Prostate Biopsy
In Glens Falls, NY

Prostate Biopsy

A prostate biopsy is a key diagnostic procedure used to evaluate areas of concern in the prostate, most commonly in the context of an elevated PSA or abnormal prostate exam. At our office in Glens Falls, we perform transrectal ultrasound (TRUS)-guided biopsies, a safe and effective method for sampling prostate tissue.

We combine this approach with pre-biopsy imaging and a tailored antibiotic regimen to ensure accuracy, safety, and comfort for our patients throughout the Capital Region and Adirondack area.
 

Why Might I Need a Prostate Biopsy?

You may be recommended for a prostate biopsy if:

• Your PSA level is elevated or rising

• An abnormality is felt on digital rectal exam (DRE)

• An area of concern was seen on a prostate MRI

• You have a strong family history or other risk factors for prostate cancer

The goal is to determine whether any concerning areas contain cancerous cells and, if so, to characterize their aggressiveness.

Imaging Before Biopsy: The Role of MRI

In most cases, we will recommend a prostate MRI before biopsy. This advanced imaging helps:

• Identify suspicious areas within the prostate

• Improve the accuracy of targeted biopsy

• Reduce the number of unnecessary biopsy samples

If we identify a region of concern that cannot be accessed by standard ultrasound guidance, we’ll refer you to a trusted partner facility for a UroNav MRI/ultrasound fusion-guided biopsy, which merges real-time ultrasound with MRI images for precise targeting.

How the Procedure Works

• The biopsy is performed in the office using transrectal ultrasound (TRUS).

• A small ultrasound probe is placed into the rectum to visualize the prostate.

• Under ultrasound guidance, a needle is used to take small tissue samples from different areas of the prostate.

• The entire procedure typically takes 15–20 minutes and is well tolerated with local anesthetic.

Antibiotic and Infection Prevention Protocol

To minimize the risk of infection, we follow a multi-step antibiotic protocol:

• Two doses of ciprofloxacin: one taken the morning of and one the evening after the biopsy.

• An in-office antibiotic injection is also given right before the procedure.

This approach significantly lowers the risk of infection, which remains rare but is a known potential complication of any prostate biopsy.

What to Expect Afterward

Most patients are able to resume normal activities within a day. It’s common to experience:

• Mild soreness in the rectum or perineum

• Blood in the urine, stool, or semen for several days (sometimes longer)

• Temporary urinary frequency or discomfort

These symptoms typically improve on their own. We’ll review all aftercare instructions with you in detail at your visit.

When to Call Us

Contact our office if you experience:

• Fever, chills, or signs of infection

• Difficulty urinating or inability to urinate

• Heavy or prolonged bleeding

Your Care, Your Choice

Dr. Friedman believes in educational, patient-guided care. Before your biopsy, we’ll review all imaging with you, answer your questions, and ensure you’re comfortable with the plan. We want you to be informed and empowered every step of the way.

By offering prostate biopsies locally in our Glens Falls office, we make it easier for local patients, and patients across Saratoga, the Capital Region, and the Adirondacks, to receive expert urologic evaluation without long travel or delays.