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  • @dsmacd46
    @dsmacd46 4 หลายเดือนก่อน +3

    A relative had the experience you describe. It was so bad that the doctor, after repeated 12-sample biopsies, said, "I just won't put you through that again. So, when I had to have a biopsy I was fearful ... and I told my urologist of my fear and my relative's horrible experience. It was clear my doctor didn't want to be critical of another doctor (although in a different part of the country), but he said, "That doctor doesn't know how to do a block," and explained that he would numb the area just as a dentist does. On the day of the procedure, he inserted the instrument (pressure & discomfort but not really painful) and alerted me, "You're going to feel a pinch." That's all it was, and (for me at least) not as painful as Novocain at the dentist. There were some more, milder "pinches" as doctor said, "I'm numbing," and then he told me he was going to start the biopsy procedure ... 12 samples just as you said ... and I might feel more pinches. Actually, I think I heard more than I felt the click of the instrument grabbing each sample. Other than the added indignity factor, this was easier than many dental procedure. I'm sorry you had such a bad experience, but I agree that some level of sedation is appropriate.

    • @maletenance
      @maletenance 4 หลายเดือนก่อน

      So glad you had a better go of it. It is a necessary evil, however like you say a level of sedation would be appropriate. It is something I hope never to have to do again.....unless the knock me out. I hope you had great results and this note finds you healthy. Cheers Tony

    • @chrisperrin100
      @chrisperrin100 3 หลายเดือนก่อน

      Had my biopsy 10 days ago and it was exactly as you described. Unfortunately it's advanced cancer and I'm waiting to hear from the doctor for the surgery date.

    • @maletenance
      @maletenance 3 หลายเดือนก่อน +1

      @@chrisperrin100 Hi Chris, I'm sorry to read about your diagnosis. I hope very much that the surgery and/or treatment program thereafter will garner a positive result. Wishing you all the best. Tony

    • @chrisperrin100
      @chrisperrin100 3 หลายเดือนก่อน

      @@maletenance Thanks I appreciate that! 👍

    • @kendallchambers8165
      @kendallchambers8165 2 หลายเดือนก่อน

      My prostate biopsy went exactly how you described it, the left upper and lower to middle upper and lower was fine when he got to the right upper and lower I felt it. Pain wasn't bad just uncomfortable for like 4secs.

  • @markfll
    @markfll หลายเดือนก่อน

    I had my prostate biopsy done about a month ago. He took 14 core samples. Thought I'd lose my mind. Six of the samples were cancerous. May 29th, I'm having my prostatectomy. Thanks for your videos.

    • @maletenance
      @maletenance หลายเดือนก่อน +1

      Hi Mark, I'm sorry you had to experience this necessary evil and to read about the findings. As for your upcoming procedure, I've got my fingers crossed for great outcome.
      I too had a prostatectomy (no cancer) so if you have any questions/concerns/thoughts about pre and post procedure, I'd be more than happy to share what it was like. I've spoken to tons of guys and it helps.
      I will share this; as much as its physical, it's a mental and emotional journey, which is often not talked about. You really have to have your head in the game. How are you doing/feeling? You can reach me if you like at Tony.Alcindor@Maletenance.com
      Wishing you all the best. Tony

  • @daleflier8667
    @daleflier8667 หลายเดือนก่อน

    Totally agree with you, man. A nurse practitioner was going to remove my ureter stent (from the bladder to the kidney) using a cystoscope in the office with nothing but a numbing agent. I utterly refused. Three stents went in while I was sedated. I insisted on the same type of sedation when the last one came out. We have to advocate for ourselves. My insurance did cover the sedation procedure. I can only guess that such procedures (like the one you described) are performed without anesthesia for the convenience and efficiency of the practitioner. I, however, am concerned with MY experience, not the practitioner's. If your urologist won't oblige you, another more humane one will. As another commenter noted, if I'm sedated for a colonoscopy, or if I'm given halcyon for extensive dental work, there's no reason it can't be available for biopsies or other painful urological procedures. Again, we have to advocate for ourselves.

