Prostate Biopsy: Side Effects and Risks
UroToday - EAU 2007 - Session on Prostate Biopsy 1
The 7,074 biopsies were performed in 5,153 men. Minor complications included hematuria >1 day (13.8%), hematospermia (35.8%), and rectal bleeding (2.1%). Major complications were prostatitis, epididymitis, fever >38C, rectal bleeding >2 days, and urinary retention, all <1.0%. This study validates the safety of TRUS biopsy of the prostate.
This is a lower number than I would have guessed for blood in the semen (hematospermia), but a nice study to advise patients of possible side effects from a prostate biopsy.
This is what we need to consider when I asked the question of doing biopsies on everyone.
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Comments
i had a prostate biopsy done 7 days ago i had sex and blood came out is this normal.
Posted by: lu | September 24, 2007 8:54 PM
Yes, hematospermia (blood in the semen) can take weeks and sometimes months to go away.
Posted by: Domenico Savatta, MD | September 24, 2007 10:19 PM
I had a prostate biopsy yesterday. My doctor said it was fine to have sex today. I did and my semen appeared to be 99% blood. I went on-line to see if this is normal, and I read some recommendations to abstain from sex for 3-5 days. Several questions. Did I make a big mistake? Am I going to bleed to death? What happens if my prostate just keeps bleeding--will it come out somewhere to let me know? Help!
Posted by: Rick J | October 10, 2007 9:21 PM
I had a prostrate biopsy 10 days ago now when I go to the bathroom (#2) I get a heavy reddish brown fluid from my penis is this normal
Posted by: Richard | October 25, 2007 6:42 AM
Bowel movements put pressure on the prostate (or prostate area after surgery). This can cause some old blood to be pushed out of the prostate after a biopsy. You can have blood in the ejacualte for several weeks after a biopsy.
If there is signs of infection (fevers, burning with urination, or other symptoms), you should contact your physician.
Posted by: Domenico Savatta, MD | October 25, 2007 10:38 AM
it's been 5 weeks since my biospy and i still have blood in my semen. it is not as bad as in the beginning, is is getting closer to normal.
Posted by: bob r | November 3, 2007 7:22 AM