Had a transperineal biopsy last summer following a psa test of 5 (picked up during investigations for another health issue). Had local anaesthetic injections first then 30 biopsies- didn’t really feel anything, worst part was when the doctor sprayed the area at the end with a disinfectant type spray - it really stung ! I was able to go home about an hour later when I had passed urine. Turned out all areas of my prostate had cancer (I had no symptoms of this at all) so I chose to have it removed robotically a few months ago, and am now waiting for the first psa test result which I had done yesterday.
I suspect you are in 'good company'. Our generation (I presume) is rife with this crap. I hope your results are excellent! I'm awaiting scheduling for the biopsy phase.
I had 32 biopsies and my prostate was so swollen I had to have a catheter left in for 3 weeks. Had my prostate removed last December by robotic surgery. That was less painful than the biopsy. Just passed my second blood test at 71 years.
Thanx for this video. I'm looking at a biopsy in the next few weeks and am very apprehensive about it. My dad had one done around twenty years ago, and he said it was the most painful thing he'd ever experienced, so watching your video gives me hope that there are now significant steps taken to lessen the pain involved with the procedure. I wish you a complete recovery and a very long and happy life. ☮✌
PSA 18. Started ADT. Biopsy time. Had mine last week in November '23. Was given antibiotic for 4 days before. Drove to the office. Dressed in lower part of gown and rested on my side on the bed. The Dr. and assistant on the ultrasound machine. Lubricated the ultrasound probe and inserted. He then sprayed "the tender spot" with a local. 12 cores taken. Tiny shock, like a static spark from walking on a rug. The Probe was the most uncomfortable because of hemorrhoids. Less than 30 minutes after I arrived I was driving home. Continued Antibiotics for 4 days. No aftereffects. No pain, no blood, no lingering soreness. Gleason 9. Looks encapsulated. I start radiation in 3 days. 79 Year old.
Good on you for driving yourself there and back! If they hadn't given me Xanax before the biopsy I may have been okay driving myself- but for biopsies and colonoscopies I try to arrange a ride. 😁 Good luck with the radiation and other treatment. Hang in there! 💪💪
I've had 3 prostate biopsies in the past. The last one was the most painful. At no time was I given anesthesia at any of them. I was diagnosed 8 years ago with an aggressive cancer of the prostate. I had brachytherapy plus external radiation and hormone therapy. It was a year to remember for sure. I'm fine now with a PSA of 0.008.
Wow that is a blessing to hear your story, I'm having brachytherapy next month, been on ADT hormone therapy for 3 mos now. I managed to get my psa down from 40 to 6.36 taking soursop tea and apricot seeds. Doctors also want to followup with external beam radiation. So my story is similar to yours. No recommendations on removing the prostate.
My biopsy went well. Uncomfortable is the best word that fits. Actual pain is minimal. The whole procedure took 10-15 minutes. I'm a little sore, but that's it. Prostate is enlarged but not abnormally for my age. No tumors or lesions. We'll see what the tissue says though. Pain wise breaking my foot and diverticulitis was worse. Look forward to healing up though. 😊 I was wide awake and drove myself home right after.
I had a prostate mri & biopsy about 3 weeks ago! I’m not sure what the deal with yours was, but my procedure was a piece of cake! Next to no pain at all. No anesthesia per se, just a local placed up there was a lidocaine lubricant. Procedure guided by an ultrasound instrument. 12 cores taken & took about 20 minutes. The doctor & a male nurse we’re all that we’re in there.
@@hn5460 The reason I asked him was because he had said this in his comment, " No anesthesia per se, just a local placed up there was a lidocaine lubricant." Lubricant is different than a needle penetrating the prostate.
Yup, same for me, not really a big deal at all. Just a doctor and nurse, ultrasound went in, local anaesthesia injection went in (most painful part, but not that bad really), then 12 core samples (each feels like a baby electric shock, but not painful). Done. No sedation should be needed for this. Afterward just a dull ache in the prostate for a while, kinda feels like you need to pee constantly. And be aware, ejaculating looks like a murder scene for a few days lol
I had a prostate biopsy last week, after PSA test. Hey, I wouldn't put a biopsy on my bucket list, but it wasn't as bad as the stories I heard. The click went about 12 times. I felt no pain at all from the actual needle that takes the biopsy. Just an uncomfortable sensation of obviously getting that up your backside. Not unbearable pain, just uncomfortable sensation, but to be honest, not anywhere near as bad as I thought. They put me in a wheel chair, took me in a room to rest for 30 mins with some tea, and I walked out of the hospital fine about 40 mins later. Told me I might urinate blood and from my backside when go to the toilet. Urine was fine, a little blood from the other side, but on a whole, fine. Worst part is waiting for my results. So don't worry about the biopsy. Not that bad.
I just went for a LATP biopsy (local anesthetic transperineal prostate biopsy) last month. I asked for half of the typical dose of local anesthesia and was granted, no relaxant either. I took one single Tylenol 500 mg right before the procedure instead of two as prescribed. I took one single dose of Keflex (cephalexin) 500 mg two hours before the procedure to reduce the chance of infection. The experience: No pain at all even when my urethral was accidentally pierced through (fresh blood coming out from the tip of my thing). Throughout the procedure, I chatted and laughed with the doctor and the nurse. At home, I touched the area where the needles went in, there was no pain either. To compare: a dental root canal is much worse, I tell you. I was back in my regular activities the next day, sans exercising.
That's great you could have a more comfortable experience. I think I would worry about distracting the doctor by chatting during the procedure. But doing it your way sounds like it makes it a more casual experience. Good to hear!
Thanks Mike! I had some deja vu when I went for having my prostate markers placed for Proton Beam radiation therapy- th-cam.com/video/qfthRM6Iu50/w-d-xo.html
Appreciate this a lot....going in for a biopsy with 15 samples being taken 12 matrix sample and 3 on a lesion of pirads 4 features. Like you, I've read a lot on the web and I've scared myself silly. Your video helps a lot.
Thanks! I found in reading books on the subject that they tend to be less alarmist than what you find on the web. And I will be keeping my finger crossed for you. 💪💪
@@parristx you were right. Had the biopsy yesterday and it was totally painless. The only thing was a little feeling when he numbed with lidocaine. I had valium to calm me. 7 minutes and it was over. Your podcast really, really helped....now, wednesday, the biopsy results. Thanks again.
I had the same procedure last week (very very painful...wish i took something like you) and just got the results today. Came back normal, no cancer, no BPH and no evidence of prostatitis, although my MRI from a few months ago noted mild BPH, current or past prostatitis, with a 1.3 cm focus in the transition zone. It was suspected I had prostatitis causing the appearance or other conditions on the MRI that since cleared up and also caused the mildly high PSA and low free PSA. I'm relieved. ;) Also, my MRI prostate was almost 30 cc in size but by the biopsy, it was down to almost 25 cc, normal size. Sorry to hear about your situation and will watch to see how you're doing now. Thanks for sharing
Great news! It is nice to hear from someone who got good news at that "going over the test results" meeting with the doctor. I wish that were the case more often.
It sounds like experiences vary greatly. My doc had me use a Fleet enema first. The first needle stick into my prostate was extremely and shockingly painful and I kicked a wheeled tray across the room and yelled out in pain. The Lidocaine took effect between the first and second samples and then all was numb. Afterwards, the nurse handed me a bag of pads to put in my underwear since I was bleeding. It stopped after a few days. My next several ejaculations were blood red, then increasingly light pink. There are worse medical experiences, I'm sure, but this one was worse than I anticipated and I hope to never have to repeat it.
Biopsy under general anaesthetic is definitely the best way to go, you're out of it for about 20 mins, Yes you ache afterwards, but that's what painkillers can deal with if you need some. Best decision I made, luckily advised by a mate who went for a local Anaesthetic before me and almost passed out before his biopsy so they advised him to have done under general anaesthetic. Just waiting for result, fingers crossed as mine was found at very early stage 😊
Update, mild, very mild cancer, treatable but nevertheless it's cancer. Certainly makes you stop and think, waiting for a date for another blood test to see if the PSA is stable or rising. 😒
@@peterjones2761 Had my biopsy done under anaesthesia, why be uncomfortable? I too was positive but caught very early, had a Brachytherapy procedure done (least invasive method) and am now clear. procedure was done December of 2019 so 3+years and counting, best wishes to you.