    • @maletenance
      @maletenance หลายเดือนก่อน +1

      @daleflier8667 You hit the nail on the head! Everything you said is on point!
      By the way, good for you for speaking up. We all need to advocate for ourselves, especially when it comes to our health and procedures.
      Often times I think we go to the doctors and feel we can't speak up, or question them. For me, it was like I turned into a kid again, sitting in the exam room, feet dangling off the exam table, in that shitty paper gown, feeling anxious, vulnerable, and stressed. I'm not on my game to fend for myself with my ass out on a cold table. I did switch urologists after the biopsy experience.
      My new urologist, when we first met, was so cold and clinical which I can understand but I told him I needed him to slow down when delivering information to me and speak in layman's terms. This is your millionth time saying these things and this is my first time hearing all this new information. I also told him that even if he had to fake it, I needed him to treat me as more than just a number, which he did.
      Anyhow, I hope that by making the video more people will speak up and advocate for themselves.
      Cheers, and wishing you and your loved ones great health. T

  • @Salukian
    @Salukian 7 หลายเดือนก่อน +1

    I was out for my biopsy, here’s why…. Before my biopsy procedure, Dr. ordered an MRI. My insurance approved. An area of concern about the size of a dime was noted. Dr used a targeted approach, taking 3 cores from the area of concern and the usual 12 from random locations. The 3 targeted spots took time so I assume that’s why I was under for the whole thing.

    • @maletenance
      @maletenance 7 หลายเดือนก่อน +1

      Thanks for sharing. It seems to me that I was definitely given the wrong procedure first. This will help many others. I hope the message finds you healthy today. Cheers

  • @patrickbrouty9072
    @patrickbrouty9072 หลายเดือนก่อน

    I had 2 prostate biopsies. The first was 12 samples taken, as in your case. I also was awake. It wasn't too painful. Mostly just a prick. Samples are usually taken from the outer capsule of the prostate where most cancers appear. The results were negative for cancer but my urologist was still suspicious and had me get an MRI. Which showed a suspicious lesion in the prostate near the urethra. So he ordered another MRI assisted biopsy to target the lesion. This time they took 16 samples. Four from the lesion and 12 from other places. This time it was quite painful because they went quite deep into the prostate. I was also awake, which is standard practice where I live in Romania and I think in most places. And again, thankfully, the results were negative for cancer.

    • @maletenance
      @maletenance หลายเดือนก่อน

      I'm very happy to hear you are negative for cancer. Wishing you continued great health. Tony

  • @delmar418
    @delmar418 7 หลายเดือนก่อน +2

    I have a high PSA too. But the ratio was such that it was still in the "zone" of possible benign. Nevertheless, I demanded an MRI.
    The logic was this: If they were going to take multiple bore samples that could miss a tumor, it would come with possible complications and the pain thing Tony mentioned. I am on a long waiting list for HoLEP Laser to remove my prostate through the urethra, in which case, if I do have cancer they can have the whole prostate to examine without the little pricks (pun intended) and have a more thorough test sample. I wanted the MRI to know if there was cancer, that if biopsy was needed they can do a targeted biopsy directed at the tumor on the MRI because they have the precise location. The MRI showed a PIRADS II, which signifies a 5% chance of cancer. In my case, I didn't need biopsy because of the laser intervention I'm waiting for and the MRI didn't show any suspicious growth. Still wearing an indwelling catheter after a year & a half.

    • @maletenance
      @maletenance 7 หลายเดือนก่อน

      See thats how you do it!!! You made some great educated decisions regarding your own body and health and advocated for yourself. I think often that most men encounter a urologist for the very first time when something is wrong and it is completely and utterly overwhelming. Then poor decisions are made. I know my head was spinning with my first urologist and I would have done anything and everything in a panic for fear of the C word.
      I've also been questioning lately, because of so many men I have spoken too, as to why women get a gynecologist from the time they are of reproductive age and men don't? Our systems are complicated too and need to last a lifetime. It doesn't make any sense.
      Anyhow, how are you doing? Also, why is the wait so long to get your procedure? How has having a catheter for so long impacted your life? Forgive me for asking so many questions - it helps me with my peer support and advocacy for men's health. You can always email me if you prefer some discretion. Tony.alcindor@Maletenance.com
      Cheers Tony

  • @1norgman
    @1norgman 7 หลายเดือนก่อน +2

    transperineal biopsies are considered “clean” because the needle passes through the perineum, rather than the rectum. I would avoid transrectal biopsy all together given the much higher infection rate. Regardless of biopsy approach it should definitely be done under anesthesia. It a medical cost issue, insurance issue for some patients but I would absolutely insist the biopsy is done under anesthesia. I personally had a transperineal biopsy done under anesthesia… I don’t remember a think, which is the way it should be!

    • @maletenance
      @maletenance 7 หลายเดือนก่อน

      I could not agree with you more!

    • @kendallchambers8165
      @kendallchambers8165 2 หลายเดือนก่อน

      I had a transrectal done and awake. Felt a little pain with the gun pulling the samples from my right side of the prostate. Which wasn't bad at all. 2 secs, I felt more comfortable with the probe up my azz, told doc, exit only. Military doctors.

  • @bjhelder
    @bjhelder 7 หลายเดือนก่อน +1

    My understanding is rectal can be done in the office - (read: more money for the urologist) vs perineum where you need to go to a surgery center and have full anesthesia. I had a perineal and still would recommend research before going through this. PSMA Pet scans are coming - they can highlight all PC, and the only reason they are not used, as far as I can tell, is cost. They are supposedly used frequently in Australia and UK. I tried to get one and would $6K out of pocket.

