Prostate Biopsy Pre-operative Instructions
Anti-coagulation: 
Stop all anticoagulation per out guidelines. ( example Plavix 7 days, Eliquis 2 days)

Antibiotics:
Will be be prescribed antibiotics to take prior to prevent infection. 

Bowel Preparation:
A fleet enema or similar bowel prep may be recommended the night before or the morning of the biopsy to clear the rectum, especially for transrectal biopsy.

Eating and Drinking:
Nothing to eat or drink after midnight the night before your procedure. 

Consent:
You’ll need to sign a consent form, so make sure you understand the risks, benefits, and alternatives to the procedure.

Arrange Transportation:
Light sedation propofol will be used, arrange for someone to drive you home afterward.

Postoperative Instructions (After the Biopsy)
Activity:
Rest for the day.
Avoid strenuous activity or heavy lifting for 24–48 hours.
Resume normal activities gradually.

Bleeding:
Blood in urine, semen, or stool is common and may last several days (in semen, even weeks).
Bright red blood or heavy bleeding should be reported to your doctor.

Pain/Discomfort:
Mild rectal or perineal discomfort is normal.
Use Tylenol (acetaminophen) and ibuprofen. 

Infection Monitoring:
Watch for signs of infection: fever, chills, difficulty urinating, worsening pain.
Contact your provider immediately if these occur or go to emergency room. 

Antibiotics:
Complete the full course if prescribed.

Urination:
Mild burning or urgency can occur for a day or two.
Stay hydrated to help flush the system.

Sexual Activity:
Avoid for 3–5 days or until blood in semen starts to clear.