How to Use Fleet Enemas Prior to a Prostate Biopsy

A Fleet enema is a commercially prepared solution of sodium biphosphate and sodium phosphate packaged in an administration kit, according to Drugs. com. Fleet enemas are used to clear the bowel before a prostate biopsy because the biopsy needle is inserted through the rectum, according to the University of Wisconsin Hospital. The enema solution pulls water into the bowel and stimulates the defecation reflex, according to Carol Taylor, R.N., Ph.D., author of "Nursing Fundamentals."

Hands putting on latex gloves (Image: Paket/iStock/Getty Images)

Step 1

Examine the package and the kit to ensure that you have the correct medication. Read the instructions carefully.

Step 2

Spread a large towel or waterproof pad on the bed or on the floor.

Step 3

Lie on your left side on the pad or towel, and bend your knees.

Step 4

Put the gloves on your hands.

Step 5

Remove the applicator cap and discard it.

Step 6

Apply additional lubricant to the tip of the applicator if desired and insert the tip into your rectum.

Step 7

Push the enema contents into your rectum by slowly compressing the collapsible container. If you administer the enema too quickly, your body may not be able to retain it long enough to clean your bowel.

Step 8

Remove the applicator tip from your rectum and discard the entire kit.

Step 9

Remain lying down for two to 15 minutes, until you feel the urge to have a bowel movement. Hold the solution for as long as possible for best results.

Step 10

Move to the toilet and expel the contents of your bowels.

Things You'll Need

  • Fleet enema kit

  • Towel or waterproof pad

  • Lubricant, if desired

  • Disposable gloves


Follow your doctor's instructions regarding diet and fluid restrictions, if any, before the procedure.

Avoid dehydration when using a Fleet enema. If you are allowed to have fluids before the procedure, drink at least 8 oz. of water before taking the enema, according to Drugs. com.

If the enema does not work, contact your doctor's office for further guidance. You should not take a second enema without specific instructions to do so.

If you have hemorrhoids, you may want to apply additional lubricant to the tip of the applicator.

There is no need to warm the enema before administering it.


Do not drink the enema solution. It can only be administered by rectum.

Seek emergency medical attention if you experience symptoms of an allergic reaction, including difficulty breathing, hives or facial swelling, according to

Be aware of the possible side effects of the Fleet enema, including stomach pain, nausea, vomiting, bloating, headache or dizziness.

Load Comments

Copyright © 2019 Leaf Group Ltd. Use of this web site constitutes acceptance of the LIVESTRONG.COM Terms of Use , Privacy Policy and Copyright Policy . The material appearing on LIVESTRONG.COM is for educational use only. It should not be used as a substitute for professional medical advice, diagnosis or treatment. LIVESTRONG is a registered trademark of the LIVESTRONG Foundation. The LIVESTRONG Foundation and LIVESTRONG.COM do not endorse any of the products or services that are advertised on the web site. Moreover, we do not select every advertiser or advertisement that appears on the web site-many of the advertisements are served by third party advertising companies.