Transurethral biopsy

Transurethral biopsy is a medical procedure used to obtain tissue samples from the bladder, prostate, or urethra for diagnostic purposes. This minimally invasive procedure is typically performed by a urologist using a cystoscope, a thin tube with a camera and instruments attached to it. Transurethral biopsy is commonly used to investigate abnormalities such as suspicious growths, inflammation, or infection in the urinary tract.

Procedure

During a transurethral biopsy, the patient is usually placed under local or general anesthesia to minimize discomfort. The urologist inserts the cystoscope through the urethra into the bladder or prostate, allowing visualization of the internal structures. Using specialized instruments passed through the cystoscope, the urologist carefully collects small tissue samples from the targeted area for further analysis.

Indications

Transurethral biopsy may be recommended in cases where imaging studies, such as ultrasound or MRI, suggest abnormalities in the bladder or prostate. Common indications for transurethral biopsy include the presence of suspicious lesions, elevated levels of prostate-specific antigen (PSA), or persistent urinary symptoms that require further evaluation.

Risks and Complications

While transurethral biopsy is generally considered safe, there are potential risks and complications associated with the procedure. These may include bleeding, infection, urinary retention, or injury to surrounding structures. Patients should be informed of these risks before undergoing the biopsy procedure.

Post-Procedure Care

After the transurethral biopsy, patients may experience mild discomfort, urinary urgency, or blood in the urine for a few days. It is important to follow the urologist's instructions regarding post-procedure care, which may include taking prescribed medications, avoiding strenuous activities, and staying hydrated.

Follow-Up

Following the transurethral biopsy, the collected tissue samples are sent to a pathology laboratory for analysis. The results of the biopsy will help determine the presence of any abnormalities, such as cancer or inflammation, and guide further treatment decisions. Patients should schedule a follow-up appointment with their urologist to discuss the biopsy results and any recommended next steps.

Transurethral biopsy is a valuable diagnostic tool in the evaluation of urinary tract conditions and can provide important information for the management of various urological disorders.