Prostate biopsy procedure explained by urologist
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- เผยแพร่เมื่อ 29 มิ.ย. 2024
- If you or a loved one has an upcoming prostate biopsy or may need one, this video will help you understand what the procedure is, why it's done, and how it's done. You'll know what to expect before, during, and after the procedure.
Dr. Eric Tygenhof is a board-certified expert urologist specializing in general urology, with a particular emphasis in stone disease and robotic surgery. He practices in Fullerton, California as a partner at Southland Urology. He is also a Fellow of the American College of Surgeons.
Website: erictygenhofmd.com
Request an appointment: intakeq.com/new/vmIqBV - วิทยาศาสตร์และเทคโนโลยี
I had a prostate biopsy in my doctors office in the mid eighties. I had no numbing as you state. It was the most painful experience I have ever endured. I pissed out blood and ejaculated blood for almost a month. I came down with a urinary infection and was given an antibiotic. After all that the test came back normal. I see now its much less barbaric than when i had mine.
A lot of men now a days are bi sexual so that’s another reason it doesn’t bother them as much
had it last week, not fun
Ok why then done this , if there is non ?!
Same here and I read all these comments about it being painless,how can a dildo shoved up a virginal arse be painless
Hi Dr Eric, I’ve watched a number of your videos and think you’re an excellent teacher. Your explanations are calmly put across in good and easy to understand detail.
Thank you Doctor! This put my mind at ease about what my husband went through today! I appreciate it very much!
Great video I wasn't sure what to expect. I've been through alot of pain and surgery s. The doctor tells you and explains it just the way you described it. Thank you
I am so glad you guys have the appropriate care around this procedure. You deserve this amount of pain reduction and I wish anyone going through this a very speedy recovery.
I went for a biopsy procedure for uterine cancer last year. I was given no numbing agent, gas or injection. I had a large speculum inserted into my vagina and opened several inches wide. The doctor then proceeded to push through a cylindrical blade (roughly 3/4 of an inch long) through my cervix into my uterus. He then gave me permission to swear and told me this would hurt. Using that cylinder he removed that tissue from inside of me by dragging it blade first, taking parts of my cervix with it because how else would you be able to remove it. I was then handed a pad and told to drive myself home. I bled heavily for over a week. I’m so upset we don’t get the same care with our procedure. It was barbaric.
Having the procedure this week and found this clarifying and reassuring. I wish all urologists would recommend this to their patients. Thank you.
How long did this take and did you have to take off work?
Thanks for the Info. Very enlightening. I’d replay it several times .
I appreciate your sincere awareness. It is very helpful since I'll be having this procedure next week.
Excellent. Very nice presentation. Certainly helped me relax a little ahead of my procedure, particularly the part around hearing from an expert how a biopsy does not cause cancer (I'd read something somewhere about how pulling samples from the prostate could 'release' cancerous cells into the body)... Thank you!
Very well explained, thank you Doctor Eric. My biopsy is in a few days, hoping for the best.
Thank you for answering so many of my questions without me asking them. I feel better now.
Very well explained, I'm having mine done this week, after watching this I'm not worried anymore and is more relaxed. Thanks Doc.
Lincoln Samuels: Was your biopsy performed much like he stated in the video?
And how did you feel afterwards? What were your results?
Thank you for the video. Need to have the procedure following mri scan.
Your detailed explanation has been very reassuring.
Very well spoken and direct thank you very much I appreciate the information. I will be going to the VA and a lot calmer.
Very calming during an over anxious time. Thank you
A crystal clear explanation, staying focused on the procedure used for obtaining material for confirming or ruling out PCa. Apparently the biopsy precedes MRI, useful for comprehensive focusing of radiation treatment when indicated, rather than trying to use MRI for early detection. Glad to have medical team involvement instead of only one or two physicians.
I had the MRI recently...better for me to let oncologist or urologist to see where there might be a problem rather than random "grid" biopsy...just my opinion, and cost effective also.
