Patient Instructions for Calypso Marker Placement Seven Days Before Your Procedure: Stop taking aspirin or other aspirin-like medications 7 days before and after your biopsy. Below is a list of medications to stop. This is not a complete list. Please talk with your doctor if you have questions about stopping medications. Medication Name Advil Aggrenox Aleve Alka Seltzer Anacin Anaprox Aspirin Ascriptin Bufferin Celebrex Medication Name Coumadin Ecotrin Excedrin Fish Oil Herbal Supplements Motrin Naprosyn Nuprin Plavix Vitamin E You may take your other medications as normal. If you take Coumadin, Plavix, Aggrenox or other blood thinners, you must contact your doctor to determine if you need to discontinue these medications. Medical clearance must be provided. 1
One Day Before Your Procedure: Take your antibiotic as directed and continue to take for 4 days after the procedure. Use an enema the evening prior to your biopsy, follow the directions provided with the product. Do not use an enema if you have kidney failure. The Day of Your Procedure: You should eat a light breakfast, such as coffee, tea, juice, and toast and a light lunch if your biopsy is scheduled in the afternoon. Take antibiotics as prescribed and directed. Some men feel more comfortable having someone drive them to their appointment. This is not necessary, just a suggestion. You will be asked to provide a urine sample when you arrive at the clinic. You will be given fluids to drink and asked to urinate after the procedure before you are discharged to go home. Where Does the Procedure Take Place? The procedure takes place at Dr. Wei s clinic: University of Michigan Urology Clinic, Center for Specialty Care 19900 Haggerty Rd., Ste. 111 Livonia, MI 48152 Phone number: (734) 432-7811 2
What Can I Expect After My Procedure? Burning with urination - This is a normal sensation after a prostate biopsy and is usually present for the first 24 hours, but may last for up to three days. Frequent urination - This is normal, but will gradually improve over the first 24 to 36 hours. Blood in the urine - This is normal after a prostate biopsy. Most often the urine may be slightly red-tinged, but it may also look darker like, red wine. The bloody urine may last from 12 hours to 3 weeks. Blood in stool - This is normal. Usually this is noticed on the toilet tissue or there may be some bloody streaking on the stool. This may last for up to 5 days. Blood in the semen - This may persist for up to six weeks after your biopsy. How Can I Care For Myself After My Procedure? Drink plenty of fluids. Water is the best choice, but any juice is fine. This helps to keep the urine clear of blood clots from forming which could interfere with normal bladder emptying. In addition, drinking fluids can help to prevent bladder infection after your prostate biopsy. Take your antibiotics as directed. Complete the full dose given. These are to prevent any infection. Do not drink any alcoholic beverages until after completing your antibiotics. 3
Do not take aspirin or anti-inflammatory drugs, for 7 days following prostate biopsy. If you were taking a blood thinner such as Coumadin or Plavix, check with your doctor to see when to start taking it again. Generally, you can take Tylenol or Extra Strength Tylenol for pain. No heavy exertion for 7 days. This includes jogging, golf, weight lifting, and aerobic exercise. No sexual activity for 7 days. You may shower after 24 hours. When Should I Call the Clinic? If you have any of these symptoms, call the University of Michigan Urology Clinic, Center for Specialty Care at (734) 432-7811 and ask for Dr. Wei s nurse. If you have these symptoms after hours, or on the weekend, call the Paging Operator at (734) 936-6267 and ask for the Urology Resident On-Call. Symptoms: Persistent urinary frequency/burning or difficulty emptying your bladder. This may be a sign of infection. Fever greater than 101 degree Fahrenheit. This may be a sign of infection. Urine that is cherry red or has clots. Rectal bleeding that is heavy (blood clots or pure bloody stools) or persistent bleeding that lasts more than 7 days. This may be a sign of abnormal bleeding from your prostate. Any other problems such as persistent nausea, vomiting or if you're not recovering as expected. 4
Disclaimer: This document contains information and/or instructional materials developed by the University of Michigan Health System (UMHS) for the typical patient with your condition. It may include links to online content that was not created by UMHS and for which UMHS does not assume responsibility. It does not replace medical advice from your health care provider because your experience may differ from that of the typical patient. Talk to your health care provider if you have any questions about this document, your condition or your treatment plan. Author: Judy Baker, RN, BSN, OCN Reviewers: Daniel Hamstra, MD, Ph.D. Patient Education by University of Michigan Health System is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. Last Revised: 12/2014 5