It really isn't or shouldn't be full general anesthesia. No reason to breath for you when dulling pain is the only goal. I watched as a team of medical personnel used a very long, thick, hollow-core needle to remove three core samples from my liver. A biopsy. No pain at all. I was Very talkative (from the meds) and curious. Surprised I did not faint as I actually watched the needle jammed in bit by bit into my chest. All eight inches. Three times. It was like watching yourself get shot but, thankfully, no blood. And, I knew and clearly understood that they were putting deep holes in me but I just did not care. Surprising reaction. Alas, all cores came back normal so they sadly missed the targets three times. But, I'm still here to talk about it. By the way, for the curious, they do seal the holes in you after ALL is done. The plasticizing sealant used lasts longer than than actual healing process time. You can bathe and wash as normal; just no hard scrubbing. So you go home a few hours later (meds wear off fast) and no more needs to be done. No need for three individual stitches or anything like that or removing such things. Interesting experience. Recommend it? Not unless you have to.
Be strong And relaxed it's been a few weeks since I had the biopsy done, I went for the results today I have cancer. So I looked a the options and in three weeks I will have my prostate removed
I had two biopsies 6 months apart , the first time they found nothing , second time they found the cancer , the nervousness is the main problem , the rest is only discomfort
I appreciate your video. I watched it before I had mine. The suspected area was on the very top of my prostate so they were having problems getting the needle to the exact area. I'm overweight so that didn't help. They did about 3 MRIs trying to get it in right and I finally told them, "Just shove it in it won't hurt me" which they did and it was not uncomfortable at all. I had no tranquilizer. I felt no pain or discomfort except for some groin pain a few days later for a few days. Unfortunately, they did find cancer rated Gleason 7. I had a PSMA PET CT scan to see if it spread. I'm finding out tomorrow.
Just had the biopsy done. I was expecting the worst, but it was basically painless. Nothing but a local was used, and didn’t even feel that injection. When the first sample was taken, I was thinking, that’s all there was to it. Felt some pressure only.
That's great to hear! I know some urologists are using a newer biopsy technique that involves less poking and pain. Maybe you were fortunate enough to have that type of biopsy.
I didn’t get a sedative, just an antibiotic capsule a few hours before the procedure. They numbed me with a needle, it wasn’t horrible, but it was definitely no fun. I started getting a strange ringing sound in my ears and got dizzy. I asked it that was normal, he said it was. After the procedure, my prostate was hurting. Thank goodness I had Tramadol or I would’ve been in for a long painful night
I have leukemia and had to have a bone marrow biopsy and aspiration of my hip. Like you, the internet had me really worked up. I had Versed as a “relaxant.” I didn’t think it did much but the procedure was uncomfortable but not painful. I’m now possibly facing a prostate biopsy and I appreciate your insights.
Hey Kevin! Doctor Google does not have a very good bedside manner. I think the most "sensational" posts tend to rise to the top of the search results so you read more of the extreme experiences and don't realize that those experiences aren't typical. I hope you are doing well in your treatments and won't need more biopsies in the future.
Thanks very much for posting this. Not sure where I am yet (rapidly rising PSA, MRI next) but, like you, I'm a 'need to know' sort so here I am. Much appreciate your willingness to share your journey.
Thanks! Learning everything you can to make informed decisions is the best thing to do so you will be ready when the day comes to make those decisions. Wishing the best for you.
I had a transrectal biopsy in Luxembourg last week after having a psa of 5.2 and a 1cm lump on the left side shown by the MRI. Although nervous it couldnt have gone better.I was given antibiotics to take 1 hour before arriving at the hospital. I arrived at the hospital at 7, was taken to a ward where I changed into special pants, gown, socks and hat. Then a short walk to the nurses station where I was fitted with heart and blood pressure monitors and a short wait. Then into an operating room onto a bed with movable leg supports. Here I was fitted with a saline drip and the anaesthetic which didnt quite knock me out but all I could feel was a slight pressure. "20 minutes later I was back in my bed in the recovery room for two hours (my blood pressure crashed) and then home. There was quite a lot of blood and lumps in my urine at first but that cleared up within two days and apart from that no pain, infection or side effects to mention. I will get the result in 3 or 4 days. Apart from a certain amount of indignity this is not something to be feared at all.
@@No2traitor Its now over a week and I feel fine. The blood in my urine lasted for about 3 days but was not a problem, it was not noticeable any where else and I did not become constipated ( another side result) although I was given medicine for that as well. I did become sore after a day which lasted for about 5 days but nothing worth taking a painkiller for. For me the whole thing was a non event and I hope you have as good an experience. I get the results and a meeting to move alone to the next stage next week.
Interesting, I had an in-office biopsy with ..drop your shorts, raise your knees and here is a local. Twelve samples later, I had a lot of discomfort and an extreme urge to urinate but couldn’t. An hour later, a little dizzy, I left the office and glad it was over with. Seven out of twelve samples were Cancerous and removal followed. Not something that I want to repeat but it had to be done.👍🇨🇦👨🦳
@@richardc6932 My results showed that I had cancerous cells in most of the Prostate and the Seminal Vesicle as well so a gleason score of 3/4 and stage 3 cancer. I followed this with a full body tissue scan and a full body bone scan to see if there was cells anywhere else but that was negative. I opted for a robotic prostatectomy which was a 5 hour OP and 4 days in hospital. The 5 days with a catheter were uncomfortable and the three weeks since its removal have resulted in a certain amount of leakage and the loss of an erection but i am having physio and medics to cure this and should all be cleared up within 3 months.. What is also often not mentioned is that the OP causes your penis to shrink 3 or 4 cm. Also I had to have 20 daily injections and wear really tight stockings for 20 days to prevent any thrombosis which were very unconfortable. The 6 holes in my abdomen have healed up and never gave me any trouble. After 3 weeks I was able to restart quite a vigorous workout regime (I teach spinning classes in a gym as a hobby as I am now retired) and in two months I will have more blood tests to see how my PSA is looking. If there is further signs of cancer I will then be having radiation treatment. I know I have been very long winded here but I just wish to stress that my whole experience has been very positive and although unpleasant is not something to be feared. Good luck with your results.
I had my biopsy on April Fool's Day of 2022 - nice timing, right? I had a transperineal biopsy, which is far safer than transrectal. I live in California and I had to search hard to find where that approach is available, but we'll worth it. Mayo Clinic has a TH-cam video on transperineal biopsy that is worth watching. The anxiety going in was the worst part and, for me, the pain wasn't bad. If I ever need it again I'll go back to the same doctor and I would feel confident in him.
I'm in the UK, having mine in two weeks, terrified at the procedure, I'll be a nervous wreck on the day ,you have been a great help to overcome some of the fears. Thanks
It has been almost two years since my prostate biopsy- and it is really becoming a distant memory. How else would women ever give birth to more than one child, right? Time dulls down those sharp edges. You will get past it too. Wishing you good luck with your results.
Hey friend I'm in the UK as well . Did they do the procedure with you face up legs open naked and awake ? This is off the chart humiliating. How did it go ?
@@48firefox In my case , there was one doctor and 3 females , young females all in the room . It's something that I couldn't understand how they could be so casual about it so I turned it down for now . By the way if the gender's were reversed and I was a woman and there was 3 young men there would be outrage . Well good on you for going through the process and hopefully your clear now .
@@hills123fulHi UK friend.....i had a Transperineal biopsy here in Cork,Ireland. Again,all females in the room,all very pleasant of course,but still embarassing. Both anaesthetic needles quite painful. After all that, the 20 radiotherapy sessions were a doddle,although the monthly ADT injections leave one very sore for days afterward. It does make a difference when the doctor pulls up the belly skin and injects into it....way less pain and soreness afterwards. Usually,injections are every three months,but as i had problems with the initial meds, Bicalutimide capsules,they were replaced by the monthly injections.
I had a in office prostrate biopsy done about 10 years ago. It was the WORST Experience of my life. I still have nightmares about the procedure. I am totally impotent as a result. No sex life at all!!! Because there is no climax, no ejaculation, no feelings. Dr said it was one of the side effects. I almost returned to the alcoholic lifestyle. If you are waiting for a happy ending forget!!! MY wife and I sleep in different rooms, sometimes we watch TV, go to the movies, or go out to eat. I'm still sober. I call the building where the procedure took place, the house of pain. In my mind, the sign above the reads," Abandoned all hope he who enters here." Dante Inferno I asked my regular DR. If I could have a prostrate exam. after the exam my DR. said, there is nothing wrong with your prostrate, there are no lumps, it felt normal to me.
That is the WORST excperience I've read all day long doing my research. You really got hurt on that procedure. The MA's or Docs NEVER, EVER mention some on these terrible painful things that can happen. You are a witness to their failures. Thanks for sharing... I am so sorry for you loss... What a mess... Glad you didn't got back to alcohol and such. You had every excuse in the book to do it and you didn't.... My heart aches for you because I could end up like you because that's where this MA has be going right now. I don't know if I believe you or not!
