TRUS Guided Prostate Biopsy Procedure
One day before the procodure, oral administraten of 500-mg levofloxacin and 400-mg etodolac was started and it was continued after the biopsy. The day of biopsy a rectal enema (250 mL) was performed before the biopsy. The biopsy was performed while the patient was in the left lateral position with the thighs flexed. The procedure was performed under the guidance of ultrasound device with a 7.5 mHz biplanar probe.
The biopsy was performed on an outpatient basis in a room equipped with all material necessary for emergency intervention. Sedation and anesthesia were not achieved. 10 minutes before the procedure, periprostatic nerve blockade was performed in addition to perianal intrarectal lidocain gel. Injections were delivered at the angle between the seminal vesicle and prostate on each side using 5 cc of 2% lidocain. The biopsies were performed by multiple experienced urologists. In initial biopsy, standard 12 (both lateral and medial biopsies from the base, medial and apex on the right and left side of the prostatic peripheral zone) or 10 core prostate biopsy was performed. Second prostate biopsy was performed in patients within a period of 3-6 months after the initial biopsy. The core number of taken at the second biopsy was 16 or 18.