Transperineal Prostate Biopsy in Singapore

During the initial recovery period, rest is essential, though complete bed rest isn’t necessary. Apply ice packs to the perineum for 20 minutes at a time to reduce swelling and discomfort. Drink plenty of fluids to help flush the urinary system and minimise blood clot formation. Avoid strenuous activities, heavy lifting, and vigorous exercise.

Blood in the urine (haematuria) is typical and expected during this period. You may also notice blood in semen, which can persist for several weeks. Take prescribed antibiotics as directed to prevent infection. Monitor for signs of urinary retention, fever, or excessive bleeding that would require medical attention.

Continue avoiding strenuous activities and heavy lifting during the first week. Patients may return to desk work within a few days, though individual recovery timelines vary. Maintain good hydration to help clear any residual blood from the urinary tract. Sexual activity should be avoided for at least one week or as advised by your urologist.

Your biopsy results typically become available within several days. A follow-up appointment may be scheduled to discuss the pathology findings and any necessary treatment plans. Continue monitoring for signs of infection such as fever, chills, or worsening urinary symptoms.

Patients may experience recovery within several weeks, though individual timelines vary. Blood in semen may persist for several weeks, gradually decreasing over time. Everyday activities, including exercise and sexual activity, can typically resume after consultation with your urologist.

The biopsy sites heal without visible scarring. If cancer is detected, your urologist can discuss treatment options based on the grade and extent of disease. If results are negative but clinical suspicion remains, your urologist may recommend continued monitoring or additional testing.

Patients may experience blood in urine, which gradually clears without intervention. Blood in semen may occur and can persist. Mild perineal bruising and tenderness may resolve over time. Temporary mild discomfort with urination can affect some patients.

Some men may experience temporary difficulty starting urination due to prostate swelling. Mild perineal discomfort when sitting may occur. These effects are generally managed with measures like pain relief and increased fluid intake.

Urinary retention requiring catheterisation may occur and typically resolves. Significant bleeding requiring intervention is rare. The risk of infection is lower with the transperineal approach than with transrectal biopsy.

Patients may develop prostatitis despite the sterile approach. Erectile dysfunction is not typically associated with the procedure itself. Fistula formation or chronic pain are rare complications.

Dr Azhari uses meticulous sterile technique and appropriate patient selection to help minimise risks. The transperineal approach’s reduced complication profile makes it a recognised option for prostate tissue diagnosis.