My husband had total of 2 biopsies in span of 6 years - both were transperineal robotic assisted and also MRI and ultrasound guided. He had sedation, not general anesthesia (last time anesthesiologist insisted that he get general a. but we absolutely refused - WTH ???). I am sure that made bigger profit margin for surgical-center since there is NO reason for that. God help us with this medical system ... He also got one dose of antibiotic during procedure. He spent time in recovery room until he was able to urinate without problems (that was " test" that he needed to pass to get release form ). He had no blood in urine nor in feces and the only thing was some soreness in perineal area for 2 days.