Thanks Dr Eric, You explained it well and put me a little more at ease for my upcoming appt
Excellent explanation and easy to follow. Thanks so much!
Excellent explanation. Thanks, Doctor!
I had this procedure done on Friday, December 17th, 2021. I was the first procedure of that day. Arrived @ hospital Same Day Surgery at 6:30am and was released at 10am. I was terrified but it went well with almost no pain. I was twilight sedated. The only after surgery issues were blood in my urine and my sperm for about 3 weeks. There was no pain.
Wow....sedated... you got the royal treatment.mine was at 2.30 pm...no sedation was back in my car at 3.30 on the way home...piece of cake!!
3+3 6 Gleason
@@mikesecondo2254 Mike, I'm not getting the option of sedation either. My doc said I'm getting a shot of lidocaine that will sting for about 10 seconds. Is that what happened with you? Does it sting bad?
@@tomflynn2912 the lidocaine is injected into the prostate thru the tube which is in your rectum.it only pinches for about 2 seconds.
How did it go???
Very calming, thank you for such a great presentation.
Thank you for your informative video, it has eased my anxiety for this procedure which I’ll undergo next week. 👍🏽
This information was very useful as I prepare for the procedure.
Age 55 with a 3.97 PSA which is up about 1.5 from three years ago and just got my 3T MP MRI results today. The report shows enlargement which was felt on the DRE and "1. no lesion of at least mild suspicion" but the Doc still wants to do a biopsy which is a bit perplexing. After doing some further research, it seems even radiologist are split on the need for follow up biopsy due to the small percentage that may be missed by the reading doctor. I looked up who did mine and he is 8 years out of med school. This is all a bit disappointing as I payed for the MRI to be done first in hopes that if negative findings were produced, it would avoid the 12 point ultrasound guided biopsy but I now get why a biopsy should still be performed.
My first urologist performed two biopsies taking 12 core samples on the first and 16 core samples on the second biopsy both were done without benefit of nitrous oxide or numbing. After the second biopsy, I developed an infection and went septic spent over a week in the hospital. Needless to say I found a new urologist.
Now that I've watched this video I'm dreading this procedure next week even more.... All the same, it's an informative video.
Very informative and not so stressed out any more. Thank you...
Great video to help calm and understand some of what will take place...thank you!!!
Thank you. I thought it was supposed to be relatively painless, but I just lived through a nightmare and I knew the doctor had screwed up. I had a biopsy done, and it was the worst pain I’ve ever felt. I told the doctor that he had done something wrong, and he argued with me and tried to convince me that it was supposed to be painful. I couldn’t bring myself to look at him or to speak to him.
It sounds like you got hosed. When mine was done there was minimal pain, if any at all.
@@gmoney9068 yeah, he probably didn’t hit the nerve with the blocking anesthetic. For all I know, the preparing nurse filled the syringe with sterilized water instead of pain killer.
I would have done a dam biopsy on that dam so called doctor. They should have put you to sleep in the hospital and done this procedure you would have not felt a thing that way. What's wrong with these stupid doctors.
My pain today was that bad I passed out after shouting a lot of swear words and lots of screams I waiting now for an appointment to be put to sleep for this procedure im covered in tattoos boxed all my life and ive never in my life felt pain like this 🙃
Excellent overview of the procedure. Thanks for sharing.
Thank you, Dr. Eric!
Very helpful. Clear, concise and reassuring.
I wish you were practicing on the east coast! I'd call immediately for an appointment if you were. Thanks for this very informative and reassuring video; your patience are blessed to have you!
I am going to do the biopsy next week, and this video helped me a lot. Thank you
Any updates friend? Thanks
@@purrungas2012 Yes, The biopsy went well. The doctor took 12 samples and the results came in a few days ago, all are benign. I had some blood in my semen for a few days and no infection. All is good
My doc seems to believe the standard action with an elevated PSA is now an MRI and then a fusion biopsy (basically aiming some of the needles at any suspicious areas identified by MRI).
