The procedure itself takes around 5-10 minutes, however you should expect to be here for up to one hour.
It is optimal to perform the procedure on a full bladder so, if possible, do not empty your bladder until after the procedure.
The procedure is done by inserting an ultrasound probe into the rectum until the prostate can be identified. Your physician will inject a local anesthetic (lidocaine) to numb the prostate and diminish the pain from the procedure, measure the prostate volume and then proceed to performing biopsies (usually 12) using a hollow core needle.
Some physicians require a urine sample prior to discharge in which case the nurse will provide you with a collection cup after the procedure.