Prostate Biopsy in Boulder, CO
Advanced UroNav fusion technology delivers unprecedented accuracy in detecting prostate cancer while minimizing discomfort.
Board Certified by the American Board of Urology
Member of American Urologic Society
Member of South Central Section of the American Urologic Society
Member of Rocky Mountain Urologic Society
Member of Boulder County Medical Society (past board member)
Learn About Advanced Evaluations and Treatments
Prostate Biopsy
In office procedure, with or without nitrous oxide.
A prostate biopsy involves first numbing the prostate with lidocaine and then taking small tissue samples from the prostate.
A prostate biopsy should NEVER be painful. Dr. Fronczak’s nerve block technique with lidocaine will numb the prostate to make your biopsy not painful.Plus, you can also elect to have nitrous oxide (laughing gas).
The prostate is visualized by placing an ultrasound probe gently into the rectum and visualizing the prostate with an ultrasound.
Antibiotics will need to be taken before the biopsy.
Blood thinning medications and antiplatelets must be held for the appropriate length before the prostate biopsy. Fronczak will provide you instructions. You may need the advice of your cardiologist or hematologist if you are uncertain about holding blood thinners or anti-platelets for your biopsy.
Fusion biopsies vs standard prostate biopsy
Often Dr. Fronczak recommends a multiparametric prostate MRI (link page on prostate MRI) as part of the evaluation for elevated PSA or abnormal prostate exam or to follow known low grade prostate cancer.
If the MRI shows a specific lesion of concern in the prostate, a fusion biopsy can be done.
A fusion biopsy involves superimposing a live transrectal ultrasound image of the prostate over the MRI image of the prostate. This technology allows focal biopsy of the lesion of concern.
Otherwise, a standard biopsy will involve 12 biopsies of the prostate, 6 on the left lobe, 6 of the right lobe. Standard biopsy with 12 cores has been shown in a multitude of studies to be the gold standard technique for finding prostate cancer with a biopsy.
Fusion biopsies are NOT a covered service by commercial or Medicare insurance and thus require an out of pocket expense to rent the fusion machine with a technician to run the machine.
Prostate Cancer
Fronczak believes in using clinically proven technology to determine the need and timing to treat prostate cancer.
Prostate cancer risk can vary from low risk to intermediate risk to high to very high risk.
Some patients with intermediate risk, high/very high risk prostate cancers are eligible through insurance to have a special scan called a PSMA PET scan, the latest imaging to detect advanced disease.
Treatment options for localized prostate cancer can include robotic-assisted removal of the prostate (robotic assisted radical prostatectomy) or radiation. Other options may be available but at this time, Dr. Fronczak recommends treatments that are considered gold standard options but she can refer you to institutions where more treatment options may be available through clinical trials.
The UroNav Fusion Advantage
UroNav represents a quantum leap forward in prostate biopsy accuracy. This sophisticated system fuses high resolution MRI images of your prostate, captured days or weeks before the biopsy, with real time ultrasound images during the actual procedure. The result is unprecedented visualization of your prostate anatomy and any suspicious lesions, allowing Dr. Fronczak to target areas of concern with millimeter precision.
The process begins with a multiparametric MRI of your prostate. This advanced imaging technique captures detailed pictures from multiple sequences, highlighting areas where cancer is most likely to be present. Radiologists analyze these images and assign a PI RADS score, a standardized rating system indicating the likelihood that a suspicious area represents clinically significant prostate cancer. Higher PI RADS scores indicate greater suspicion and guide biopsy targeting.
These MRI images are then uploaded to the UroNav system and segmented to create a three dimensional model of your prostate. Suspicious lesions are marked as targets. During your biopsy appointment, Dr. Fronczak uses the UroNav platform to fuse this detailed MRI roadmap with live ultrasound images. A tiny electromagnetic tracking sensor attached to the ultrasound probe continuously monitors position and orientation, maintaining perfect alignment between the MRI and ultrasound images even as you move.
This fusion technology provides several critical advantages over traditional biopsy methods. First, it dramatically improves cancer detection rates, particularly for aggressive cancers that require treatment. Second, it allows fewer tissue samples to be taken since we’re targeting specific areas rather than randomly sampling the entire gland. This means less discomfort, lower infection risk, and faster recovery. Third, the system stores biopsy locations, so if you need future biopsies for surveillance, we can return to exact same spots or sample new areas with precision.