In my doc’s estimation, the MRI does not preclude the biopsy but might help guide it (if anything suspicious is noted).
Since an MRI does precisely measure the prostate (useful in PSA density calculations) and pretty good at spotting suspicious areas the hope is it’ll replace certain biopsies on certain occasions.
Thanks Doc., you just described my upcoming Monday morning 😀
Thank you for the information. Very helpful!!
Thank you for the information, it was very helpful.
This doctor explains EXACTLY how my biopsy went. I had this procedure done yesterday at the VA Loma Linda. I was very nervous about it to say the least - causing high anxiety. I was so nervous (afraid), I took an unauthorized Xanax one hour before just to keep my blood pressure from going too high. The doctor was very good and explained every step as she was doing it. My conclusions: Not nearly as bad as I imagined. Uncomfortable? Yes. Painful? No. The whole procedure took less than 10 minutes. She took 16 very targeted samples from my prostate. Lab results are pending.
I'm picking up some resin and getting baked before mine in October. I've seen some horror stories on here. Laying on a table with my ass hanging out and getting butt fucked with an ultrasound probe is bad enough, but having a big needle jammed repeatedly into my prostate just sounds so unpleasant! Ahhhhh!
Did the VA offer laughing gas before the biopsy?
Thank you for posting this video
Thank you for this information!
Thank you for this!
Good video Doc. Thanks. Age here 68, I have a biopsy this week. A bit nervous. Never really had anything medical to undergo.
Thank you this was very helpful.
Very good video! Very helpful!!
Thanks Doc for enlightening us, to be biopsied. Love and kisses from the Philippines ❤️🇵🇭.
Thank you, well described
Doctor, your explanation was excellently done and was well received with clarity. I need further clarifications if you could help me.
I had my prostate biopsy done about 8 months ago. I had blood in my urine, stools and semen just like you have explained very clearly. Blood in my stool stopped within few days and blood in my urine lasted more than 10 days and stopped. However, blood in my semen lasted more than 6 months and finally stopped and being advised in one of your group chats. That's all done and forgotten. My other problem started as quite unnoticeable but has now become unbearable. It's pains and itchiness at my anis and its surrounding area. After my biopsy where it was done under "local" that almost took my life, I had pains at my anus and thought it would go away in a few days. The pains and itchiness became more intense over time and now after 8 months and after seeing few doctors and taking various medications and applying more than 7 different type of creams my anus hurts more and the itchiness continues. The pains are sharp and painful. I would be grateful if doctor could advise me what to do or which specialist that I should consult? thank you
Just had this done today. You have explained it excellently. I am experiencing a lot of pain still and hope it passes by tomorrow as it’s not bearable without Tylenol and even then can still feel it.
All you got was Tylenol they should have given you something stronger.
@@catfish24 thank you . They didn’t give me anything I went to the store right after to get Tylenol. Feel better now but still some lingering pain and trouble with bowel movements. But all in all better. Now just waiting for results. Again you did a great job explaining it and with such professionalism.
Thank you!!! I go in for my procedure in a week. 😬
Verry informative.thanks
Very informative. Thank you 🙌🏽
Great video to ease my anxiety of the procedure.
Excellent... thank you.... oi get mine in a couple of days
Very well explained, Doc. I had this procedure done the exact same way you described around 8 years ago. Thank you.
Pain scale please...thanks
Very good information.
Best info on TH-cam
Thanks you I have been praying a about take one
Dr.eric very good video
Thank You!
Thank You for info
Hello Dr Eric as you explained the Prostate Biopsy procedure it was very similar to my biopsy I had two days ago 5/25/22 however I was on my back with my legs spread apart and my feet resting on stirrups.
Still seeing blood in my urine and I’m taking an antibiotic.Feel tired and the doctor said no exercise for three days.Also this targeted prostate biopsy is 35% accurate.
I’m assuming We will continue to check my PSA which has moved from 4-7. My big question is what is the best drug that will allow me to pee better.I was getting up 4-6 times a night.Had tried Flowmax and I did like the side affects I was tired and my head was not all there as if in a daze.
