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Transrectal Ultrasound (TRUS )guided biopsy in Hyderabad

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What is TRUS guided prostate biopsy?

Transrectal Ultrasound (TRUS) guided biopsy is a needle biopsy procedure to detect the presence of cancer cells in the prostate gland. A special biopsy needle is inserted in the prostate gland through the walls of the rectum to remove small tissue samples for lab analysis. The surgeon removes these samples from the prostate gland using the transrectal ultrasound. These cells are then studied under a microscope to check for cancer.

How is TRUS-guided biopsy performed?

Before TRUS-guided biopsy:

The patient will need to inform the surgeon about his ongoing medicines and allergies, if any.
The patient is asked about his medical conditions and any recent illnesses by the surgeon.
The patient is advised to stop taking blood thinners at least 7-10 days before the procedure.
The patient will have to start oral antibiotics before the procedure to prevent infection.
It is advised to eat light meals before the procedure.
The patient needs to empty his bowel entirely with the help of an enema before the procedure.

During Procedure:

The patient will be given general anaesthesia and is made to lie on his left side with legs bent up towards the chest.
The doctor will give a digital rectal exam (DRE) to check for any other issues.
The urologist will insert the ultrasound scope into the rectum.
With the guidance from the ultrasound images, the doctor will use a needle to take tissue samples from the prostate gland.
The process will be repeated multiple times to obtain as many tissue samples from different areas as possible.

After TRUS Biopsy:

After the procedure, the patient will be given a pad to wear to collect the residual blood from the rectum.
The patient is required to rest and drink something before leaving.
He is asked to drink plenty of fluids for the next 24 hours.
The patient will be kept under observation for 24 hours.

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Cost of TRUS Guided Biopsy in Hyderabad

The TRUS Guided Biopsy cost depends on several factors, including the specific surgical technique, the length of the hospital stay, the severity of the condition, and the surgeon’s experience.

Description	Cost
Cost of TRUS-guided biopsy	2,970 – 4,000 INR

Surgery details	Description
Number of days in the hospital	1 day
Type of surgery	Minor
Type of Anaesthesia	General anaesthesia
Number of days required to recover	4-6 weeks
Duration of the procedure	20-30 minutes
Type of surgical options available	Minimally invasive

Risks and complications

Risks of TRUS guided biopsy surgery are as follows:

Infection
Continuous bleeding
Pain
Difficulty in passing urine or stools
Bleeding in the patient’s urine or stools
Urinary tract infections
Erectile dysfunction
Urinary retention

Who Needs TRUS guided biopsy surgery?

One may need a TRUS guided biopsy for the following reasons:

For the diagnosis of prostate cancer.
To differentiate between prostate cancer and benign prostatic hyperplasia.
If a doctor finds a nodular enlargement while doing a digital rectal examination of a patient.
When the patient’s prostate-specific antigen (PSA) levels are high.

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Frequently Asked Questions

The accuracy and specificity of TRUS-guided biopsy is about 48%. It can go wrong in certain cases where the exact cancerous cells are not removed from the prostate.

A TRUS-guided biopsy can cause discomfort but isn’t painful.

MRI is less invasive than a biopsy, can be performed quickly, and leaves little or no scarring.

The patient will have a TRUS-guided biopsy under local anaesthesia. He can eat and drink normally before and after ther surgery. the patient can take his regular medicines as per schedule before the surgery unless ther doctor advises otherwise. If the patient is on any blood thinners or other medications that can cause problems in the surgery, he may have to stop taking those medicines before the biopsy.

The patient will be asked to clear hisr bowel before the transrectal ultrasound. An enema will be given 1-4 hours before the procedure to clean out the rectum and the colon. The patient will have to completely empty the r bladder before the procedure.

The patient may need about four to six weeks to recover after a prostate biopsy. The recovery depends on the patient’sr overall health and age. The patient can start with light activities 24-48 hours after the prostate biopsy.