Research validates the superiority of fusion biopsy. Landmark studies show UroNav detects 30 percent more high grade prostate cancers compared to standard 12 core random biopsy. The positive predictive value exceeds 90 percent, meaning when we target a suspicious MRI lesion, there’s a very high likelihood we’ll accurately determine whether cancer is present. For patients and doctors alike, this accuracy translates to better treatment decisions, fewer repeat biopsies, and greater confidence in diagnosis.
At Modern Urology, we’ve invested in this advanced technology because we believe men in Boulder deserve access to the most accurate prostate cancer detection available. Our prostate biopsy in Boulder, CO combines state of the art equipment with Dr. Fronczak’s expertise to deliver diagnoses you can trust.
SERVICES
CONDITIONS WE TREAT FOR MEN
Modern Urology evaluates all urologic issues that men experience throughout their lives. Our practice specializes in addressing conditions from enlarged prostate and elevated PSA levels to erectile dysfunction and urinary leakage. Men in Boulder and surrounding areas trust our expertise because we understand that urologic health directly impacts quality of life, relationships, and overall wellbeing.
Our comprehensive men’s health services include treatment for benign prostatic hyperplasia, which affects 50% of men between ages 50 and 60. We provide vasectomy procedures using the no needle, no scalpel technique right in our office. Prostate cancer screening and management remains one of our core specialties, as prostate cancer is the number one diagnosed cancer in men. We also address Peyronie’s disease with Xiaflex treatment, manage low testosterone with proper evaluation and therapy, and treat bladder health issues that many men assume are just part of aging.
Erectile Dysfunction
Medications, penile injections, vacuum devices, and prosthesis options
Bladder Health
Treatment for overactive bladder, infections, stones, and bladder conditions
Peyronie's Disease
Xiaflex treatment for penile curvature and Peyronie’s disease management
Additional Services
Urodynamic testing
Evaluation and treatment of urinary retention
Hydrocelectomy
Spermatocelectomy
Varicocelectomy
Circumcision (ages 14 and up)
Cystolitholapaxy – removal of bladder stones
Take the First Step Toward Accurate Diagnosis
Facing a prostate biopsy recommendation brings uncertainty and questions. Modern Urology provides answers, advanced technology, and compassionate care throughout your diagnostic journey. Contact us today to learn how UroNav fusion biopsy provides the accuracy and peace of mind you deserve.
Board Certified Expertise
Board certified urologist with expertise since 2019
Advanced Technology
Latest treatments including UroNav fusion biopsy and genomic testing
Patient Centered Care
4.8 stars on Google with personalized treatment plans
What to Expect During Your Procedure
Understanding what happens during a prostate biopsy helps reduce anxiety and allows you to prepare properly. Modern Urology’s approach prioritizes your comfort, dignity, and understanding throughout the process. Dr. Fronczak takes time to explain each step, answer your questions, and ensure you feel confident moving forward.
Your biopsy journey begins with an MRI at one of our partner facilities. This imaging study takes approximately 45 to 60 minutes and is completely painless. You lie still while the machine captures detailed images of your prostate and surrounding structures.
Some patients receive contrast dye to enhance image quality, helping radiologists identify suspicious areas more clearly. The MRI uses powerful magnets and radio waves to create high resolution pictures that reveal details invisible on standard ultrasound. This advanced imaging forms the foundation of the fusion biopsy process.
After your MRI, you can immediately return to normal activities without restrictions. Our expert radiologists carefully review your images, identify any suspicious lesions, assign PI RADS scores, and prepare the data for upload to the UroNav system. This preparation ensures Dr. Fronczak has the detailed roadmap needed for precise biopsy targeting.
Before your biopsy appointment, we provide detailed preparation instructions tailored to your medical history. You may need to stop certain medications, particularly blood thinners like aspirin or warfarin, several days before the procedure to reduce bleeding risk. Our team reviews your complete medication list to determine which ones require adjustment.
We typically prescribe antibiotics starting the day before your procedure to minimize infection risk. You’ll continue taking these medications for several days afterward as an added precaution. This prophylactic antibiotic approach significantly reduces the already low risk of post biopsy infection.
