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Transvaginal Ultrasound Guided Biopsy (7328)

Transvaginal Ultrasound Guided Biopsy (7328) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Diagnostic Tests, Procedures, Equipment


Transvaginal Ultrasound Guided Biopsy

Your doctor has scheduled a biopsy to be done on________. Please report to Radiology
(G3/3) on the 3rd floor at ________. Before the biopsy, our doctors will explain what will
happen and answer any questions. We will ask you to sign a consent form.

What is a Transvaginal Ultrasound
Guided Biopsy?
A transvaginal ultrasound guided biopsy
is done by placing an ultrasound probe
in the vagina. The probe is covered with
a condom and gel sending out sound
waves. This projects an image of the
structures in your body onto a TV like
screen making a picture. The probe will
guide the doctor to the area of concern.

You are placed in the same position as a
pelvic exam - lying on your back with
your feet up in stirrups and your knees
bent. The area of concern is seen with
the vaginal probe. The probe is then
cleaned with an antiseptic solution to
prevent infection. Local anesthesia is
injected into the area to biopsy. This
helps decrease pain during the biopsy.

Preparing for the biopsy
ξ You are prepared for your
procedure in our prep and recovery
area before your biopsy. We start
an IV and take your blood
pressure, pulse, respirations, and
temperature. This makes sure you
are safe to have the procedure and
can be given sedation.
ξ You may have lab tests done on the
day of the test. We may draw
blood for a platelet count and INR.
This will be done when your IV is
started. Sometimes we ask that
this is done in the lab before

ξ Please tell us if you take blood
thinners such as Coumadin®
(warfarin), Heparin, Plavix®,
Pradaxa®, Ibuprofen, Naproxen,
low molecular heparin injections
(Fragmin® or Lovenox®) or daily
aspirin. Someone from ultrasound
will call your doctor and let you
know when you should stop taking
it and when you should start again.
ξ If you have diabetes, please call
your doctor to talk about how your
medicine should change before this
procedure. Test your blood sugar
more often when you can’t eat, as
well as before the procedure. If
your blood sugar level is low (less
than 70mg/dl ) or you have
symptoms, eat some glucose
tablets or drink 4 ounces of a clear
liquid with sugar. Always recheck
your blood sugar level to make
sure it stays above 70. We may
still be able to do the procedure
unless you need to eat solid food to
keep your blood sugar at a normal
level. If the blood sugar ever gets
too high or too low and you can’t
bring it back to normal, call your
local doctor or diabetes doctor.
ξ Stop eating at _______the day of
the procedure. You may drink
clear liquids until _________the
day of the procedure. Clear
liquids include black coffee, tea,
water and juices without pulp that
you can see through.

ξ You are awake for the
procedure. You may be given
Midazolam and Fentanyl
medicines in your IV to help
mildly sedate you before the
procedure. Please tell the nurse if
you have sleep apnea. Someone
must drive you home if you
receive any medicines. You
should not drive or make
important personal or business
decisions until the next day.
ξ You are asked to take an antibiotic
1 hour before the procedure. This
is to prevent infection. Two
further doses are required at 12
hours and 24 hours after the
procedure. You will either be
given a prescription for this
medicine or it will be called into
your pharmacy.

During the Biopsy
Be sure to tell the radiologists if you
have any allergies (medicines,
antibiotics, anesthetic agents, etc.)

An IV will be used to give you IV fluids.

Using the transvaginal ultrasound for
guidance, the tissue sample is taken out
using a special needle. One to three
samples may be taken. The tissue
sample is then sent for exam under a

After the Biopsy
ξ You return to the prep/recovery
area in Radiology to rest for 2-4
hours. During this time you are
able to get up to use the bathroom.
Call the nurse for help if you need
it. This feeling may be caused by
sedation received or from the
procedure. Your blood pressure,
pulse and respirations will be
checked. We will also check for
any signs of bleeding (spotting is
to be expected).
ξ After local anesthetic wears off,
you may feel some discomfort at
the site. Your pain should not be
severe, but is often described as
somewhat sore. If you have
discomfort, use Tylenol® up to 3
times daily. You may talk to the
doctor or nurse if you have
questions about the dose. The pain
should go away within the first 24
ξ You are not able to eat or drink for
1 hour after the biopsy. A meal
will be provided for you.
ξ Tell the nurse if you have new
pain, nausea, vomiting, or chills.
ξ Avoid the use of tampons for 1
week to reduce the chance of

Your Care at Home
ξ You may eat or drink what you like
once you get home. Do not drink
alcohol for the first 24 hours.
ξ Rest and take it easy for the first 24
hours. Resume your normal
routine after 24 hours.
ξ Do not take a tub bath for 24-48
ξ Do not have vaginal intercourse for
at least 24 hours.

When to Call the Doctor
Call if you have any other questions or concerns.

Report the following findings:
1. Dizziness, feeling faint, or light-headed.
2. Vaginal bleeding more than spotting. The spotting should lessen in 2 days.
3. Abdominal pain that worsens over the course of 1-2 days
4. Foul smelling vaginal discharge
5. Fever over 100.4 or 38 C

Phone Numbers
During the day (7:30 am-4:30 pm) call the Ultrasound department (608-262-5279 or
nurse (608) 261-5634.

If you live out of the area, please call 1-800-323-8942.

Evenings and weekends call your local doctor or go to your local emergency room.

Your doctor will discuss the results with you when they are available.

Your health care team may have given you this information as part of your care. If so, please use it and call
if you have any questions. If this information was not given to you as part of your care, please check with
your doctor. This is not medical advice. This is not to be used for diagnosis or treatment of any medical
condition. Because each person’s health needs are different, you should talk with your doctor or others on
your health care team when using this information. If you have an emergency, please call 911.
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