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Ultrasound for Prostate Biopsy

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Practical Urological Ultrasound

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

The evaluation of prostatic conditions prior to the advent of sonographic techniques relied on palpation of the gland and “blind” sampling techniques via needle aspiration and biopsy. With the development of B-mode ultrasound in the 1950s, and probes capable of providing images to the clinician in real-time gray-scale ultrasound became the standard method of prostate imaging for most prostate conditions. The position of the prostate in the pelvis, tucked as it were beneath the pubis and anterior to the rectum, lends itself to the application of a transrectal approach. The transrectal approach to imaging the gland has become the standard of care for diagnostic evaluation of prostatic conditions, prostate biopsy, and therapeutic approaches to prostate cancer.

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Authors and Affiliations

  1. Department of Surgery, Virginia Mason Medical Center, 1100 9th Ave, C7 URO, Seattle, WA, 98111, USA

    Christopher R. Porter MD, FACS

Authors
  1. Christopher R. Porter MD, FACS
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Corresponding author

Correspondence to Christopher R. Porter MD, FACS .

Editor information

Editors and Affiliations

  1. , Department of Urology, Texas Health Presbyterian Dallas, 8210 Walnut Hill Lane Suite 014, Dallas, 75231, Texas, USA

    Pat F. Fulgham

  2. , The Arthur Smith Institute For Urology, Hofstra North Shore LIJ, 450 Lakeville Road Suite M41, New Hyde Park, 11042, New York, USA

    Bruce R. Gilbert

Appendix: List of Medications to be Avoided Prior to Biopsy

Appendix: List of Medications to be Avoided Prior to Biopsy

Aminosalicylic acid (Paser)

Topical medication (cream, gel, ointment, etc.)

Aspirin (numerous, e.g., Bayer, Bufferin, Ecotrin, Fiorinal, Aspergum, Alka-Seltzer, Percodan, Anacin, Goody’s, Zorprin)

Diclofenac (Flector, Solaraze, Voltaren)

Celecoxib (Celebrex)

Trolamine (e.g., Aspercreme, Mobisyl, Myoflex)

Choline magnesium trisalicylate

Methyl salicylate (e.g., Salonpas, Icy Hot)

Clopidogrel (Plavix)

Ophthalmic medication

Cilostazol (Pletal)

Bromfenac (Xibrom)

Diclofenac (Cataflam, Voltaren, Arthrotec)

Diclofenac (Voltaren)

Diflunisal

Flurbiprofen (Ocufen)

Dipyridamole (Aggrenox, Persantine)

Ketorolac (Acular)

Etodolac (Lodine)

Nepafenac (Nevanac)

Fenoprofen

Injectable medication

Flurbiprofen

Enoxaparin (Lovenox)

Ibuprofen (e.g., Advil, Midol, Motrin)

Dalteparin (Fragmin)

Indomethacin (Indocin)

Fondaparinux (Arixtra)

Ketoprofen (Orudis)

Heparin (HepFlush, Hep-Lock)

Ketorolac (Toradol)

Tinzaparin (Innohep)

Magnesium salicylate (e.g., Doan’s, Momentum)

Ketorolac (Toradol)

Meclofenamate

Herbals/natural products**

Mefenamic acid (Ponstel)

Aloe

Meloxicam (Mobic)

Bilberry

Nabumetone ( Relafen)

Cayenne

Naproxen (e.g., Aleve, Naprosyn, Pamprin, Treximet)

Dong quai

Oxaprozin (Daypro)

Feverfew

Piroxicam (Feldene)

Fish oil

Salicylamide (e.g., BC Fast Pain Relief, Lobac)

Flaxseed oil

Salsalate

Garlic

Sulindac (Clinoril)

Ginger

Ticlopidine (Ticlid)

Ginkgo biloba

Tolmetin

Ginseng

Warfarin (Coumadin, Jantoven)

Glucosamine, chondroitin

-Many OTC headache, allergy, and cough and cold products also contain aspirin, ibuprofen, or naproxen

Golden seal

-Tylenol is okay. Take as instructed

Supplement oils

 

Vitamin E

 

**Includes pills, liquids, teas, etc.

  1. Prior to surgery it is important to review all medications you are taking with your physician as some products may increase your risk of bleeding. These include prescription, over-the-counter (OTC), and herbal products. Please notify your physician if you are taking any of the following medications. *Medications are listed by their generic name, with some common brand names in parenthesis.
  2. Always consult your healthcare provider if you are unsure if you are taking a medication that may increase your bleeding risk.

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Porter, C.R. (2013). Ultrasound for Prostate Biopsy. In: Fulgham, P., Gilbert, B. (eds) Practical Urological Ultrasound. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-59745-351-6_11

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