Prostate biopsy
Posted , 12 users are following.
scheduled for prostate biopsy tomorrow. I would like to hear from others what I could and should expect from the procedure?
Receantly, diagnosed with prostate Ca post TURP.
I appreciate your response.
0 likes, 23 replies
Pepasan MK51151
Posted
I've undergone two types of Prostate biopsy procedure. Initially I had a waking biopsy where only local anaesthesia was necessary. It was ungainly and a bit embarassing because I had quite a team of people present. A MacMillan Nurse talked with me through it and held my hand (literally and figuratively), which was a support and comfort. I remember commenting that my wife must have gone through much more due to childbirth, and that it was not such a big deal. However, there was an odd, though pain-free, sensation of being 'stapled' as the instrument spring was released about 7 or 8 times. I walked out immediately it was done and felt no ill-effects, although there was a little blood in my semen a few days after, but all returned to normal soon. I had preventive antibiotics before and after and no complications. The second type was a saturation biopsy under general anaesthetic because some 36 samples were to be taken. I have a tendency to urine retention in reaction to general anaesthetic, and so had an in-dwelling catheter fitted and stayed in hospital overnight until removal of the catheter and I was able to pee normally but stayed in till the following evening when a portable scan showed I was not retaining too much urine in the bladder, and allowed home. Similar easy recovery at home within a few days.
andyr0 MK51151
Posted
The procedure itself really isn't too uncomfortable. Just like an elastic band being flicked on your skin every time they take a biopsy. I think I had 12 or 16 biopsies. Blood in urine and semen for a few weeks and I used a ring to sit on for a while, but not too bad. I have had far worse pain than this caused. Good Luck.
james87669 MK51151
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philip1950 MK51151
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Asked to drop your trousers and shorts and lie on your side with your keees pulled up. A DRE exam and then the Ultrasound probe is very gently pushed into your back passage. Two or three injections of a local anathethic are administered into your prostate through the probe. Then upto 12 tissue samples are collected,
and its all over. I was asked to rest for about 10 mins after that I got dressed and went home. Glad my wife was there to drive. It is undignified but not really painfull. As others have said blood in my urine for a day or so and also in my semen for about 2 weeks after. Dont worry, the medical team understand how you feel and will put you at ease.
Best wishes, Phil.
viet78904 MK51151
Posted
Had one couple months ago. Not too bad as andyr0 said. Also no antibiotic for me. Bleeding in urine in two weeks or so (Pad or diaper will help for this temp situation).
tom86211 MK51151
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randy_85492 MK51151
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My biopsy is scheduled for this Friday...My urologist has given some description plus I found a lot of information through Google Searches on the internet.....1) The Doc uses a local anesthesia to numb the area, 2) He uses Ultra Sound to guide a needle that removes small pieces of prostate in the suspicious area determined by the ultra sound procedure, 3) Normally, the Doc will take-out ~ 12 "Core Samples" from the suspected cancer area of the prostate (there will be ~ level 4 pain for ~ 5 seconds when the needle takes the sample), 4) The Core Samples are sent to a Pathology Lab to determine if the tissue is cancerous and, if so, which stage of cancer, ie. #1, #2, #3, #4, etc...so a proper treatment plan can be selected, 5) If cancer is not evident, it may be starting nevertheless, and the biopsy determines a Gleason Score (Grade) and PIN Grade (high grade/scores indicate cancer is located in the prostate somewhere).There's other scores, ie. ASAP, PIA, etc. that can be determined with the biopsy samples to determine the likelihood of cancer. The biopsy often causes pain when the core samples are being removed, some bleeding, and soreness in the area for a few days...The biopsy should last < 30 minutes......The Lab Report generally comes back within 1-3 days............I hope this helps!....
dennis47445 MK51151
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viet78904 MK51151
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Supertractorman MK51151
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zdzislaw MK51151
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since you had a TURP. My PCa was evaluated as Gleason 8 after TURP.
Ask your uro why he needs a biopsy?
Supertractorman zdzislaw
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randy_85492 Supertractorman
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Supertractorman randy_85492
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randy_85492 Supertractorman
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False Positives - The MRI and other tests can create "false positives" or "false negatives" per clinical reports. Then, the urologist will do a "series of tests" to help get the best reading and might take an average of Scores/Grades, etc...
Supertractorman randy_85492
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viet78904 randy_85492
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The false result happened (small %). More or less depends on machine. Most insurance allows a second opinion (second chance = 2nd MRI) if you do not satisfy with the first scan.
First MRI: 2 readers (first & second opinion = 2 reports to see if there is any different finding between two radiologists).
Second MRI (to eliminate the false positive/negative in the first MRI if any): 2 readers again (may use different readers & compare to both reports with the first MRI's reports.
The information in all reports will give confident about the finding and then go from there.
randy_85492 viet78904
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randy_85492 Supertractorman
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craig84609 randy_85492
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zdzislaw Supertractorman
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