Diet

Avoid heavy meals on the day of the procedure. You may resume your normal diet. Be sure to drink plenty of water to flush the urinary tract. Be sure to eat plenty of fibre (vegetables, fruit) to avoid constipation or straining for a bowel movement.

Activity

Avoid any strenuous activity for the next three to four days. This includes activities such as jogging, bicycle riding, lawn mowing and gardening. Avoid intercourse for the next week.

Blood in the urine, stool and semen

You may see blood in the urine or stools for one to two weeks following the procedure. You may see blood or brown discolouration in the semen over the next six weeks.

Medications

• You may take over-the-counter paracetamol as needed for pain. Take 1g every 4-6 hours (a maximum of 4g in 24 hours). Avoid if you have liver problems.

• Anti-inflammatory medications/NSAIDs (Ibuprofen, Celebrex, Mobic) can be over the counter or by prescription. These may be combined with paracetamol. Avoid or use with caution if blood tests show low kidney function or if you have chronic kidney disease or stomach ulcers.

Postoperative appointment

Call the office on 08 8119 0961 to make a follow-up appointment for the biopsy results if you do not already have a postoperative appointment.

Call the office or present to the Emergency Department if:

• Temperature > 38.0°C

• If you are unable to urinate, a temporary catheter may need to be placed. A catheter is a plastic tube that drains into a bag. It may take several days or a week for your bladder to function normally after anaesthesia and biopsy.