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Transrectal & Transperineal Prostate Biopsy in Johor

Advanced prostate tissue sampling for accurate diagnosis and personalised prostate cancer evaluation.

Procedure Overview
A prostate biopsy is performed to collect tissue samples from the prostate for microscopic examination. It helps confirm or rule out prostate cancer when PSA levels are elevated, imaging shows abnormalities, or symptoms raise concern. At Gleneagles Johor, Dr. Zainal Adwin offers both transrectal and transperineal biopsy techniques with imaging guidance for precise sampling and dependable results.

About Dr. Zainal 
Dr. Zainal Adwin is a Urologist in Johor specialising in prostate disease evaluation, cancer diagnosis, and minimally invasive urology. He performs image guided prostate biopsies with a focus on accuracy, patient safety, and detailed follow up for comprehensive prostate care.
 

What Is a Prostate Biopsy

A prostate biopsy is a minimally invasive procedure where small tissue samples are taken from the prostate using a thin needle. The samples are analysed under a microscope to detect cancer cells, evaluate risk level, and guide treatment options. Imaging guidance ensures accurate targeting of suspicious areas seen on MRI, ultrasound, or screening findings.

When Is a Prostate Biopsy Recommended (Indications)

PSA levels are elevated or rising

MRI or ultrasound shows suspicious lesions

Abnormalities are detected during physical examination

There is a need to confirm diagnosis before treatment planning

How the Procedure Works

  • A small needle collects tissue samples from targeted areas
  • Imaging guidance supports accuracy and sampling depth
  • Samples are sent to a lab for detailed examination
  • Procedure is done under local or regional anaesthesia
    • Patients return home the same day in most cases
The technique used depends on anatomy, risk factors, and clinical assessment.

Facing a prostate cancer diagnosis can be challenging, but the right treatment plan brings strength, hope, and confidence.

Is a biopsy painful?

Discomfort is usually mild and minimised with local or regional anaesthesia.

Which method is safer?

The transperineal method may reduce infection risk, though suitability depends on individual assessment.

How long is recovery?

Most patients resume normal activity within 24 to 48 hours with temporary mild soreness.

What is recovery time after surgery?

Most patients begin walking the same day or the next day, and many go home within 24 hours. Full recovery usually takes 2 to 4 weeks, with most men resuming normal daily activities soon after. Because robotic surgery uses small incisions and gentle tissue handling, patients generally experience less pain, faster healing, and a quicker return to routine life.

Does a biopsy confirm cancer?

A biopsy identifies whether cancer cells are present and helps determine grade and extent if detected.

Can biopsy results guide treatment?

Yes, results help decide whether monitoring, surgery, medication, or other therapy is required.



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