Thank You
Ralph Demasi
I done it yesterday 16/01/24 it takes me about 25 minutes thanks Dr
I'm having my third biopsy this week, it will be a fusion prostate due to lesion found with mri, my question is: I don't remember if on previous biopsies if any sedation was given, is it mandatory to use lidocaine for every biopsy?
I had one 11 years ago. No enema, no antibiotics, no local anesthesia, no instructions to stop taking my blood thinners. Yeast there was some pain each time there was a snip, but it wasn’t all that severe. No regrets
Very informative
Thank you, I feel better now. I've got to have one this coming Friday. My prostate is enlarged, my sex drive is down. I can't get an erection. I don't know what it could be. I hope it's not cancer. Thank You for the video
I had a prostate biopsy. The urologist did 2 injections of anesthetic, one on each one side of my prostate, he said, but in my case it did not feel at all similar to the injections that I get when a dentist needs to do a painful procedure. It hurt much much more. Cutting deep into a tooth to cut out a large and deep carious lesion, which involves is cutting close to the tooth's pulp, or is doing endodontia, root canal treatment, both would be very painful without a local anesthetic. Worse than the worst toothache. But I've never had severe pain from a dentist's injection of anesthetic. Some particularly skillful dentists manage to get that needle in without causing any pain at all. However I can't say the same thing for the urologist who did my biopsy. Those 2 injection were each very very painful. Fortunately the pain lasted for only a few seconds. Maybe about 10 seconds. However the 12 biopsy cores that he took were absolutely painless. I felt them, and heard a loud noise from tool that shoved the needle into my prostate. but there was no pain. I've had hernia surgery with just a local anesthetic. Only mild pain from the needles. Just a slight sting from about 6 needles. I don't know why the pain from being anesthesised for a prostate biopsy much worse, but it was. It was on a whole other level. Also, I quit taking aspirin more than a week before the procedure, but I lost a lot of blood. There was blood all over the table, and the pad under me was not sufficient to absorb it all. It was dripping onto the floor. The gave me pull-on adult diapers to absorb the blood. One diaper did not hold all the blood. I had to change it after about 1.5 hours, and then change the second diaper too. They said the blood loss was not enough to require a transfusion. But I had to sign an agreement before the procedure, saying I agreed to a transfusion should it become necessary so that gave me the idea that sometimes the blood loss is more than what I had, and requires a transfusion.
That's scary
@@thomasstewart655 I didn't find it scary, just painful. If I was able to go back in time and do a _do-over,_ I would skip having a biopsy. I knew I had prostate cancer. It was a waste of time. After doing his finger-in-the-rectum exam my primary care physician said he felt a "nodule" in my prostate. Like 4 mm in diameter if I recall correctly. Went to a urologist, he felt the same thing. Does anything else but prostate cancer cause a nodule? I don't think so. Prostatitis does not cause a nodule. Prostatic hypertrophy does not cause a nodule. Only cancer causes a nodule.
My biopsy was also done transrectal. The nurse did all the prep, along with giving the numbing agent. The first thing that told me the biopsy was in progress, was the sound of the gun. 12 samples taken with zero pain. Unfortunately, the biopsy came back positive, Gleason score of seven, and I had my prostrate removed. Like most procedures, the person who does the numbing injection, makes all the difference
I had a prostate biopsy a couple of years ago. The doctor gave me a couple of shots to numb the area and there was no pain. Don’t stress out about this. It’s not that big a deal.
Thanks Jack
How can you possibly say that they have to cut through tube to get to prostate it was agony.Also high number of infections with this procedure and 3% of hospital admissions with this infection die.
@@19530ashland What are you babbling about?
The transrectal procedure is very painless, since there are no external punctures. I was expecting the worst, and was surprised at the lack of pain. Some pressure and tingling, but nothing more. Proper placement of the local is important.