    • @maletenance
      @maletenance 6 หลายเดือนก่อน

      Unfortunately, money plays a role in our health and access to resources. I recently spoke to a huge medical company about my new patented catheter that reduces the pain for the user, however, they could not move forward due to insurance and reimbursement requirements/limitations. The added feature with put the catheter out of reach by pennies. I'm not giving up because as with any new innovation it costs more initially but eventually becomes accessible.

    • @dsmacd46
      @dsmacd46 4 หลายเดือนก่อน

      RE: "more money for the urologist:" while you're not wrong, the perineum method is "More money for the surgery center." It's got to be paid for either way, and the easier it is on you and me the more likely the cost is greater. If I may suggest it, if your feeling toward your urologist is that he/she would opt for in-office rectal for your best care just because it's more money for them, you need to find a urologist you actually trust. I'm sure glad I did.

  • @MrKitty-zv3dl
    @MrKitty-zv3dl 7 หลายเดือนก่อน +1

    My man, I thought it was just me and I was maybe more sensitive or something. I had a similar experience, the pad to put in your drawers at the end of it all was funny. The ride home wasn't fun, I felt every bump my wife hit! If I was given the choice I would've wanted to be knocked out for that procedure. Anyways, for me they found an aggressive cancer but after having a prostatectomy, radiation and hormone therapy I went from a PSA of 8 to

    • @maletenance
      @maletenance 7 หลายเดือนก่อน +1

      Nope....we are in the same BIG boat with a ton of men who have had the same awful experience.
      You know it's things like this topic and so much more, that are so important that no one shares, which would make a huge difference in so many mens lives.
      With colon and prostate cancer being the second largest killer of men, why is not a comprehensive approach taken to men's reproductive and urinary health? It frustrates and saddens me.
      Anyhow and more importantly, I'm really happy to hear you're doing well and living your best life.
      Cheers Tony

  • @jerryg957
    @jerryg957 7 หลายเดือนก่อน +1

    Wow, can't believe you were not put out for that. Real bummer. Had mine done in hospital. Then I pissed blood for a week.

    • @maletenance
      @maletenance 7 หลายเดือนก่อน

      It's insane right that they didn't put me out but I've heard some people here say the same thing, that they weren't either. It isn't right. OMG, the peeing blood was a horror movie. It's such an unnatural thing to see happening. It took me three years before I could get my head around making the video. I just wanted to forget it happened but if it provides info or someone to advocate for themselves then its worth it.

    • @jerryg957
      @jerryg957 7 หลายเดือนก่อน

      @@maletenance 👍

    • @kendallchambers8165
      @kendallchambers8165 2 หลายเดือนก่อน

      I pissed blood for 3 days and was wondering where the blood at, it was in my ball sac. When I ejaculated it came out brownish rust in color. That lasts for about 5 days, clearing out the tubes before it came clear

  • @robr1901
    @robr1901 7 หลายเดือนก่อน +1

    I recommend to do an MRI fusion first, before the biopsy this way they can fuse The MRI image to the current image for more accurate biopsy. I was also awake during my biopsy. I have to say mine wasn't as bad. I did feel a few pinches but nothing to worry about at least with my experience. The reason they put you out is simple cost ....it will cost more money to put you under as opposed to doing the biopsy while you awake which is cheaper.

    • @maletenance
      @maletenance 7 หลายเดือนก่อน

      Hi Rob, thanks for sharing. Someone else also said the same thing as you regarding the order of procedures for a more accurate diagnosis. I also suspected it was a cost issue, but man oh man, myself and others were not as fortunate as you with the pain.
      Anyhow, I hope the message finds you healthy and thriving. Cheers Tony

    • @robr1901
      @robr1901 7 หลายเดือนก่อน

      @@maletenance yeah everyone is different. However the fusion is how they were able to pin point (P.C.) so currently working through this path as well. Hope this information helps others as it has for me...

    • @maletenance
      @maletenance 7 หลายเดือนก่อน

      This will definitely help. Thank you.
      Can I ask you where you are on your journey? Or if you prefer anonymity and not share it here, you can email me Tony.alcindor@Maletenance.com
      If you'd rather not I understand.
      Cheers, and wishing you well. Tony

  • @brollin2flybrollin2fly49
    @brollin2flybrollin2fly49 4 หลายเดือนก่อน

    Thanks again 😅

    • @maletenance
      @maletenance 3 หลายเดือนก่อน

      You are so welcome.

