 Patient used prophylactic antibiotics before and after the procedure as prescribed. The patient received antibiotic prophylaxis with oral Ciprofloxacin 500mg and Vantin 200mg. The patient took 1 tablet of Ciprofloxacin 500mg the night before and morning of the procedure. The patient also took 2 tablets of Vantin 200mg the morning of the procedure. After the procedures, the patient will take 2 tablets of Ciprofloxacin 500mg and 2 tablets of Vantin 200mg. Following the discussion of the risks, benefits, and alternatives of the procedure, informed consent was obtained. DynaCad was used to localize the right mid peripheral zone of the prostate (marked container 2) and the posterior gland at the base in the midline (marked container 1) at the site of the T2 hypointense enhancing lesions. Using the Dynatrim guidance system an 18-gauge MR- compatible needle was inserted into the target areas of the prostate gland. Upon confirmation of the tip of the needles close to the suspected lesion, MR guided biopsy using an 18 gauge biopsy needle was performed and 3 cores of each target were obtained.The cores were hand delivered to the pathology lab.The patient tolerated the procedure well and was discharged from the IR holding area without any immediate complications after a period of observation.ESTIMATED BLOOD LOSS: Less than 5 cc.
1. Successful core-biopsies of two prostate gland target lesions as detailed above.