterile preparation of the perineum usually with Betadine
- MRI images are fused with ultrasound images and the target lesion identified
Complications
Side–effects
- Haematuria (blood in urine) 2-3days
- Haematospermia ( blood in ejaculate) will become less the more often you ejaculate.
- Bacteraemia (infection) with low-grade fever and feeling un-well < 1%
REQUIRES URGENT ATTENTION
Copyright 2019 Dr Jo Schoeman