  • @LLNYRN
    @LLNYRN 7 หลายเดือนก่อน

    I went through TWO of those in less than a year in 2017. The second one due to My Urologist making sure it was benign. And I just went along with it. There was blood everywhere. And even the Nurse with him was grossed out. And even after that, I ended up going for a MRI.
    I still have the bloodied white undershirt too.

    • @maletenance
      @maletenance 7 หลายเดือนก่อน +1

      TWO in less than a year!!! Thats $%#@ intense.
      You know whats amazes me is that they always say "you're going to feel a small pinch".....and it's never a pinch!!!
      Also, I wonder why, if there is concern and symptoms line up, they don't go straight to an MRI?
      By the way it took me 3 years to make this video because I didn't want to think about that awful experience ever again, but I hope that by sharing, people will ask questions and advocate for themselves so they know what they're getting into.
      Cheers and wishing you great health. Tony
      ps. I threw my blood-stained undies out.....too much of a reminder.

  • @anthonybellavia4451
    @anthonybellavia4451 7 หลายเดือนก่อน

    I had two done within two months time. My urologist explained it’s like bee stings after they numb it so it wasn’t terrible. I think the worse part was at the start with the tube going in. The first biopsy I asked the nurse if she had a bullet I could bite or a stuffed animal to squeeze. She immediately left the room and came back with a stuffed hand held animal. The second time i said I didn’t need the stuffed animal but during the procedure she let me squeeze her hand, which I needed.

    • @maletenance
      @maletenance 7 หลายเดือนก่อน +1

      Two within two months is intense. You're a bigger man than me. For me, it was the pinching that brought the tears. Urgh I get chills up the back of my legs thinking about it. Glad its in the past.

  • @ohioh111b111y
    @ohioh111b111y 4 หลายเดือนก่อน

    Wow..... I think my family member got two shots ..... office visit and felt a small pinch each time. Doc said he would have some bleeding possibly for a week but he didnt have any. I learned my lesson about being put to sleep when a doctor told me a sigmoidoscopy was "uncomfortable" and I almost jumped off the table. Put me to sleep, I'll take my chances with sleepy meds.

    • @maletenance
      @maletenance 4 หลายเดือนก่อน

      Right!!! It's always "just pinch" or "slightly uncomfortable" and it never is. It's been quite a few years now but even as I write this I tense up. Cheers and wishing you great health. Tony

    • @kendallchambers8165
      @kendallchambers8165 2 หลายเดือนก่อน

      So your sigmoidoscopy is what we call a colonoscopy, I never had one of those done or ever been put to sleep for any surgeries in past. I wish I was asleep only meds to make me sleepy but I was so anxious I was awake thru the whole thing, got to the car going home and out, woke up around 10pm that night in bed.

  • @hawaiianfilter
    @hawaiianfilter 2 หลายเดือนก่อน

    Yes, terrible. Traumatic.. doesn't scare me but warns us. God bless.

    • @maletenance
      @maletenance 2 หลายเดือนก่อน

      Exactly! Knowledge is power. Cheers, and wishing you and your loved ones great health. Tony

  • @gocarrt
    @gocarrt 2 หลายเดือนก่อน

    Some Urologist administer Nitrous Oxide (laughing gas) that folks may be familiar with from a Dentist's office...this is an something in-between between anesthesia and a fully-awake biopsy. Speak to your health care provider to see if this option might work for you.

    • @maletenance
      @maletenance 2 หลายเดือนก่อน +1

      @gocarrt Thanks for the tip. I'm sure it will help so many who visit the channel.

  • @1norgman
    @1norgman 7 หลายเดือนก่อน

    Tony, I sent you a recommendation letter for your flyer project per your request but the email you provided me was invalid. Please send me a new email address…

    • @maletenance
      @maletenance 7 หลายเดือนก่อน

      Try this Tony.alcindor@Maletenance.com

  • @rbmh
    @rbmh 2 หลายเดือนก่อน

    Awful terrible experience. No way should patient be awake. How cruel and grueling almost torture. Dr should warn people of the pain. Poor unknowing desperate patients dont know.

    • @maletenance
      @maletenance หลายเดือนก่อน

      @rbmh It was not one of my favorite days. I hope that by letting people know what I went through, they will advocate for themselves.

    • @rbmh
      @rbmh หลายเดือนก่อน

      @@maletenance I always thought they numb prostate before biopsy? So Scary i could not imagine. Even with novacine is pain Rezume prostate therapy is also very painful ?

    • @maletenance
      @maletenance หลายเดือนก่อน

      @@rbmh I walked into the whole thing blind and a bit stupid. You know that voice in your head that says "RUN!" yet you don't listen...that was me I guess. The whole thing was not a walk in the park but it was a necessary evil. Hope never to have to go through it again or knock me the @#^& out!