My husband had one yesterday. He was knocked out. He was sore though
Very good information video, is prostate biopsy always done from the back? or can be done from the urethra as well ?
I wish my urologist had offered me nitrous oxide. I clearly remember the surprising and sudden internal injection of local anesthetic. Then, no more pain. What surprised me was when the nurse handed me a bag of menstrual pads which I did indeed need to use for a few days. The first few red, bloody ejaculations are really something to mentally prepare for too!
THANKS
Very informative and thank you for easing my concerns toward blood in urine and the anus area. Two questions, is it normal have the urge to urinate almost immediately after urinating? is it normal to feel like passing motion all the time in the first 24 hours after the biopsy precedure?
I'm not worried about the procedure, but I do have concern about self-administering the enema. Doing that myself, how will I know if I did it completely and properly?
Got a high PSA number in March 2021. Got an ultrasound and later, a 3 Tesla MRI on the advice of a urologist, which have turned out quite okay. I am 68, and on anti hypertensive meds for a very long time. There are no typical symptoms as experienced by people with enlarged prostate.
However, the concern is that my PSA score continues to be around 21. This has prompted my doc to suggest a biopsy. What is your opinion sir?
It would really depend on the PSA value and the measured size of the prostate on the MRI. You can calculate a PSA density that gives a good indication of whether a biopsy would be recommended or not.
Very informative thanks. Is there any risk or evidence of seeding of cancer tissue happening during the biopsy procedure - that is, some of the cancer cells being deposited on the surrounding tissue outside of the of the prostate by the needle ?
Decades of data show no risk of seeding via biopsy.
@@DoctorEric that’s good, thanks for your reply.
Not for nothing that could be lying
Just come back in a yr to get a 3T MRI. That will show where the cancer has spread and get further treatments as needed.
I had mri which showed an area of concern and they want to do a biopsy sched in 2 weeks. I asked how many cores they said 14 and I asked well will they focus on the suspicious area and was told only 1 core will be taken in the suspicious area does that sound right. I had this done 12 years ago without mri and was told back then there was nothing found
Had a 14 core stab. No real pain. The doctor said I had a very large prostate. Bleeding was nearly nonexistent. For a week i did have an infection odor in the perine area. Suspect a minor infection. All cores were nothing but benign tissue. Will follow up annually with test. Do not pass up this procedure ...... it's the best first step in isolating a problem and is not painful.
I’ve had two, the shots did nothing. Extremely painful, two friends also had them and said the same thing, sedation is highly recommended.
1-10 pain scale?!!
@@fluentcashflow2234 Probably a 6, 19 times…
Hi doctor. Do I have to use an enema before the biopsy? Is it required? Can the biopsy be done if it don't take an enema?
Thank you Dr. Eric! One question, if I have trouble urinating at night, will this procedure make the prostate swell and make it harder to urinate afterwards? Thanks!
Usually it's not a problem, but it can happen. Rarely do men develop urinary retention after biopsy. If they do I'm usually concerned about infection.
Man I’m nervous about having this done.
Yeah me to
Thanks Doc for the information. I have a prostate biopsy scheduled on the 11th of March 2022. Wish me luck, and thanks again for the information.
Having mine march 3rd. 2022
Good Luck EN1. I hope it goes wll
@@tomhora4381 just had biopsy 3 days ago.The procedure wasn't bad at all.Now just have to nervously wait for lab report to come back!!
@@tomhora4381 thanks I appreciate it.
Not Good....lab work came back... positive....
Hello dr eric just a quick question can you still do a biopsy with a catheta fitted kind regards.
Can the patient demand general anesthesia for the biopsy procedure?
Thank you Dr. Eric, I have a question, Doe's my Primary order this procedure ?, I have never been to a urologist, ever but been examined in the past by my Primary. Should I request to have this done, Or would my Doctor order it if I need it ?, I appreciate your reply, if possible., Thank you, BTW, I am 58 yrs old, and have no family history of Cancer.
