What Is a Prostate Biopsy?
A prostate biopsy is a minimally invasive procedure that removes small tissue samples from the prostate gland. These samples are examined under a microscope to determine whether cancer cells are present.
A biopsy is typically recommended when:
- PSA levels are elevated or rising
- Digital rectal exam (DRE) detects abnormalities
- MRI imaging shows suspicious lesions
- There's a strong family history of prostate cancer
Types of Prostate Biopsy Offered
Dr. Samadi offers state-of-the-art biopsy techniques designed to improve accuracy, reduce discomfort, and minimize complications.
1. Transrectal Ultrasound-Guided Biopsy (TRUS)
- Uses a small ultrasound probe inserted into the rectum
- Samples are taken from various areas of the prostate
- Quick outpatient procedure, typically under 10 minutes
2. MRI-Targeted Biopsy
- Combines MRI imaging with real-time ultrasound
- Targets specific lesions seen on MRI
- Increases the likelihood of detecting significant cancer while avoiding overdiagnosis
3. Transperineal Biopsy (Available upon evaluation)
- Accesses the prostate through the skin between the scrotum and rectum
- Lower infection risk compared to transrectal approach
- Especially useful for repeat or complex biopsies
What to Expect Before, During, and After Your Biopsy
Before the Biopsy:
- Dr. Samadi will review your PSA history, imaging, and family risk factors
- You may be prescribed antibiotics to reduce infection risk
- Some patients receive a mild enema before the procedure
- You'll be advised to pause blood thinners if applicable
During the Biopsy:
- Local anesthesia is applied to minimize discomfort
- The procedure typically lasts 10–15 minutes
- Most patients describe the experience as quick and tolerable
After the Biopsy:
- You may experience mild soreness, blood in urine or semen, or temporary urinary changes
- These symptoms usually resolve within a few days
- Dr. Samadi provides detailed aftercare instructions and is available for follow-up if needed
Understanding Your Results
Tissue samples are analyzed by a pathologist to determine:
- Whether cancer is present
- The Gleason score, which measures how aggressive the cancer is
- Whether the cancer is confined or may be spreading
Results are typically available within 7–10 days, and Dr. Samadi will personally review your findings and walk you through the next steps.
Do You Always Need a Biopsy If PSA Is High?
Not always. PSA levels can rise due to benign prostatic hyperplasia (BPH), prostatitis, or recent activity such as exercise or ejaculation. Dr. Samadi uses PSA trends, MRI imaging, and clinical history to determine whether a biopsy is truly necessary.
Why Choose Dr. David Samadi for Your Prostate Biopsy?
- Over 20 years of experience in prostate cancer diagnosis and treatment
- Pioneer of advanced robotic prostate surgery
- Specialized in accurate diagnosis without overtreatment
- One-on-one care in a discreet, private setting
- Trusted by patients around the world for second opinions and early detection
Get the Clarity You Deserve—Schedule a Prostate Biopsy Consultation Today
If you’ve been told you need a prostate biopsy or want a second opinion, Dr. Samadi will help you make an informed decision with confidence.
Book your consultation now
Call today: 212-365-5000