Why biopsy may be discussed
- A suspicious area on prostate MRI
- Raised PSA density or other risk factors
- An abnormal prostate examination
- Persistent concern after earlier investigations
- Monitoring selected men with a previous diagnosis
The biopsy pathway
- Your PSA, MRI and medical history are reviewed first
- The reason for biopsy and reasonable alternatives are explained
- Transperineal biopsy samples are taken through the skin between the scrotum and anus
- MRI-targeted and systematic samples may be taken where appropriate
- A pathology report describes whether cancer is present and, if so, its grade
Risks and recovery
- Temporary blood in urine or semen is common
- Bruising, discomfort and short-term urinary symptoms can occur
- Infection and inability to pass urine are less common but require prompt advice
- Your hospital team will provide preparation and aftercare instructions
How this fits your care: Whether biopsy is appropriate is an individual decision. The benefits, limitations and risks should be discussed before consent.
Discussing the next step
Mr Syed Ali Shahzad can review your symptoms, previous results and imaging before explaining whether this investigation is appropriate and how the result may affect treatment planning. Tests are arranged through the relevant hospital pathway.
Clinical information reference: NHS: tests and next steps for prostate cancer. This page provides general information and does not replace individual medical advice.