Photo: Valera Evane

How long does it take for sperm to clear after prostate biopsy?

All men have blood in the semen (ejaculate fluid) after a prostate biopsy. This can persist for up to 6 weeks after the biopsy and may appear maroon or brownish.

wakemed.org - Prostate Biopsy - WakeMed Health and Hospitals

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Preparing for your biopsy:

Be sure you have stopped all "blood thinning medications" as instructed by your doctor. These include aspirin, warfarin (Coumadin), and Plavix. These should have been stopped for 7 days prior to the biopsy date. Your doctor prescribed antibiotics prior to your biopsy. Make sure to take these as directed. Several hours prior to your biopsy you will administer a rectal enema. The purpose of this is to cleanse the rectum, which decreases the chances of infection and provides better ultrasound guidance for the procedure.

What to expect at your biopsy visit:

The nurse will confirm you have stopped any blood thinning medications and that you took your antibiotics and enema as directed.

You will be asked to undress and put on an exam gown.

You will then lie on your left side on the exam table with your knees bent up toward your chest.

The doctor will gently insert the ultrasound probe and locate the prostate.

A local anesthetic (numbing medicine) will then be injected through the ultrasound probe to numb the prostate and rectum. While the medicine is taking effect, the doctor will measure the dimensions of the prostate. You will feel slight turning and movement of the ultrasound probe during this. Once the prostate is numb, the doctor will take biopsies of the prostate. Usually 12 are performed.

The biopsy device makes a loud click when it takes a biopsy.

After the last biopsy, the doctor will remove the ultrasound probe.

See a picture of how a prostate biopsy is performed.

What to expect after your biopsy:

The antibiotics will dramatically lower the chances of infection from a prostate biopsy, but still, infection is possible. Be sure to report any FEVER > 101 degrees Fahrenheit About 50% of men will have some degree of blood in the urine after a biopsy. Be sure to drink plenty of fluids and flush out the bladder. All men have blood in the stool after a prostate biopsy. This usually resolves within 48 hours. All men have blood in the semen (ejaculate fluid) after a prostate biopsy. This can persist for up to 6 weeks after the biopsy and may appear maroon or brownish. It is not painful or dangerous.

Post biopsy restrictions and instructions:

Avoid sexual activity for 48 hours

No heavy lifting for 24 hours

Try to avoid straining with bowel movements. You may use an over the counter stool softener if necessary You may resume your blood thinning medication 2-3 days after the biopsy as long as there is no more blood in the stool or urine.

Call right away if any of the following occur:

FEVER > 101 degrees Fahrenheit

Heavy or persistent rectal bleeding

Heavy or persistent blood in the urine

Inability to urinate

You develop a rash due to your medicine or antibiotics

Results:

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What size is a big boy?

up.com - UP No. 4014 - The Big Boy - Union Pacific

Big Boy No. 4014

Twenty-five Big Boys were built exclusively for Union Pacific Railroad, the first of which was delivered in 1941. The locomotives were 132 feet long and weighed 1.2 million pounds. Because of their great length, the frames of the Big Boys were "hinged," or articulated, to allow them to negotiate curves. They had a 4-8-8-4 wheel arrangement, which meant they had four wheels on the leading set of "pilot" wheels which guided the engine, eight drivers, another set of eight drivers, and four wheels following which supported the rear of the locomotive. The massive engines normally operated between Ogden, Utah, and Cheyenne, Wyo. There are seven Big Boys on public display in various cities around the country. They can be found in St. Louis, Missouri; Dallas, Texas; Omaha, Nebraska; Denver, Colorado; Scranton, Pennsylvania; Green Bay, Wisconsin; and Cheyenne, Wyoming. Big Boy No. 4014 was delivered to Union Pacific in December 1941. The locomotive was retired in December 1961, having traveled 1,031,205 miles in its 20 years in service. Union Pacific reacquired No. 4014 from the RailGiants Museum in Pomona, California, in 2013, and relocated it back to Cheyenne to begin a multi-year restoration process. It returned to service in May 2019 to celebrate the 150th Anniversary of the Transcontinental Railroad's Completion.

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