How Long After Prostate Biopsy Can You Ejaculate

This information will help you go ready for your prostate biopsy with ultrasound at Memorial Sloan Kettering (MSK).

Your prostate is a walnut-shaped gland that adds liquid to your semen. It'due south located below your float in front of your rectum (come across Effigy 1). Information technology surrounds your urethra (the tube that drains urine from your bladder).

Figure 1. Your prostate and surrounding organs — Effigy 1. Your prostate and surrounding organs

A prostate biopsy is a procedure to collect small pieces of tissue from your prostate. An ultrasound is an imaging scan that uses audio waves to brand pictures of the inside of your body. Your healthcare provider will use ultrasound imaging during your biopsy to assistance them take tissue from the right areas of your prostate.

Later on your biopsy, the pieces of tissue will be looked at nether a microscope to check for aberrant cells.

‌ Your prostate biopsy with ultrasound is scheduled for
___________________ (date) with
___________________ (healthcare provider).

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Earlier Your Procedure

Tell your healthcare provider if you lot:

Take medication to thin your blood (anticoagulants).
Take steroids (such as prednisone).
Take whatever other medications, including herbal or dietary supplements or natural or home remedies.
Have taken any antibiotics in the past 3 months.

Purchase your supplies

1 saline enema (such every bit a Armada^® saline enema). You can buy this at your local pharmacy without a prescription.
Oral antibiotic (antibiotic that y'all swallow), if your healthcare provider tells y'all to. If you're taking an oral antibiotic, your healthcare provider volition give you a prescription. Read the "Antibiotics" section for more information.

Program how y'all're getting domicile

Some people feel lightheaded afterward their procedure. It'due south best to have someone take you home afterward your procedure. They can aid you lot if needed.

v to seven days earlier your procedure

You may need to stop taking some of your usual medications before your surgery. Examples include anticoagulants, aspirin, medications that incorporate aspirin, and vitamin East. Follow your healthcare provider's instructions.

Y'all can read about medications that contain aspirin and vitamin Due east in the resource Common Medications Containing Aspirin, Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs), or Vitamin Due east.

ii days before your procedure

Stop taking nonsteroidal anti-inflammatory drugs (NSAIDs), such every bit ibuprofen (Advil^® or Motrin^®) and naproxen (Aleve^®). You can read about NSAIDs in the resource Common Medications Containing Aspirin, Other Nonsteroidal Anti-inflammatory Drugs (NSAIDs), or Vitamin E.

The Day of Your Procedure

Do a saline enema the forenoon of your procedure. Follow the instructions on the box.
Swallow and drink like you unremarkably exercise. If you don't consume before your procedure, your procedure might be delayed.

Antibiotics

You will need to take an antibiotic to prevent infection from the biopsy. Your healthcare provider will tell y'all which antibody yous will take and give you a prescription. You will take ane of the antibiotics listed beneath.

Oral antibiotics

Ciprofloxacin (Cipro^®) 500 mg (two tablets)

Take 1 tablet 2 hours before your procedure.
Take 1 tablet 12 hours later on.

Cefixime (Suprax^®) 400 mg (1 tablet)

Take 1 tablet ii hours before your procedure.

Cefuroxime (Ceftin^®) 500 mg (2 tablets)

Take i tablet 2 hours before your procedure.
Have i tablet 12 hours later.

Sulfamethoxazole-trimethoprim (Bactrim^®) 500mg (2 tablets)

Take 1 tablet two hours earlier your procedure.
Take 1 tablet 12 hours later.

Intravenous (Iv) antibiotics

Your healthcare provider might determine you need Four antibiotics instead of oral antibiotics. If they do, yous will get the IV medication through a vein in your arm ane hour before your procedure.

Dorsum to tiptop

During Your Procedure

First, your healthcare provider will gently insert a probe into your rectum. They will put an anesthetic (numbing) lubricant on it to help it slide in easily. Once the probe is in place, they will likewise give you an anesthetic injection (shot) near your prostate to numb the biopsy site.

The probe uses ultrasound to make images of your prostate. It as well has a high-speed biopsy gun with a small-scale, thin needle. This volition be used to have each biopsy sample. Your healthcare provider may take upwardly to 18 biopsy samples. You can look to be in the biopsy room for 20 to 30 minutes.

Later on Your Procedure

It'south normal to have some soreness or discomfort after your procedure, but most people don't accept pain. If you experience sore, you can take acetaminophen (Tylenol^®). If the acetaminophen doesn't assist, call your doctor's office.

For iii days after your procedure, effort to drink double the amount of liquids that y'all usually drink. This will help to flush out your bladder, foreclose infection, and minimize the corporeality of claret in your urine. Information technology will also help soften your bowel movements (poop), which helps keep your rectum from getting irritated.

Temporary effects on your bowel movements (poop), urine, and semen

Y'all might see blood in your bowel movements. You lot might also have a small amount of bleeding from your rectum. These can happen correct after your procedure or for the next few days when you lot have a bowel movement.
You might see blood in your urine for 7 to 14 days after your process. This bleeding might come and go.
Your semen might look rust-colored for upwards to 12 weeks after the biopsy. This is because minor amounts of blood might be in it.

Activity

Programme to stay within 2 hours of MSK for the first 24 hours afterwards your process. If you have whatsoever issues afterwards your procedure, such as fever or bleeding, you lot might have to get to MSK's Urgent Care Center (UCC).
Don't appoint in whatsoever sexual action for three days after your procedure.
For the adjacent v days after your procedure, don't do whatsoever sports, piece of work out in a gym, ride a bicycle, or lift any objects heavier than ten pounds (4.5 kilograms).

Test results

Your test results will be ready in v to 7 days after your biopsy. Your healthcare provider will contact you and explicate the results to you. You tin can also inquire for a re-create of your results.

Dorsum to meridian

Call Your Healthcare Provider Correct Abroad if Yous:

Have heavy haemorrhage out of your rectum
Take bleeding out of your rectum that won't stop
Can't urinate
Run across bright scarlet blood or large clots in your urine
Have a fever of 101 °F (38.3 °C) or higher
Have shaking chills
Feel light-headed
Have whatever other problems, questions, or concerns

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Source: https://www.mskcc.org/cancer-care/patient-education/about-your-prostate-biopsy-ultrasound