Prostate biopsy

Prostate biopsy
Diagram showing a transperineal prostate biopsy
ICD-9-CM60.11-60.12

Prostate biopsy is a procedure in which small hollow needle-core samples are removed from a man's prostate gland to be examined for the presence of prostate cancer. It is typically performed when the result from a PSA blood test is high.[1] It may also be considered advisable after a digital rectal exam (DRE) finds possible abnormality. PSA screening is controversial as PSA may become elevated due to non-cancerous conditions such as benign prostatic hyperplasia (BPH), by infection, or by manipulation of the prostate during surgery or catheterization. Additionally many prostate cancers detected by screening develop so slowly that they would not cause problems during a man's lifetime, making the complications due to treatment unnecessary.

The most frequent side effect of the procedure is blood in the urine (31%).[2] Other side effects may include infection (0.9%) and death (0.2%).[2]

  1. ^ Ilic D, Djulbegovic M, Jung JH, Hwang EC, Zhou Q, Cleves A, et al. (September 2018). "Prostate cancer screening with prostate-specific antigen (PSA) test: a systematic review and meta-analysis". BMJ. 362: k3519. doi:10.1136/bmj.k3519. PMC 6283370. PMID 30185521.
  2. ^ a b Bell N, Connor Gorber S, Shane A, Joffres M, Singh H, Dickinson J, et al. (November 2014). "Recommendations on screening for prostate cancer with the prostate-specific antigen test". CMAJ. 186 (16): 1225–34. doi:10.1503/cmaj.140703. PMC 4216256. PMID 25349003.

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