I'm 56 and had no clue about what I was in for when I had it done. Out of the 12 needle core samples only 4 of them were tolerable to me. I hated the 8 remaining but you get through it, not fun at all nor is the ride home sitting. I had a gleason score of 4+4 (8) with a diagnose of a contained malignant mass. I had the robotic surgery done 4 weeks ago ( July 27th ) to remove the prostate, that's a fun time too. Catheter for a week made sleeping difficult. Look, none of it's fun but what's the alternative? I will say the whole cancer thing taught me many thing's about myself, my faith and others around me. The drug/hormone prescribed before surgery to stop cancer growth Bicalutamide made me emotional, needy, no appetite and unable to make simple decisions. I lost 20 lbs and I was a fit person, so I didn't look well losing that much weight. The doctor took me off the drug about a week before the surgery. To put weight back on I drank a 350 cal Ensure plus shake with each meal I ate. That's 1,050 added calories to my diet, so far I gained 13 pounds back. My wife was a tremendous help at home both physically and mentally. I hope others can be as lucky to have the support I've had from family, friends and work associates. I'd also like to mention I feel blessed because this is one of the many times the lord has answered my prayers.
Glad to hear you are getting back to a healthy weight post-surgery and that you have such supportive people around you- that really makes all the difference.
Just had mine done, expecting the worst. Local injection only for pain, but never even felt that. The rest was just pressure, but no pain. Maybe I got lucky?
@@Delani11 Well brother it's been a heck of a ride the last year and a half. After the robotic surgery removing the prostate my psa was at .08 then began a slow climb .12, .14, .19, .27, .34 and .44. Apparently I still had some cancer in the pelvic bed but nothing in my lymph nodes Doctors felt it was time for radiation (after 2 pet scans and a MRI) 38 sessions total and hormone therapy for 6 months (lupron shots). Radiation wasn't bad but you have to have a full bladder every time when getting treated, not fun trying to hold it without a prostate. Hormone shots have a host of side effects, for me it was some muscle mass loss, sleepy, no sexual desire, because it literally knocks out your testosterone. Legs are achy, swelling in my lower right leg/ankle, night sweats and hot flashes during the day. The good news is that for now I'm looking in the rear view mirror. I had my final shot about 3 weeks ago an my last 2 PSA results were < 0.02 ng/mL AWESOME !! That's where we want to be. I feel blessed and thank god, I do know there's always the chance of recurrence but for now it's good times! My message to all is when it gets tough take it day by day, hour by hour, foot by foot or inch by inch. Your mental health has great effect on your family and well being. Cancer doesn't define who we are it's a reminder to be ready for a fight. Hopefully you're doing well, I assume if you're poking around here you've got your own battle going on. Stay in the fight and god bless you and your family.
I had a biopsy done a few years ago. No pain during 1st 10 biopsies. Last two were a really wake up call. Very painful. I would guess I was given a local anesthetic that wore off before the final two. biopsies.
Thank you for this video. I really appreciate your kind and open manner. Mine is delayed two months so plenty of time to worry, lol. You made me feel much better though. Thank you.
I've had three prostate biopsy's. No shots, no drugs. It only took about 10 minutes. I felt a little pressure when the needles were fired in to the prostate, not what I would call pain. The first one, was a diagnosis of Cancer. I had a second one some time later which had the same results. We decided to monitor it and it has been 8 years since the diagnosis with only one change. The last biopsy's was without any findings so they did a MRI and that could not find it anymore. My PSA has been rising slowly but I've had no changes in the physical or medical findings that would normally be associated with cancer. I am still monitoring it every six months in the form of another PSA. I didn't find it painful or nearly as melodramatic as what was just presented. The only unpleasant thing was that I did have bloody semen for a week or so and after that it was fine. I didn't find any of it to be painful or problematic and it wasn't done for some macho matter at all. So now like I said, it has been 8 years and the only thing that has changed is the fact that they can no longer find the tumor. I turned 75 yesterday and now it becomes doubtful if it would be wise to do anything if it flares up again. I wouldn't be risking that much time really.
@@iamric23 Whatever one was where there are twelve samples taken with a biopsy needle though the colon wall and into the prostate. It sound terrible but it was one of the medical procedures that when they say you will feel a slight pressure, that is exactly what you feel. I have had three and all felt the same. The first two had the same results and the last one found nothing which was followed up with an MRI which also found nothing.
I had mine done last week. No sedation. One little pain (almost nothing). I was nervous for nothing. I was playing video games on my phone while they did the procedure.
I had my second biopsy today. I did not have anesthesia. Lidocaine was applied locally. I experienced no pain whatsoever. There is some soreness, but not too bad. I have some slight blood in my urine.
I've had a few of these prostate biopsies always with a numbing gel (lidocaine). Some pressure when the ultrasound is initially guided in, but other than that nothing I would categorize as painful. The "clicking" sound of the scope is the only indication to me that a tissue sample is being taken. Actual procedure over in 10-15 minutes. Have both BPH and low grade cancer (3+3), and had the TURP procedure few months ago to deal with my BPH. All is good as off the pills now and no major issues.
I have had two transrectal biopsies I had one a day ago and one 6 years ago. In both cases, I had the procedures at a surgical center and while under twilight anesthesia (same intravenous anesthesia as given during a colonoscopy). In both cases, I had no pain during or after the procedure. I did have a small amount of blood in the first few seconds of my first post-biopsy urination and a bit more blood on the first stool that I passed. For a few hours after the biopsy, I felt as though I had to poop--but only a mild sensation, at that. For about three days before the procedure, I had a soft diet, not too much fiber, which kept me regular and my stool firm. A few hours after my regular morning poop, I performed my enema procedure. I did so about two hours before arriving at the surgical center. I pooped easily 10 minutes after the enema--a normal and easily passed stool. The diet also meant that I did not need to strain to poop after the procedure, which you really want to avoid. I continue my antibiotics as prescribed and await the results. If all is well, in a few months, I will undergo a PAE procedure at the University of Miami Medical Facilities. My PSA has hovered around 4.25 for many years--with a low of 3.80 and a high of 5.20. All DREs have been negative. I have a large prostate of about 130 grams. The PAE is intended to improve urination and avoid having to use a catheter (which I have never needed) as the prostate continues to grow. I am nearly 65, very good health. Let's see what happens. Don't be afraid. I do recommend twilight anesthesia, though. Oh, by the way, I did have a Multi-parametric MRI of the prostate about 4-1/2 years ago. That, too, was negative. Good luck and improve your health while you are at it--you want to see your kids and grandkids grow up. Bye!
That's my picture. 65 yr old Man. It was 9 weeks (I was told "probably a week" to heal") ago I got my 10 sample locations. I was told by my Urologists "I am certain you have cancer" Maybe, but this did not show that. It was the most painful experience besides herniated disc pain wracking you w/spams I have experienced. I have had daily pain with hours of aching and spikes in pain like knives. Yesterday I finally called to seek help (VA Clinic) I was told I had to get referral from current Dr. for different Urologist. This man was unkind and unprofessional in my opinion and I did not want him to examine me as they don't ever admit mistakes. He said he was using topical anesthetic but I never felt that numbness or even close. I will have a journey ahead I think.
My urologist performed the biopsy procedure by himself, no anesthesia, all I got was a blast of cold spray, to numb the area, no Xanax, and not offered any anesthesia option. Oh yeah, I ended up getting a blood infection and wound up in the hospital. And yes I have great insurance. I still see him but maybe not for long, especially after seeing this video.
Sorry to hear you had such a bad experience. The prostate cancer field is seeing some technological improvements but it takes a while for everyone to start using them.
This is the THIRD terrible problem I've heard on this chat session so far. This really sucks! A lot of positive experiences, but when it goes bad you're screwed!~!!
I had 2 biopsies resulting in allergies to 4 classes of antibiotics and a chronic VRE infection. Both were negative. I still have a PSA of 15, but there's no way I'll ever have another biopsy and I regret having the first 2.
52, just had my biopsy done 6 days ago under general anesthetic. A little sore but nothing bad at the moment. Most painful thing was peeing on the first day. Now I have to wait 2/3 weeks for results. No antibiotics just rest for me. I would want the general anesthesia if I have yo have this again. Good luck everyone...
Seeing as my experience of the prostate biopsy provided material for a whole video and yours is summed up as "a little sore" I think you made the right choice. We all have enough unpleasant memories- why add to them when you have the option? Good luck on the results. 💪💪
Scheduled in 4 weeks for TRUS and a cystoscopy (2 for 1 says my urologist ) PSA was 7.2 last year jumped to 12 this year. Main symptom frequent urination. Have been diagnosed with BHP for many years 69 now. My big fear is infection, can't find anyone in my area that does the transperineal (N.W. Ohio). Had a CT scan a week ago to check for a kidney stone, it also showed an enlarged prostate. I really don't want to go down the medical rabbit hole, seems many have a tough time getting out one problem leads to another. Seems to me at the very least they would do an MRI first instead of blindly poking holes through my rectum into my prostate. How do I find a Dr. that offers the transperineal. Thanks really needed a place to talk about this.