Your doctor should first order a PSA test and do a rectal exam. If either are abnormal you should be referred to a urologist. The urologist would then determine whether a biopsy would be needed.
Firstly thank you for the information
My dad is 79 yr old having PSA 17 toady I have admitted him to get it done TURS biopsy
PsA if it increses more than 5 is it will be malignancy???
Had mine done. No big deal. Did have some swelling of prostate for two weeks. No pain. What is your opinion about a Transperinral biopsy vrs trans rectal.
Dr. Eric I am having a prostate biopsy Monday morning and already had a MRI with a suspicious area grade 5. I have people telling me not to get the biopsy until I get a 4K blood test. What do you think, I am already worried about the biopsy and would like to avoid it if possible.
A PIRADS 5 lesion warrants a biopsy regardless of the results of a 4K score.
Appreciate the straight forward explanation. The background in the video is somewhat distracting , it looks rather like something in a funeral parlor-not something I want to see before a medical procedure.
Good eye on that
Can a scortum ultrasound also detect the perinial area??? Please reply me
Hello doc, i ve been watching all your videos about prostate with great interest, my father is 57 year, with PSA 7,6 level result went to Urologist sent him to MRI and his result it s next can you please see it and give an onest opinion , the next step it s biopsie that will make next week with local anest. Thank you for your videos,i will continue to hear you, hope to read it. In your country we have cm not inch to measure.
2 Prostate nodules at the level of both lobes in the transitional zone of size 2.8 cm on the right and 2.4 on the left well delimited without expression in the adenomatous diffusion sequence, with peripheral gadolinophilia. And another small node at the level of the right prostatic apex in hyposignal t 2, with discrete expression in the diffusion sequence, ADC, with late wash out, with a diameter of 1.1 cm. Rectum, hairy and pararectal spaces, seminal vesicles without changes with pathological significance. No tumor subdiaphragmatic lymphadenopathy. No ascites fluid. No MRI circumscribed bone lesions
The report should indicate the PIRADS score of each lesion. A PIRADS 1-2 is benign, 3 is mildly suspicious, 4 is moderately suspicious, and 5 is highly suspicious for cancer.
@@DoctorEric doesn t reveal in the MRI this pirads scale, but now reading online about it, it means that for this dimensions and in transitional area it s the higher risc 4, i m reading corectly? The biopsie it will be more elocvent answear?
My PSA is 1.32. Was 1.20 in mid 2020. Doctor found "lump" on prostate..how likely is a cancer diagnosis?
I hear that transperineal biopsies are safer than transrectal. What's you opinion on this ? Thanks,
Not many doctors practice it but check out Cleveland clinic locations what part of the country are you in
I have a prostate biopsy coming up I’ve been once but I had ashprine the night before so he re scadulle it but you said we can take it so who’s right please let me know
Doctor Eric, Why not do a PSMA in lieu of or prior to a biopsy? Less invasive, less complications and perhaps more accurate results and determine if the prostate cancer has spread?
PSMA scans are not typically covered by insurance (in America) in the absence of a prostate cancer diagnosis, either high-risk prostate cancer or a rising PSA after definitive management. Remember, most men undergoing prostate biopsy are doing so to determine whether there is cancer or not. Additionally, about 10% of prostate cancers are not detectable with PSMA scans. The most common protocol now is to utilize multi-parametric MRI prior to biopsy to identify any suspicious lesions and then biopsy those areas, sometimes along with a standard template as well.
I did a biopsy without any shots, it didn't hurt that bad. My results 3+3=6 malignant but a low grade. My urologist wants to watch and wait for 6 months. I am a little nervous but will be retested PSA in Oct. If it's higher might have to do radiation.
do you mind share your PSA result?
I have had two prostate biopsies in the last two years. No numbing. Some stinging during the procedure. After the procedures, I went to a Mexican restaurant. I peed and pooped blood for one and a half days. The whole experience was no big deal.
I've just been booked for a prostate biospy and although I know the proceedure will be fine this video has put my mind more at ease. Thank you.