Once you and your doctor have determined that you will undergo a prostate biopsy and you fully understand the benefits and risks associated with the biopsy procedure, there are several steps you need to take to prepare for the biopsy. Your doctor will discuss these steps with you.
- Stop taking blood-thinning medications. You will need to stop taking these drugs seven days before the prostate biopsy. Among the medications you need to avoid are warfarin (Coumadin), heparin, clopidogrel, enoxaparin (Lovenox), acetaminophen (Tylenol), and nonsteroidal anti-inflammatory drugs such as ibuprofen (e.g., Advil, Motrin). If you need to take pain medication during that week, ask your doctor for an alternative.
- Tell your doctor about other health conditions. This includes bleeding problems and allergies to latex or to any medications, including anesthetics. Also tell your doctor about all medications and supplements, both over-the-counter and prescription, that you are taking.
- Stop taking herbal and nutritional supplements. Certain herbal and nutritional supplements may also increase the risk of bleeding. These include vitamin E, omega-3 fatty acids, ginkgo biloba, devil’s claw, papain, and dong quai. Talk to your doctor about any other supplements you may be taking.
- Perform an enema. If your prostate biopsy will be done through the rectum (transrectal biopsy), you will need to have an enema at home the night before the procedure. An enema will relieve any pressure from your prostate gland and allow the clinician easier access to the prostate gland.
- Take antibiotics. Your doctor will prescribe an antibiotic for you to take before the prostate biopsy. An antibiotic is meant to help prevent infection however there is evidence that they can actually promote infection.
- Stop eating and drinking. If your prostate biopsy will be done under general anesthesia, your doctor will let you know when you will need to stop eating and drinking before the procedure.
- Think about taking some music and noise cancelling headphones with you to the doctors office. Studies have shown music can reduce anxiety and pain perception during the procedure. Read more on music during biopsy
Choosing your Biopsy Procedure
“Smart Prostate Biopsy” by Eigen
Maury’s Story-Three Biopsies Later, How I Reduced My PSA Over 30%
Choosing your Biopsy Procedure
“Watchful Waiting” after your Biopsy. Tips on How to Reduce your Anxiety
Can a Prostate Biopsy Give You Prostatitis?
Can Cipro Before a Prostate Biopsy Increase the Risk of Infection?
