Prostate template biopsy

I've had what was termed a saturation biopsy (36 samples taken) - I don't know whether it was a template biopsy. I wouldn't have needed a catheter but for the history I have of having complete urine retention due to my individual  reaction to general anaesthetics. I was kept in hospital for one night for observation. The catheter was removed at the end of the following day and discharged and I had no further problem apart from the expected blood in urine and semen for a few days. I would have another biopsy if recommended with no hesitation.

DON'T WORRY!

Negative energy.

Anyway, biopsy : NO catheter.

Recovery : seems most guys are fine to work the next day. For myself I had discomfort for the rest of the day. NOTHING MAJOR! I WOULD SUGGEST TO TAKE THE NEXT DAY OFF

Everyone has a different sensitivity to injury and make no mistake about it: piercing 3 internal organs (prostate, urethra, rectum or peritoneum) is NOT a minor "procedure" - it is surgery and causes trauma, both emotional and physical. I was ok, after a few days but I had a "targeted" biopsy, monitored while I was in the MRI scanner. I was told 6-8 core samples; a lie - 13 were taken, from 2 lesions in the transitional zone, PIRADS 5, DWI 5, T2 - 5.

You must do your homework, Darren - we all did, because drs. don't tell you everything and you need to ask questions when you don't understand something. here's what "template biopsy" refers to: https://www.birminghamprostateclinic.co.uk/prostate/assessments/template-biopsy ; some of us call it random blind, because unless that needle is MRI- or US- (UltraSound) guided, that grid they're using on you has its pros and cons. You did the right thing, getting MRI before biopsy - at least your dr. has something to refer to, and i'm guessing he/she will be using real-time US also, a Fusion biopsy. I don't mean to exaggerate the damage biopsy does, neither do i minimize it. Either way, you need to get your Gleason score in order to know much more about what's happening to your prostate. With PIRAD 3, i'm guessing you have what most men over 50 have: GL 3+3 = 6 -- which indicates "indolent" cancer cells - meaning they're extremely unlikely to be malignant. Relax, you have a long road ahead. BTW, nothing anyone says here is gospel - do your own research and make sure you check everything with your doctor... maybe 2nd opinions as well. We have one of the foremost biospy readers in the world, Dr. Jon Epstein, and Johns Hopkins Univ. Hospital, Baltimore, MD. - http://pathology.jhu.edu/department/services/secondopinion.cfm -- Good luck, buddy.

Hi Darren, I live in the north west of the UK.  At "The Christie" Manchester,I had a template biopsy (59 core samples) after a scan,in my opinion a template biopsy the only way to go if you do opt for a biopsy. A template biopsy is specifically targeted at the areas of concern and is usually done through the peritoneum . I had to have a catheter due to the biopsy causing the prostate to swell even more and stopping the urine.It is not a given that a catheter will be needed. I had some pain and mild discomfort when sitting  quickly etc, but nothing untoward. I'm an active pensioner but I wasn't particularly hindered by the opp or catheter but it depends on your job and you personally. For yourinfo 13 of the cores were found to be cancerous (gleason 3+3 ) and 31 were benign. As the gleason score was only 6 I have opted for active surveillance ,with check ups for PSA levels every three months ,and now take turmrick , PomiT  and exercise etc,. But this is a route that not everyone wants /or can follow. As one of the previous contributors said "dont take anything said on here as gospel" there is plenty of good info out there and usually we have plenty of time to; educate ourselves, come to terms living with a cancer inside us and make an informed decision. P S A levels are a rough guide , don't be pressurised into making any quick on the spot decision. After all you don't just buy a car just because the salesman recommends  "buy it NOW

"  a lousy analogy but I'm sure you get my drift.

All the best. 

Hello Darren, Sorry to hear about your prostate problems and maybe I can alleviate some of it for you.

I was found to have advanced Prostate cancer 7 years ago,. t the time my PSA was 186.  The consultant told me I would need a biopsy, a CT scan and then a bone scan. It appears that when the cancer gets so gig it leaves the prostate and can get into the bones. They did find that and told me that it was found in the left leg, the ribs and the spine. I was told that it was prostate cancer and no other cancer and would respond to the hormone treatment they gav me. So for the last 7 years I have been on Zoladex injections every 12 weeks and my PSA at present is 0.07. It works and I do feel fine with this hormone treatment. Now I do realise that every one is different but my advice is to accept it and leave yourself in their very capable hands.

Good luck to you Darren and keep smiling. I remember when I had the biopsy done, it was not as bad as it was made out to be. Whilst the 2 doctors performed behind my back the nurse talked to me. I told her I was going to sing a song. I sang "I've got you under my skin"  She had to leave me as she was in great laughter. 

Take and keep a sense of humour.

Neil