prostate biopsy

Treatment of diseases: elderly prostate cancer prostate cancer prostatitis Indication This Law applies to the following situations: 1. Suspected of urinary difficulties and hematuria caused by prostate disease. 2. The histological classification of prostate tumors to determine the treatment plan. 3. Take prostatic fluid for examination or treatment of chronic prostatitis. Contraindications 1. When there is acute inflammation around the anus and the prostate. 2. When the perineum has ulcers and inflammation, use a perineal biopsy with caution. 3. There is a cancer on the anterior wall of the lower rectum, and a rectal biopsy should be used with caution. Preoperative preparation Introduce the purpose of this law to patients to obtain patient cooperation; detailed physical examination, consultation, to select the appropriate indications. Surgical procedure The following two routes are commonly used for prostate puncture. (1) Transrectal biopsy: 0.02% chlorhexidine was used as a low-level cleansing enema before surgery. The patient took the knee elbow or lateral position. After disinfecting the perianal skin, wear double-layer gloves on the left hand, place the puncture needle between the double-finger gloves of the index finger and enter the rectum. Use the fingertip to select the puncture site, then prick the outer glove with the right hand and puncture the prostate biopsy. Department, puncture and take materials. The aspirate is smeared and sent for inspection. (2) Perineal puncture biopsy: The patient takes the lithotomy position. After routine disinfection of the perineum, the anesthesia is infiltrated along the middle of the perineum. The left index finger is inserted into the rectum, and the prostate is punctured according to the desired prostate. The right needle is directly punctured to the prostate, and the suction syringe forms a negative pressure to take the prostate tissue. The specimens to be taken will be fixed and sent for inspection immediately.