Ended up going to Cleveland Clinic, and having the TRUS biopsy done. New urologist did DRE and felt a small nodule. Since there was a target he didn't feel an MRi was needed. Biopsy ended up not being a big deal, uncomfortable yes, painful not too bad. No side effects, no blood from either end. Results came back positive 10 of 18 samples. One sample Gleason of 4+5. Bone Scan and CT look good, now going for PSMA Pet. Looks like a Radical Prostatectomy is in my near future. Get the biopsy done it's not that big a deal.
The worst part of my 2nd biopsy is my urine flow has never been the same since. They deny and deny it had anything to do with it, but please…. I’m not a fool.
Having one soon, not scared. Under light sedation-ie, pretty much knocked out. Fine by me. In April I underwent spinal fusion-biopsy not much compared to that, which went very well.
I've had 3 samples over the years, until 2013, when I was diagnosed. Those were all while asleep. For the radiation treatment, I had 3 gold beads installed, without any painkillers.
I am glad you found it helpful. I really can't imagine what my wife and kids have gone through having to deal with my prostate cancer. But I am thankful everyday that they are there for me (and I should probably say that to them more often!). I am sure your husband will appreciate your support just as much.
@@parristx He had the biopsy done Monday under local anaesthetic, still a bit tender but thank God he is feeling much better, just waiting for the results now.
I just had this procedure done four hours ago and I'm at home in front of the computer writing this note. I haven't had a bowel movement yet, that is actually what I'm fearful of. That pain. But the procedure was the same here. (Germany)
I had a biopsy 7 years ago. It was uncomfortable but not painful. Im due for another one in about a week. Rising PSA. Active surveillance. No anesthesia etc.
Had first biopsy a few weeks knew i had bph going in. This likely contributed to complications resulting in excessive bleeding and clotting which led to a catheter and more blockage and bladder spasms worst pain in life. Three days in hospital after being moved to continuous flow catheter. Still peeing small amounts of clots today but much less than a week ago. Would do everything in my power to avoid another and go MRI route if possible. Results were one core gleason 6 with psa 4.1. Next step is active surveillance.
A woman I know told me her husband had prostate surgery. I said - that must have been awful. She said - the operation was fine but the biopsy was a nightmare.
I decided to have a scan before the biopsy. If you told a woman that she Might have breast cancer and you were going to blindly take random biopsy samples from her breast with no imaging what would she say? It saved my quality of life and possibly my life itself. I did have aggressive cell cancer. No problems now.
I'm in the UK and had the biopsy done a few months ago. Its different here I guess. I had to sit in a chair, with legs in stirrups. Family jewels were taped up against my stomach, probe inserted in the rectum and 28 biopsies taken. Not pleasant, just uncomfortable, but not painful as I was injected with Novocain locally. Doctor, technician and nurse were present. Once completed, I was given the paper towels to clean all the lubricant and blood up. It obviously bleeds as a 12" needle shoved in your undercarriage 28 times is going to get a reaction. Went home on the bus and was sore for a few days. Be prepared for blood in your urine. Four out of 28 biopsies were cancerous. Gleason score of 7. PSA blood tests every 3 months, and "active surveillance" ( watch & wait).
Here in Ireland, prostate biopsies are similar. I had a transperineal biopsy and the initial anaesthetic needle hurt as did one of the bioosy needles. All three medics in the room were women,which does not help!!
Have had three prostate biopsies over the last 15 years. The first two were without a local numbing anesthetic and sorry, but they hurt. On the third one I developed an infection and went septic. I spent 5 days in the hospital on IV antibiotics two days in ICU. Fortunately I was ca free. I go for an MRI next week, and needless to say, I'm not a big fan of prostate biopsies.
Had mine done. I was shaking like a shitting dog all the way through. It was a transperineal after it was finished I got a lift home from my wife, I completely broke down in tears in front of her as I felt so brutalised. But I would advise all men to have it done if there psa is high. Not having it done could be fatal. Would I go through it again having had it done? Off course I owe it to my wife, children and grandchildren. It could save your life xxx
I’m having one on October 16. Worst part is going to the urology office the day before and after to get high doses of powerful antibiotics. I’ve had multiple spine injections so the needle part isn’t a big deal. I had a biopsy back in 2018 but it was with a testicular surgical procedure I was having done. I have no fear of needles or injections. Sometimes it’s a bit uncomfortable positioning but the docs and their nurses have seen it all before so no need to panic or get embarrassed. The lumbar spine epidural injections are very similar to what the urologist does, so I’m Used to being poked..😊
My experience differed from yours in what I experienced. My urologist did not give me the option of a local anesthesia. I assumed that I would be given something but clearly I was not. It was one of the most painful experiences of my lifetime. I cannot believe that 12 gun shots with a small caliber weapon would have been less painful. Indeed, my only greater experience with pain was when I passed a stone some 30 yrs ago. I didn't expect nearly so much pain. I struggled walk after the process was completed. I am certain that I did not receive any form of medication to reduce pain prior to or during the procedure. There was an alarming amount of blood on table when they finished. I was never told about that. All in all a necessary but extremely unpleasant procedure.
Sorry to hear you had such a terrible experience. At a minimum everyone should be given something for the pain. And more and more hearing from other men who have gone through the procedure I think some light anesthesia should certainly be offered. Let's hope doctors take note!
I blame doctors for not considering pain when doing this procedure. One problem is that the doctor only knows what the patient tells them and many patients don't want to complain directly to the doctor about how painful any procedure (this one included) was for them. Patients have an obligation to medicine to make sure doctors know what their experience is like. Sometimes a patient has to demand attenton to be heard and that is not easy. It's the doctor's exam room, the doctor is very much at home and the patient feels like they've been kidnapped by aliens. Nevertheless, if only because the patient owes it to the next person going to have the procedure, a patient must explain exactly what they felt. I have a rule and will interupt a doctor mid sentence if they use the "D" or "T" word. Discomfort is when the drycleaner puts heavy startch instead of light. Tolerate is a difficult proces and cannot by definition be done "well". I will cock my head sideways if a doctor says something to the nature of, "it's a simple procedure that is generally well tolerated and we do our best to manage any discomfort." I then say, "what I heard was it doesn't hurt the doctor while the patient is in agony. Do you want to explain that again?" As patient who really believes I have an obligation to tell a doctor when I've had a bad experience, last year I had a very bad experience at the dermotoogist. I phoned twice, and then confirmed when they called to reconfirm my appointment that I'd have 10 mintues with the doctor and the entire staff to explain how they'd failed basic customer service at my last appointment. Of course, when I got there, nobody had any idea that I'd been promised the 10 minutes. I was offered the office manager instead and told her exactly what went wrong and why I'd not been treated with respect. After she heard me out, she asked if we were all good now. I said that we would be as soon as the doctor and everyone who would be treating me that day was in the room and I could repeat what I just said. Reluctantly, she got th doctor who at first attempted to blow me off. I seriously felt like I was doing them a favor by telling them of my bad experience. (side note it was the dermotologist and I was butt naked by the time the doctor got in the room which didn't make giving a presentation to him and three women easier). But, I did get my 10 minutes and when I was done, the doctor thanked me for what I'd said. He said that if patients don't speak up when something goes wrong, they have no way to know. I'd had my time and did not point out how hard it was to get his attention. All that to say, speak up if it hurts. Tell them to stop.
I had the same exact experience. 6yrs later I am told I have to have a Prostate biopsy again! :( This time a MRI Fusion Biopsy. GL to all when doing this. Definately a whiskey & ice at end of procedure.
So long as a person has a ride home I don't know why they wouldn't give a Xanax to make it more bearable. Hopefully that will become the standard of care.
I had a prostate biopsy yesterday. At Penn Medicine here in Philadelphia. I have 3 lesions on my prostate. The whole procedure went well. Home about 3 hours later. A little blood in my urine, and my poop but that’s to be expected. Now I wait until next week to find out the results. Getting old sucks. Diet, exercise and good sleep are all important factors in helping your prostate. Not vitamins or supplements or anything else.
Glad things went smoothly for you Mark. I very much agree about the diet, exercise and sleep. But some studies suggest that supplements like lycopene "may decrease the growth of prostate cancer"- pubmed.ncbi.nlm.nih.gov/11489752/ They aren't conclusive but I am of the mind that if it is not going to hurt me, and it may help me, then here- take my dollars and I will give it a try. 😁
Wow! My experience was the polar opposite of yours! No sedative, just my urologist and a nurse, extremely painful, and I bled like a stuck pig for HOURS afterward! I almost went unconscious because of how much blood I lost! Most unpleasant medical procedure I’ve ever been through. You didn’t mention having to do a fleet enema before. Did you have to do that?