Some patients receive bowel preparation instructions to empty the rectum before the procedure. A clean rectum improves ultrasound image quality and makes the procedure more comfortable. We provide clear, easy to follow instructions and remain available to answer any questions as you prepare.
On biopsy day, you arrive at our comfortable office and change into a gown. Dr. Fronczak reviews your MRI findings with you, showing you the images and explaining which areas will be targeted. She answers any remaining questions and ensures you feel confident about proceeding.
We position you comfortably on your left side with knees drawn toward your chest. Local anesthesia is administered to numb the areas being sampled, significantly reducing discomfort during the procedure. Some patients choose mild sedation for additional relaxation, though many find the local anesthesia alone provides adequate comfort.
Dr. Fronczak performs a digital rectal exam, then inserts the ultrasound probe equipped with electromagnetic tracking. The UroNav system fuses your pre procedure MRI images with live ultrasound in real time, creating a detailed three dimensional view showing exactly where suspicious lesions are located. Using a spring loaded biopsy needle, she collects tissue samples from targeted areas. You’ll hear a clicking sound with each sample. The entire procedure takes approximately 30 minutes, and most patients return to normal activities within a day or two after someone drives them home.
Why Choose Modern Urology
Several factors distinguish Modern Urology’s approach to prostate biopsy in Boulder, CO. Our combination of advanced technology, expert physician, and patient centered care model creates an experience focused entirely on accurate diagnosis and your wellbeing.
Dr. Carolyn Fronczak brings over 13 years of urologic expertise to every biopsy procedure. Board certified since 2019, she has performed hundreds of prostate biopsies using both traditional and fusion guided techniques. Her experience allows her to interpret MRI findings accurately, target lesions precisely, and minimize discomfort during the procedure. Patients consistently describe her as gentle, thorough, and excellent at explaining complex medical information in understandable terms.
Our use of UroNav fusion technology represents a significant investment in providing the most accurate prostate cancer detection available. Many urology practices still rely on traditional ultrasound guided biopsies despite their limitations. We’ve chosen to offer fusion biopsy because evidence clearly demonstrates its superiority in detecting clinically significant cancers. You receive big city technology with small practice accessibility and personalized attention.
Beyond the biopsy itself, Modern Urology provides comprehensive prostate cancer evaluation. If your biopsy reveals cancer, we offer advanced genomic testing to better understand your specific disease. Tests like SelectMDX, isoPSA, 4K score, Decipher genomic testing, and Confirm DX analyze genetic markers that predict cancer aggressiveness and likelihood of progression. These sophisticated tools help determine whether active surveillance is appropriate or if treatment is recommended, and if so, which approach offers the best outcomes for your situation.
We also participate in clinical trials researching new approaches to prostate cancer detection and treatment. This commitment to advancing the field means our patients benefit from cutting edge science and may have access to novel therapies before they become widely available. Our participation reflects Dr. Fronczak’s dedication to remaining at the forefront of urologic oncology.
The setting matters too. Unlike hospital based procedures requiring navigation of large medical complexes, parking challenges, and institutional environments, your biopsy happens in our comfortable office. We schedule adequate time so you never feel rushed. Dr. Fronczak sees you personally at every visit, ensuring continuity of care and a genuine doctor patient relationship built on trust and communication.
You Might Need a Prostate Biopsy If
- You have elevated or rising PSA levels that concern your doctor
- Your digital rectal exam revealed a suspicious nodule or abnormal prostate texture
- You’ve had a previous negative biopsy but PSA continues to rise
- Your MRI shows suspicious lesions that need tissue confirmation
- You’re on active surveillance for prostate cancer and need periodic monitoring
- You have a family history of prostate cancer and screening results suggest further evaluation
- Your doctor suspects prostate cancer based on symptoms like difficulty urinating or pelvic discomfort
- You’ve been told you need a biopsy but want the most accurate technology available
- You’re seeking a second opinion on whether a biopsy is truly necessary
- You want a urologist who explains everything clearly and treats you as a partner in decisions
Serving Boulder's Health Conscious Community
Modern Urology understands the Boulder community’s commitment to wellness, active living, and informed healthcare decisions. From the vibrant shops along Pearl Street Mall to the challenging trails at Chautauqua Park, Boulder residents pursue outdoor activities and healthy lifestyles with passion. When health concerns arise, you deserve medical care that matches your values: evidence based, technologically advanced, and delivered with respect for your autonomy.
