Fusion prostate biopsy resulys

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Had the fusion prostate biopsy on Friday. So the urologist calls me today saying that he had good news. So I replied something like does that mean it's a Gleason score of six or less which I figured was pretty good judging by what I've seen on this forum. And he replies no it was 0. So I asked him what his nurse wouldn't tell me which was how many Fusion biopsies have you done and he said over a hundred and fifty - he's got to be in his early or mid 30s. As I've said before, their office radiologist came up with pi Rads scores of 4 and 5 from my 3T MRI last fall, while my second opinion from the Cleveland Clinic was Pi RADS scores of two and two. And yes, he was sure that he had biopsied the two most suspicious areas from that MRI. He also mentioned that the probability of finding cancer in a Pi RADS lesion with a score of 5 is about 80%. So I'm still wondering WTF? No rectal bleeding except for one pretty good sized blood clot in my first BM on Sunday. And while I had bloody urine immediately after the procedure on Friday I didn't see any blood at all until yesterday. I'm using the men's stand up urinal after my rheumatologist appointment and out pop three or four bright red write red blood clots that had to be at least a cubic centimeter each. The urologist assured me that this was normal. Since yesterday my urine has had a reddish tinge from time to time but no more blood clots anyway. I guess I'm hard to please. Either the radiologist was incompetent or the urologist missed where he thought he was sampling. And of course they miss a cancer 20% of the time anyway. All Things Considered I'm glad I had it done though. I suppose it rules out prostate cancer as a culprit in the extreme rectal pain I've had the past two and a half years. And I apologize for griping about being cancer free when I know there are so many guys out there battling prostate cancer for real.

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4 Replies

  • Posted

    zero. wow. 

    off topic a bit... rectal pain during defecation, i'm guessing... or is it all the time? either way, you may simply need more fiber in your diet, keep stool soft. psyllium husk powder is the stuff in metamucil that does the job.

    common diverticulosis is a thinning of the colon walls, forming "pockets" which can become irritated for various reasons but most often by stools becoming too large/hard, stretching already thinned colon walls. very dangerous, if the wall actually tears. sepsis+death real fast!

    have you had a colonoscopy? mild procedure, with or without general. a tiny camera on a cord inserted up yer butt; next to camera is a valve that blows air to expand the colon, get a better view of the walls.

    congrats on zero, buddy.

  • Posted

    I have had severe rectal pain all my life. It comes in episodes and is more common for me during a Crohn's disease flare up. I had been to a Uro as well and had a battery of tests and they said it is probably my colon that is the problem. So next I went to see a gastro and they couldn't figure it out for the life of them. Finally I talked to a knowledgeable gastro and he said that there is a rare form of IBS that causes the pelvic floor muscles to go into spasm and when they do the pain is off the scale bad. I have gone into shock from it. Some times it can be started from having a BM or even just passing gas. Currently I have woke from my sleep in massive pain from it. It is no joke and it can be debilitating. I would see a Gastro and tell them your symptoms and ask about the IBS problem. I can't remember the name of the disease or condition, but I have it. If you have pain that some times starts on one side of the rectum and moves to the other or can involve both sides and it almost makes you pass out or vomit then this is probably what is going on. The only thing that has worked for me is I take an RX medication called Dicyclomine for it and I take 800 mg of Ibuprofen the minute I feel it coming on and then I lay down so I don't get hurt if I pass out. It is no joke I have passed out on the dirty floor of a public restroom and woke up covered in sweat and as pale as a ghost. I hope that you don't have this, but if so I hope this helps.

    • Posted

      hi craig. i'm no doctor but was pre-med in college. my basic anatomy knowledge isn't great but i believe the rectum is only one smallish section of the intestinal tract and is positioned mostly up and down rather than side to side. so if you're experiencing pain that moves sideways, it may not be the rectum. perhaps an MRI would help? again, i'm no doctor. good luck, amigo 

  • Posted

    Hi Rolf

    Proctalgia fugax (a variant of levator ani syndrome) is a severe, episodic pain in the regions of the rectum and anus. It can be caused by cramp of the levator ani muscle, particularly in the pubococcygeal part.

    ​I had this over a year and wondered if you have looked into this.  It was a severe pain that almost caused me to pass out due to its severity.

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