Sorry to hear you had such a hard time with it. I seem to remember having to do an enema beforehand. And one before the prostate MRI. And several times in prep for the radiation imaging and having the ceramic fiducial markers put in. Dealing with prostate stuff you just get used to doing the enemas.
Yes had to do a fleet enema.As a final word in lots of clinics all staff wear scrubs so because the young woman who is helping dr is wearing them doesn’t mean she is a nurse due to medicine being a business and their being to concern for male dignity that female could be the receptionist or a note taker or even a random female employee.Remember your dignity is of no importance
On my third biopsy, (in office) I developed infection and became septic. I'm scheduled for my fourth biopsy after an MRI of my prostate found a lesion. This biopsy will be done under General anesthesia in the hospital. It will be a transperineal biopsy guided by MRI. The first three transrectal biopsies were horrible without anesthesia. Don't let anyone tell you that's not a painful experience.
Shit! I just jad a TURP and they found a small amount of slow growing cancer. My PSAs have never been over 3.5 and my last before the TURP was 2.6. So in 6 months the doc wants a needle biopsy. I definitely do not! I'll be honest, I'm not liking what i saw in a couple of videos. Imma get fucked up before I go in. To hell with it. I have chronic pain so I have pain meds and they don't offer something better that Xanax, I'm cancelling this shit. I loathe Xanax. Needles through my peroneum? Not without big valium. BUG SHIT! You're a better man than I, Sir!
My urologist offered to do my procedure at an outpatient surgery clinic so they could put me completely under- if that was what it was going to take to get me to agree to the biopsy. Insurance may not cover the extra cost but it might be worth the expense. And if you discuss your concerns with the doctor maybe they can offer you something other than Xanax. Good luck with everything!
I have had two first was 12 cores 2nd was 24, both were done with a local injected in prostate. Seriously for me the worst parts was the insertion of the probe/ultrasound, just very uncomfortable. I had no issues, but everyone is different. A coworker had his about week after mine, he freaked out , panicked and passed out. We had the same Doc. I had blood in urine and semen for about a week or two, best thing you can do to clear it up is keep the pipes clean. Fortunately no cancer for me, my coworker was not so lucky. Currently doing the foot work for a third biopsy.
I have three biopsies done 15 years ago and they are all negative, I’m going to have another one again, I have done a lot of research and found there are some new technologies to do this called MRI targeting and Transperineal instead of transrectal to reduce infection. I also wish to get general anesthesia.
I just had this done last week at the VA. The 3 shots of lidocaine was the worst part. I didn't have any kind of anesthetic, If its offered i would recommend it.
Just had mine, the probe was more painful than the needles. Expect blood from both ends. The first time I peed I had some big clots and my urethra burned somewhat. I did feel my prostate ache the first few times I peed. Tylenol Fist two night to sleep. 20 cores
Thanks for the informative video. Did the biopsy needles access the prostate via the rectum wall, or was it the so-called "transperineal" route which is not via the rectum (much less risk of infection)? Thanks.
Wow it seems you took that easy as I can see your face, just now I am in anxiaty because I will do the prostate biopcy next week coz according to my MRI result they found 2 tumor in my prostate I hope its not agressive one n still curable.
@@parristx thanks, before I met my urologist my psa was 3.8 and took again weeks efter still thesame result, dre and ultrasound was normal according to my dr. Then the MR showd something suspiciousI and one abnormal in my bone so tomorrow they will scan my bone, thats makes me worried if I have a cancer hope its not yet apread to the bone. I'm 62 yrs old this yr and I want to live for my son and I will fight for it.
The latest method is a transperineal biopsy with a general anaesthetic lasting about 1 hour. You obviously don't feel anything and post the procedure there is just some general soreness in the area and blood in the urine for a few days. I had a fairly low PSA of 3.4 but there was a lesion on the MRI. On biopsy it is a Gleason 3+4 which needs treatment....this information could only be obtained via the 16 core biopsy (12 random cores and 4 targeted cores). I had an excellent surgeon and I didn't even need painkillers post the biopsy.
Transperineal biopsy is the method to consider after a MRI since it does not require needles to go through your rectal cavity. Do not let a urologist stick needles into your prostate through the rectal cavity without first getting a MRI. You may not even need a needle biopsy. My urologist stated that a transrectal biopsy was not a "big deal" and I walked out of his office and found another doctor. I received an MRI that showed no cancer or disease but an enlarged prostate. And no side effects from this middle ages technique of a transrectal biopsy. END TRANSRECTAL PROSTATE BIOPSY. Norway has recently (2023) has banned this procedure (transrectal) due to complications and death. Investigate your own heath and new advances in prostate treatment and cancer (disease) before submitting to any invasive procedure.
Hello I have prostate cancer and going to start with a testosterone injection and then going to get a shot of something else crazy expensive and then start on radiation therapy. I’m scared as hell about the testosterone injection and the horrible side effects. Can you tell me how bad the testosterone injection is and how long is makes you have zero energy and when will I feel normal again?? My Gleason is 8,9,8 and I’m a high risk for surgery. Is radiation also going to make me sick as they say??? Thanks for posting this topic
I have had bone marrow extracts eight times, and twelve intertheacal (spinal column) injections, and it was tolerable. Scheduled for this procedure in six weeks. Time will tell.
Just had a 14 sample done last week (all negitive). Let me assure you, the fear of the biopsy is way, way, way, worse than the actual biopsey. I didn't think a calming drug was necessary and did not take any. Most will tell you they would rather have this done than a tooth pulled.
Glad to hear that your biopsy results were negative. 👍👍. I think different people have different tolerances to pain and different degrees of anxiety so it would be good if pain and anxiety reducers were offered as a matter of course.
I have had 5 biopsies since 2017, the last one 2 weeks ago. The first was trans rectal in the office and yes was rather painful. The last 4 trans perineal. Worlds apart in reducing pain and recovery time. The one last week was the easiest of all. I would never go back to trans rectal.
I've got to say that my biopsy was nearly painless. They inserted the probe, not entirely unpleasant, then the actual biopsies, where the needle shoots through your rectum and into the prostate. Each of the dozen needle inserts were kind of painful but not any big deal. Nothing i would try to avoid if i needed it again. Afterwards i didn't have any bleeding or anything untoward. It was all done in very little time and not bad at all.
I just DO NOT understand how sedation for a cscope is fine but to have someone dig in the prostate…. Oh you’ll be fine, no sedation needed. All I know is I am demanding the hubs is knocked out. I don’t care what the bill is.
Had a transperineal biopsy last summer following a psa test of 5 (picked up during investigations for another health issue). Had local anaesthetic injections first then 30 biopsies- didn’t really feel anything, worst part was when the doctor sprayed the area at the end with a disinfectant type spray - it really stung ! I was able to go home about an hour later when I had passed urine. Turned out all areas of my prostate had cancer (I had no symptoms of this at all) so I chose to have it removed robotically a few months ago, and am now waiting for the first psa test result which I had done yesterday.
I suspect you are in 'good company'. Our generation (I presume) is rife with this crap. I hope your results are excellent! I'm awaiting scheduling for the biopsy phase.
I had 32 biopsies and my prostate was so swollen I had to have a catheter left in for 3 weeks.
Had my prostate removed last December by robotic surgery.
That was less painful than the biopsy.
Just passed my second blood test at 71 years.
Thanx for this video. I'm looking at a biopsy in the next few weeks and am very apprehensive about it. My dad had one done around twenty years ago, and he said it was the most painful thing he'd ever experienced, so watching your video gives me hope that there are now significant steps taken to lessen the pain involved with the procedure. I wish you a complete recovery and a very long and happy life. ☮✌
PSA 18. Started ADT. Biopsy time. Had mine last week in November '23. Was given antibiotic for 4 days before. Drove to the office. Dressed in lower part of gown and rested on my side on the bed. The Dr. and assistant on the ultrasound machine. Lubricated the ultrasound probe and inserted. He then sprayed "the tender spot" with a local. 12 cores taken. Tiny shock, like a static spark from walking on a rug. The Probe was the most uncomfortable because of hemorrhoids. Less than 30 minutes after I arrived I was driving home. Continued Antibiotics for 4 days. No aftereffects. No pain, no blood, no lingering soreness. Gleason 9. Looks encapsulated. I start radiation in 3 days. 79 Year old.