Our prostate biopsy in Boulder, CO serves men throughout the area, from North Boulder near Ideal Market to South Boulder, Table Mesa, and surrounding communities. Whether you’re hiking Flagstaff Mountain on weekends or cycling the Boulder Creek Path, prostate health concerns shouldn’t be ignored. Early detection through accurate biopsy allows treatment when cancer is most curable, preserving your ability to maintain the active lifestyle you love.
We Accept Most Major Insurance
TESTIMONIALS
What Our Patients Have To Say
4.8 out of 5 Stars on Google
Join hundreds of satisfied patients who trust Modern Urology
Frequently Asked Questions
How accurate is UroNav fusion biopsy compared to traditional biopsy?
Research demonstrates UroNav fusion biopsy detects 30 percent more clinically significant prostate cancers compared to standard 12 core random biopsy. The positive predictive value exceeds 90 percent, meaning targeted biopsies of suspicious MRI lesions have a very high likelihood of accurately determining cancer presence. Fusion biopsy particularly excels at finding aggressive cancers in anterior prostate regions that traditional approaches often miss. This improved accuracy helps ensure we detect cancers that require treatment while potentially avoiding overdiagnosis of insignificant cancers that may never cause problems.
Is a prostate biopsy painful?
Most men find prostate biopsy causes less discomfort than anticipated. We use local anesthesia to numb the areas being sampled, which significantly reduces pain during the procedure. You’ll feel pressure from the ultrasound probe and hear clicking sounds as samples are collected, but the anesthesia prevents sharp pain. Some patients experience mild soreness afterward, easily managed with over the counter pain medication. The fusion approach allows us to take fewer samples since we’re targeting specific areas, which reduces overall discomfort compared to traditional 12 core random sampling.
How long does it take to get biopsy results?
Tissue samples are sent to a specialized pathology laboratory where experts analyze them under a microscope. Results typically take 7 to 10 days, though complex cases requiring additional testing may take slightly longer. Dr. Fronczak contacts you as soon as results are available to discuss findings. If cancer is detected, she explains the pathology report, including Gleason score or Grade Group, which indicates cancer aggressiveness. She then reviews treatment options or, for low risk cancers, discusses active surveillance as an alternative to immediate treatment.
What are the risks of prostate biopsy?
Prostate biopsy is generally safe, but like any medical procedure, carries some risks. The most common side effects include blood in urine, stool, or semen, which typically resolves within a week. Some men experience mild pelvic discomfort. More serious complications are rare but can include infection, which we minimize through preventive antibiotics, and urinary retention. Dr. Fronczak discusses all risks during your consultation and provides detailed post procedure instructions to minimize complications. The fusion approach’s precision allows fewer samples, potentially reducing complication rates compared to traditional extensive sampling.
Does insurance cover fusion biopsy?
Most insurance plans, including Medicare, cover medically necessary prostate biopsies. Coverage for the MRI and fusion technology components varies by insurer and specific plan. Our office staff verifies your insurance benefits before scheduling and provides cost estimates for any out of pocket expenses. We maintain affiliations with Saint Anthony North and UC Health Broomfield, which may affect coverage for certain aspects of the procedure. We’re committed to making advanced prostate cancer detection accessible and will work with you to understand and navigate insurance considerations.
Get the Accurate Diagnosis You Deserve
Choosing where to have your prostate biopsy is an important decision that affects diagnostic accuracy, your comfort during the procedure, and confidence in the results. Modern Urology’s prostate biopsy in Boulder, CO combines UroNav fusion technology, Dr. Fronczak’s expertise, and a patient centered approach that respects your dignity and addresses your concerns. Whether you’re facing your first biopsy, need a repeat procedure after previous negative results, or require monitoring for known prostate cancer, our advanced technology and compassionate care provide the accuracy and peace of mind you deserve.
Contact Modern Urology today to schedule your consultation and discover how fusion guided biopsy represents the gold standard in prostate cancer detection for men seeking the most advanced care available in Boulder, CO.