a new problem

There is no way to deny that the prostrate biopsy is an intrusive procedure, but how intrusive it is to us individually comes down to mindset and perception.  While the procedure is uncomfortable, it does not last for a lengthy period of time, and while there may be discomfort for a couple of days following the biopsy, I found it to be quite manageable.  The other (manageable) issue is that you'll experience more bleeding following the procedure.

Having sample tissue evaluated, and if cancer is found, the Gleason score will allow you to assess how aggressive it is.  No argument that this is a slippery slope, but I feel it is better to have the biopsy so that you can make some informed decisions.  In my (humble) opinion, the two biggest mistakes men make are (1) ignoring the risks and avoiding a biopsy, and (2) not taking enough time to evaluate their options for treatments following a diagnosis.

I have never regretted following through with a biopsy (I've had two), because the knowledge I obtained from the results were well worth the discomfort experienced that allowed me to gain that knowledge and plan my treatments based on risk.  I always want to ensure that the medical profession is not over treating me.  I hope this helps, best of luck to you!

I've had two biopsies without problem and have been glad cancer has been detected in its early stages

Hi john52204,I had the biopsy in November 2016i like yourself was a bit worried,but my worries were unfonded,it was mild discomfort that's all,I had 12 biopsy taken then 4 fusion targeted biopsy taken, the standered biopsy found no cancer but the targeted ones found cancer I have since had my prostate removed I am now 4 weeks post op now.

Yes you should go ahead and get the biopsy. Then you what course of action you need to take. The core samples along with the Gleason score will indicate whether or not cancer is present. If it is, it will also tell what type - aggressive or non aggressive. I had the procedure done in my urologist's office. I had to do a Fleet's enema the morning of the procedure - which is probably a good idea to clean you out and lessen the chance of infection. I was also given a regimen of antibiotics a few days before and continued a few days after. It is not a pleasant experience, but it is tolerable. I would ask if your doctor would inject lanocane or some kind of numbing agent. I've heard some men have that and do not feel anything at all. My doctor didn't do that, so I felt it. It is better to know what you are dealing with - and get it treated so you can o on with your life. Good luck to you.

Agree about the biopsy. What did the radiologists report say about the MRI images? did you get a mpMRI? The radiologists would also give you a PIRAD score, 1-5. 1= you are probably fine and 5= you have issues. Unless there is a lesion to be seen or reported on, I would be getting the urologist to scope my urethra. Biopsy of somewhere in the prostate bit like blind fishing

Geoff

As with any medical issue, you should start investigating by non invasive means and only if they fail to address your ailment, THEN undergo invasive procedures.

After all, you may have a prostatic problem, but then again you may have another problem such as infection or bladder issues.

That said:

1. Do a urine analysis to check for infection.

2. Check for sexually transmitted diseases.

3. Perform a MRI, ideally 3T and have it reported on by a radiologist that specialises in prostate imaging. You don't want a radiologist who also reports on prostates. You want one that focusses on the prostate. 

If you decide on a biopsy you should choose to have it performed by the urologist you would be happy with to operate on you at a later date. This is because most urologists only trust their own biopsies.

If you end up having a biopsy, then go for a transperennial  ultrasound guided biopsy.

This approaches the prostate from the area near the scrotum as opposed to the very common transrectal approach. The former is proven to have a lower risk of sepsis. And if it is ultrasound guided, then the MRI and u/s will guide the urologist to the areas the MRI indicated is of concern. The alternative is an unguided stab in the dark biopsy, which is of little value.

Good luck

I had a biopsy done a few weeks back. Yes - it is undignified. But what the hell  - if it saves your life isn't it worth doing?

I had a young doctor use the tool with a olde nuse pesent  - they wee caring and kept me informed how many clicks (samples) were remaining regularly. It was uncomfortable have the tool pushed into the rear for sure  - and the rest of the day you feel the urge to defaecate which is uncomfortable.  No real pain and next day, all as per normal.