Good on you for driving yourself there and back! If they hadn't given me Xanax before the biopsy I may have been okay driving myself- but for biopsies and colonoscopies I try to arrange a ride. 😁 Good luck with the radiation and other treatment. Hang in there! 💪💪
I've had 3 prostate biopsies in the past. The last one was the most painful. At no time was I given anesthesia at any of them. I was diagnosed 8 years ago with an aggressive cancer of the prostate. I had brachytherapy plus external radiation and hormone therapy. It was a year to remember for sure. I'm fine now with a PSA of 0.008.
Wow that is a blessing to hear your story, I'm having brachytherapy next month, been on ADT hormone therapy for 3 mos now. I managed to get my psa down from 40 to 6.36 taking soursop tea and apricot seeds. Doctors also want to followup with external beam radiation. So my story is similar to yours. No recommendations on removing the prostate.
This biopsy increase CANCER
My biopsy went well. Uncomfortable is the best word that fits. Actual pain is minimal. The whole procedure took 10-15 minutes. I'm a little sore, but that's it. Prostate is enlarged but not abnormally for my age. No tumors or lesions. We'll see what the tissue says though. Pain wise breaking my foot and diverticulitis was worse. Look forward to healing up though. 😊 I was wide awake and drove myself home right after.
How did it go? What u end up having?
@@carlogarcia209 no cancer detected. Benign enlarged prostate diagnosis currently.
I had a prostate mri & biopsy about 3 weeks ago! I’m not sure what the deal with yours was, but my procedure was a piece of cake! Next to no pain at all. No anesthesia per se, just a local placed up there was a lidocaine lubricant. Procedure guided by an ultrasound instrument. 12 cores taken & took about 20 minutes. The doctor & a male nurse we’re all that we’re in there.
Did the doctor send a needle into the prostrate to numb it first?
@@iamric23 They always do.
@@hn5460 The reason I asked him was because he had said this in his comment, " No anesthesia per se, just a local placed up there was a lidocaine lubricant." Lubricant is different than a needle penetrating the prostate.
Yup, same for me, not really a big deal at all.
Just a doctor and nurse, ultrasound went in, local anaesthesia injection went in (most painful part, but not that bad really), then 12 core samples (each feels like a baby electric shock, but not painful). Done.
No sedation should be needed for this.
Afterward just a dull ache in the prostate for a while, kinda feels like you need to pee constantly.
And be aware, ejaculating looks like a murder scene for a few days lol
I had a prostate biopsy last week, after PSA test. Hey, I wouldn't put a biopsy on my bucket list, but it wasn't as bad as the stories I heard. The click went about 12 times. I felt no pain at all from the actual needle that takes the biopsy. Just an uncomfortable sensation of obviously getting that up your backside. Not unbearable pain, just uncomfortable sensation, but to be honest, not anywhere near as bad as I thought. They put me in a wheel chair, took me in a room to rest for 30 mins with some tea, and I walked out of the hospital fine about 40 mins later. Told me I might urinate blood and from my backside when go to the toilet. Urine was fine, a little blood from the other side, but on a whole, fine. Worst part is waiting for my results. So don't worry about the biopsy. Not that bad.
Thanks for sharing
I just went for a LATP biopsy (local anesthetic transperineal prostate biopsy) last month. I asked for half of the typical dose of local anesthesia and was granted, no relaxant either. I took one single Tylenol 500 mg right before the procedure instead of two as prescribed. I took one single dose of Keflex (cephalexin) 500 mg two hours before the procedure to reduce the chance of infection.
The experience: No pain at all even when my urethral was accidentally pierced through (fresh blood coming out from the tip of my thing). Throughout the procedure, I chatted and laughed with the doctor and the nurse.
At home, I touched the area where the needles went in, there was no pain either. To compare: a dental root canal is much worse, I tell you. I was back in my regular activities the next day, sans exercising.
That's great you could have a more comfortable experience. I think I would worry about distracting the doctor by chatting during the procedure. But doing it your way sounds like it makes it a more casual experience. Good to hear!
Thanks for posting your experience for those that might have this in their future. You are a good guy.
Thanks Mike! I had some deja vu when I went for having my prostate markers placed for Proton Beam radiation therapy- th-cam.com/video/qfthRM6Iu50/w-d-xo.html
Thanks all for posting your stories. Made me go in and get my PSA bloodwork done. Results came back today. 0.9 phew!! Good luck to all 👍
Appreciate this a lot....going in for a biopsy with 15 samples being taken 12 matrix sample and 3 on a lesion of pirads 4 features. Like you, I've read a lot on the web and I've scared myself silly. Your video helps a lot.
Thanks! I found in reading books on the subject that they tend to be less alarmist than what you find on the web. And I will be keeping my finger crossed for you. 💪💪
@@parristx you were right. Had the biopsy yesterday and it was totally painless. The only thing was a little feeling when he numbed with lidocaine. I had valium to calm me. 7 minutes and it was over. Your podcast really, really helped....now, wednesday, the biopsy results. Thanks again.
I’m in the exact same situation as you. You obviously don’t have to reply but I’m curious how it turned out and I hope you are doing really well.
I had the same procedure last week (very very painful...wish i took something like you) and just got the results today. Came back normal, no cancer, no BPH and no evidence of prostatitis, although my MRI from a few months ago noted mild BPH, current or past prostatitis, with a 1.3 cm focus in the transition zone. It was suspected I had prostatitis causing the appearance or other conditions on the MRI that since cleared up and also caused the mildly high PSA and low free PSA. I'm relieved. ;) Also, my MRI prostate was almost 30 cc in size but by the biopsy, it was down to almost 25 cc, normal size. Sorry to hear about your situation and will watch to see how you're doing now. Thanks for sharing
Great news! It is nice to hear from someone who got good news at that "going over the test results" meeting with the doctor. I wish that were the case more often.
Why did they biopsy you , high PSA or MRI lesion?
It sounds like experiences vary greatly. My doc had me use a Fleet enema first. The first needle stick into my prostate was extremely and shockingly painful and I kicked a wheeled tray across the room and yelled out in pain. The Lidocaine took effect between the first and second samples and then all was numb. Afterwards, the nurse handed me a bag of pads to put in my underwear since I was bleeding. It stopped after a few days. My next several ejaculations were blood red, then increasingly light pink. There are worse medical experiences, I'm sure, but this one was worse than I anticipated and I hope to never have to repeat it.
Biopsy under general anaesthetic is definitely the best way to go, you're out of it for about 20 mins, Yes you ache afterwards, but that's what painkillers can deal with if you need some. Best decision I made, luckily advised by a mate who went for a local Anaesthetic before me and almost passed out before his biopsy so they advised him to have done under general anaesthetic. Just waiting for result, fingers crossed as mine was found at very early stage 😊
I hope it gose well for you.
Update, mild, very mild cancer, treatable but nevertheless it's cancer. Certainly makes you stop and think, waiting for a date for another blood test to see if the PSA is stable or rising. 😒
@@peterjones2761 Had my biopsy done under anaesthesia, why be uncomfortable? I too was positive but caught very early, had a Brachytherapy procedure done (least invasive method) and am now clear. procedure was done December of 2019 so 3+years and counting, best wishes to you.
It really isn't or shouldn't be full general anesthesia. No reason to breath for you when dulling pain is the only goal. I watched as a team of medical personnel used a very long, thick, hollow-core needle to remove three core samples from my liver. A biopsy. No pain at all. I was Very talkative (from the meds) and curious. Surprised I did not faint as I actually watched the needle jammed in bit by bit into my chest. All eight inches. Three times. It was like watching yourself get shot but, thankfully, no blood. And, I knew and clearly understood that they were putting deep holes in me but I just did not care. Surprising reaction. Alas, all cores came back normal so they sadly missed the targets three times. But, I'm still here to talk about it. By the way, for the curious, they do seal the holes in you after ALL is done. The plasticizing sealant used lasts longer than than actual healing process time. You can bathe and wash as normal; just no hard scrubbing. So you go home a few hours later (meds wear off fast) and no more needs to be done. No need for three individual stitches or anything like that or removing such things. Interesting experience. Recommend it? Not unless you have to.
@@davedixon2068 Good for you!
Thanks for sharing your experience. I have my prostate biopsy tomorrow morning
How did it go?
Be strong And relaxed it's been a few weeks since I had the biopsy done, I went for the results today I have cancer. So I looked a the options and in three weeks I will have my prostate removed
Good advice!
The best of luck pal, hope it goes well 👍
Stay strong my friend.
How are you getting on pal
Can you give us an update?
I had two biopsies 6 months apart , the first time they found nothing , second time they found the cancer , the nervousness is the main problem , the rest is only discomfort
Parris! You are amazing. Thank you so much! Hang in there!
Thanks Orren! It is week 4 in Dallas now for Proton Beam radiation therapy- almost halfway done.
Thanks Parris! Always good to hear an honest and detailed account!
Thanks Troy!
I appreciate your video. I watched it before I had mine. The suspected area was on the very top of my prostate so they were having problems getting the needle to the exact area. I'm overweight so that didn't help. They did about 3 MRIs trying to get it in right and I finally told them, "Just shove it in it won't hurt me" which they did and it was not uncomfortable at all. I had no tranquilizer. I felt no pain or discomfort except for some groin pain a few days later for a few days. Unfortunately, they did find cancer rated Gleason 7. I had a PSMA PET CT scan to see if it spread. I'm finding out tomorrow.
Going through this biopsy soon. Thank you for sharing this process
Hang in there- you'll get through it! And I hope the test results are what you want to hear.
Just had the biopsy done. I was expecting the worst, but it was basically painless. Nothing but a local was used, and didn’t even feel that injection. When the first sample was taken, I was thinking, that’s all there was to it. Felt some pressure only.
That's great to hear! I know some urologists are using a newer biopsy technique that involves less poking and pain. Maybe you were fortunate enough to have that type of biopsy.
No pain for me.
I didn’t get a sedative, just an antibiotic capsule a few hours before the procedure. They numbed me with a needle, it wasn’t horrible, but it was definitely no fun. I started getting a strange ringing sound in my ears and got dizzy. I asked it that was normal, he said it was. After the procedure, my prostate was hurting. Thank goodness I had Tramadol or I would’ve been in for a long painful night
I have leukemia and had to have a bone marrow biopsy and aspiration of my hip. Like you, the internet had me really worked up. I had Versed as a “relaxant.” I didn’t think it did much but the procedure was uncomfortable but not painful. I’m now possibly facing a prostate biopsy and I appreciate your insights.
Hey Kevin! Doctor Google does not have a very good bedside manner. I think the most "sensational" posts tend to rise to the top of the search results so you read more of the extreme experiences and don't realize that those experiences aren't typical. I hope you are doing well in your treatments and won't need more biopsies in the future.
Thanks very much for posting this. Not sure where I am yet (rapidly rising PSA, MRI next) but, like you, I'm a 'need to know' sort so here I am. Much appreciate your willingness to share your journey.
Thanks! Learning everything you can to make informed decisions is the best thing to do so you will be ready when the day comes to make those decisions. Wishing the best for you.
Hello Parris: Thank you for this video. My prostate biopsy is scheduled for next month. Video is very helpful.
Hey Vladimir. Glad it was helpful. Wishing you all the best.
I had a transrectal biopsy in Luxembourg last week after having a psa of 5.2 and a 1cm lump on the left side shown by the MRI. Although nervous it couldnt have gone better.I was given antibiotics to take 1 hour before arriving at the hospital. I arrived at the hospital at 7, was taken to a ward where I changed into special pants, gown, socks and hat. Then a short walk to the nurses station where I was fitted with heart and blood pressure monitors and a short wait. Then into an operating room onto a bed with movable leg supports. Here I was fitted with a saline drip and the anaesthetic which didnt quite knock me out but all I could feel was a slight pressure. "20 minutes later I was back in my bed in the recovery room for two hours (my blood pressure crashed) and then home. There was quite a lot of blood and lumps in my urine at first but that cleared up within two days and apart from that no pain, infection or side effects to mention. I will get the result in 3 or 4 days. Apart from a certain amount of indignity this is not something to be feared at all.
Thanks Kevin I will be getting the same procedure in the next couple of weeks.Lots of 'I was their' info.
@@No2traitor Its now over a week and I feel fine. The blood in my urine lasted for about 3 days but was not a problem, it was not noticeable any where else and I did not become constipated ( another side result) although I was given medicine for that as well. I did become sore after a day which lasted for about 5 days but nothing worth taking a painkiller for. For me the whole thing was a non event and I hope you have as good an experience. I get the results and a meeting to move alone to the next stage next week.
Interesting, I had an in-office biopsy with ..drop your shorts, raise your knees and here is a local. Twelve samples later, I had a lot of discomfort and an extreme urge to urinate but couldn’t. An hour later, a little dizzy, I left the office and glad it was over with. Seven out of twelve samples were Cancerous and removal followed. Not something that I want to repeat but it had to be done.👍🇨🇦👨🦳
@@richardc6932 My results showed that I had cancerous cells in most of the Prostate and the Seminal Vesicle as well so a gleason score of 3/4 and stage 3 cancer. I followed this with a full body tissue scan and a full body bone scan to see if there was cells anywhere else but that was negative. I opted for a robotic prostatectomy which was a 5 hour OP and 4 days in hospital. The 5 days with a catheter were uncomfortable and the three weeks since its removal have resulted in a certain amount of leakage and the loss of an erection but i am having physio and medics to cure this and should all be cleared up within 3 months.. What is also often not mentioned is that the OP causes your penis to shrink 3 or 4 cm. Also I had to have 20 daily injections and wear really tight stockings for 20 days to prevent any thrombosis which were very unconfortable. The 6 holes in my abdomen have healed up and never gave me any trouble. After 3 weeks I was able to restart quite a vigorous workout regime (I teach spinning classes in a gym as a hobby as I am now retired) and in two months I will have more blood tests to see how my PSA is looking. If there is further signs of cancer I will then be having radiation treatment. I know I have been very long winded here but I just wish to stress that my whole experience has been very positive and although unpleasant is not something to be feared. Good luck with your results.
I had my biopsy on April Fool's Day of 2022 - nice timing, right? I had a transperineal biopsy, which is far safer than transrectal. I live in California and I had to search hard to find where that approach is available, but we'll worth it. Mayo Clinic has a TH-cam video on transperineal biopsy that is worth watching. The anxiety going in was the worst part and, for me, the pain wasn't bad. If I ever need it again I'll go back to the same doctor and I would feel confident in him.
THANK YOU!!!!!! This is so important for so many men. THANK YOU!!!!!
Thanks! Glad you found it helpful.
Good information! I have to have one of these done next week! Explains what's going to happen! Thank you!
I had a prostate biopsy last week i'm just waiting on the results now, it wasn't painful just a little uncomfortable but nothing to worry about.
A little uncomfortable? YOU gotta be kidding. Hurt like HE$#@^^!
I'm in the UK, having mine in two weeks, terrified at the procedure, I'll be a nervous wreck on the day ,you have been a great help to overcome some of the fears. Thanks
It has been almost two years since my prostate biopsy- and it is really becoming a distant memory. How else would women ever give birth to more than one child, right? Time dulls down those sharp edges. You will get past it too. Wishing you good luck with your results.
Hey friend I'm in the UK as well . Did they do the procedure with you face up legs open naked and awake ? This is off the chart humiliating. How did it go ?
@@hills123ful Yes they did, you wear a gown, its horrible to say the least, but thats history for me.
@@48firefox In my case , there was one doctor and 3 females , young females all in the room . It's something that I couldn't understand how they could be so casual about it so I turned it down for now .
By the way if the gender's were reversed and I was a woman and there was 3 young men there would be outrage .
Well good on you for going through the process and hopefully your clear now .
@@hills123fulHi UK friend.....i had a Transperineal biopsy here in Cork,Ireland. Again,all females in the room,all very pleasant of course,but still embarassing. Both anaesthetic needles quite painful. After all that, the 20 radiotherapy sessions were a doddle,although the monthly ADT injections leave one very sore for days afterward. It does make a difference when the doctor pulls up the belly skin and injects into it....way less pain and soreness afterwards. Usually,injections are every three months,but as i had problems with the initial meds, Bicalutimide capsules,they were replaced by the monthly injections.
I had a in office prostrate biopsy done about 10 years ago. It was the WORST Experience of my life. I still have nightmares about the procedure.
I am totally impotent as a result. No sex life at all!!! Because there is no climax, no ejaculation, no feelings. Dr said it was one of the side effects. I almost returned to the alcoholic lifestyle. If you are waiting for a happy ending forget!!! MY wife and I sleep in different rooms, sometimes we watch TV, go to the movies, or go out to eat. I'm still sober. I call the building where the procedure took place, the house of pain. In my mind, the sign above the reads," Abandoned all hope he who enters here." Dante Inferno
I asked my regular DR. If I could have a prostrate exam. after the exam my DR. said, there is nothing wrong with your prostrate, there are no lumps, it felt normal to me.
That is the WORST excperience I've read all day long doing my research. You really got hurt on that procedure. The MA's or Docs NEVER, EVER mention some on these terrible painful things that can happen. You are a witness to their failures. Thanks for sharing... I am so sorry for you loss... What a mess... Glad you didn't got back to alcohol and such. You had every excuse in the book to do it and you didn't.... My heart aches for you because I could end up like you because that's where this MA has be going right now. I don't know if I believe you or not!
I'm 56 and had no clue about what I was in for when I had it done. Out of the 12 needle core samples only 4 of them were tolerable to me. I hated the 8 remaining but you get through it, not fun at all nor is the ride home sitting.
I had a gleason score of 4+4 (8) with a diagnose of a contained malignant mass. I had the robotic surgery done 4 weeks ago ( July 27th ) to remove the prostate, that's a fun time too. Catheter for a week made sleeping difficult. Look, none of it's fun but what's the alternative? I will say the whole cancer thing taught me many thing's about myself, my faith and others around me.
The drug/hormone prescribed before surgery to stop cancer growth Bicalutamide made me emotional, needy, no appetite and unable to make simple decisions. I lost 20 lbs and I was a fit person, so I didn't look well losing that much weight. The doctor took me off the drug about a week before the surgery. To put weight back on I drank a 350 cal Ensure plus shake with each meal I ate. That's 1,050 added calories to my diet, so far I gained 13 pounds back.
My wife was a tremendous help at home both physically and mentally. I hope others can be as lucky to have the support I've had from family, friends and work associates. I'd also like to mention I feel blessed because this is one of the many times the lord has answered my prayers.
Glad to hear you are getting back to a healthy weight post-surgery and that you have such supportive people around you- that really makes all the difference.
Just had mine done, expecting the worst. Local injection only for pain, but never even felt that. The rest was just pressure, but no pain. Maybe I got lucky?
God bless you brother. Good health to you and your family
@@lawrenceveelo9387 I appreciate your kind words they help, God bless you and your family as well.
@@Delani11 Well brother it's been a heck of a ride the last year and a half. After the robotic surgery removing the prostate my psa was at .08 then began a slow climb .12, .14, .19, .27, .34 and .44. Apparently I still had some cancer in the pelvic bed but nothing in my lymph nodes Doctors felt it was time for radiation (after 2 pet scans and a MRI) 38 sessions total and hormone therapy for 6 months (lupron shots). Radiation wasn't bad but you have to have a full bladder every time when getting treated, not fun trying to hold it without a prostate.
Hormone shots have a host of side effects, for me it was some muscle mass loss, sleepy, no sexual desire, because it literally knocks out your testosterone. Legs are achy, swelling in my lower right leg/ankle, night sweats and hot flashes during the day. The good news is that for now I'm looking in the rear view mirror. I had my final shot about 3 weeks ago an my last 2 PSA results were < 0.02 ng/mL AWESOME !! That's where we want to be. I feel blessed and thank god, I do know there's always the chance of recurrence but for now it's good times! My message to all is when it gets tough take it day by day, hour by hour, foot by foot or inch by inch. Your mental health has great effect on your family and well being. Cancer doesn't define who we are it's a reminder to be ready for a fight.
Hopefully you're doing well, I assume if you're poking around here you've got your own battle going on. Stay in the fight and god bless you and your family.
Thank you, waiting for MRI results, but half expecting to need a biopsy
Fingers crossed for you. 🤞🤞
I had a biopsy done a few years ago. No pain during 1st 10 biopsies. Last two were a really wake up call. Very painful. I would guess I was given a local anesthetic that wore off before the final two. biopsies.
I have one coming up and I confess I am petrified.
Thank you for this video. I really appreciate your kind and open manner. Mine is delayed two months so plenty of time to worry, lol. You made me feel much better though. Thank you.
I've had three prostate biopsy's. No shots, no drugs. It only took about 10 minutes. I felt a little pressure when the needles were fired in to the prostate, not what I would call pain. The first one, was a diagnosis of Cancer. I had a second one some time later which had the same results. We decided to monitor it and it has been 8 years since the diagnosis with only one change. The last biopsy's was without any findings so they did a MRI and that could not find it anymore. My PSA has been rising slowly but I've had no changes in the physical or medical findings that would normally be associated with cancer. I am still monitoring it every six months in the form of another PSA.
I didn't find it painful or nearly as melodramatic as what was just presented. The only unpleasant thing was that I did have bloody semen for a week or so and after that it was fine. I didn't find any of it to be painful or problematic and it wasn't done for some macho matter at all. So now like I said, it has been 8 years and the only thing that has changed is the fact that they can no longer find the tumor. I turned 75 yesterday and now it becomes doubtful if it would be wise to do anything if it flares up again. I wouldn't be risking that much time really.
Did you have the LAPT biopsy, or the TRUSBX biopsy?
Sorry, I don't have a clue.@@iamric23
Agreed, well done sir!
@@iamric23 Whatever one was where there are twelve samples taken with a biopsy needle though the colon wall and into the prostate. It sound terrible but it was one of the medical procedures that when they say you will feel a slight pressure, that is exactly what you feel. I have had three and all felt the same. The first two had the same results and the last one found nothing which was followed up with an MRI which also found nothing.
Thank you for sharing : ) My husband is going for his biopsy in 6 days and he is wondering what he is going to experience very soon
I had mine done last week. No sedation. One little pain (almost nothing). I was nervous for nothing. I was playing video games on my phone while they did the procedure.
I had my second biopsy today. I did not have anesthesia. Lidocaine was applied locally. I experienced no pain whatsoever. There is some soreness, but not too bad. I have some slight blood in my urine.
Good to hear it all went so smoothly and pain free. 👍👍
I've had a few of these prostate biopsies always with a numbing gel (lidocaine). Some pressure when the ultrasound is initially guided in, but other than that nothing I would categorize as painful. The "clicking" sound of the scope is the only indication to me that a tissue sample is being taken. Actual procedure over in 10-15 minutes. Have both BPH and low grade cancer (3+3), and had the TURP procedure few months ago to deal with my BPH. All is good as off the pills now and no major issues.
I have had two transrectal biopsies I had one a day ago and one 6 years ago. In both cases, I had the procedures at a surgical center and while under twilight anesthesia (same intravenous anesthesia as given during a colonoscopy). In both cases, I had no pain during or after the procedure. I did have a small amount of blood in the first few seconds of my first post-biopsy urination and a bit more blood on the first stool that I passed. For a few hours after the biopsy, I felt as though I had to poop--but only a mild sensation, at that. For about three days before the procedure, I had a soft diet, not too much fiber, which kept me regular and my stool firm. A few hours after my regular morning poop, I performed my enema procedure. I did so about two hours before arriving at the surgical center. I pooped easily 10 minutes after the enema--a normal and easily passed stool. The diet also meant that I did not need to strain to poop after the procedure, which you really want to avoid. I continue my antibiotics as prescribed and await the results. If all is well, in a few months, I will undergo a PAE procedure at the University of Miami Medical Facilities. My PSA has hovered around 4.25 for many years--with a low of 3.80 and a high of 5.20. All DREs have been negative. I have a large prostate of about 130 grams. The PAE is intended to improve urination and avoid having to use a catheter (which I have never needed) as the prostate continues to grow. I am nearly 65, very good health. Let's see what happens. Don't be afraid. I do recommend twilight anesthesia, though. Oh, by the way, I did have a Multi-parametric MRI of the prostate about 4-1/2 years ago. That, too, was negative. Good luck and improve your health while you are at it--you want to see your kids and grandkids grow up. Bye!
That's my picture. 65 yr old Man. It was 9 weeks (I was told "probably a week" to heal") ago I got my 10 sample locations. I was told by my Urologists "I am certain you have cancer" Maybe, but this did not show that. It was the most painful experience besides herniated disc pain wracking you w/spams I have experienced. I have had daily pain with hours of aching and spikes in pain like knives. Yesterday I finally called to seek help (VA Clinic) I was told I had to get referral from current Dr. for different Urologist. This man was unkind and unprofessional in my opinion and I did not want him to examine me as they don't ever admit mistakes. He said he was using topical anesthetic but I never felt that numbness or even close. I will have a journey ahead I think.
My urologist performed the biopsy procedure by himself, no anesthesia, all I got was a blast of cold spray, to numb the area, no Xanax, and not offered any anesthesia option. Oh yeah, I ended up getting a blood infection and wound up in the hospital. And yes I have great insurance. I still see him but maybe not for long, especially after seeing this video.
Sorry to hear you had such a bad experience. The prostate cancer field is seeing some technological improvements but it takes a while for everyone to start using them.
This is the THIRD terrible problem I've heard on this chat session so far. This really sucks! A lot of positive experiences, but when it goes bad you're screwed!~!!
I went through mine yesterday at the Fargo North, Dakota VA Hospital.
I had 2 biopsies resulting in allergies to 4 classes of antibiotics and a chronic VRE infection. Both were negative. I still have a PSA of 15, but there's no way I'll ever have another biopsy and I regret having the first 2.
I have one scheduled in 2 weeks, Dr will put me to sleep.
52, just had my biopsy done 6 days ago under general anesthetic. A little sore but nothing bad at the moment. Most painful thing was peeing on the first day. Now I have to wait 2/3 weeks for results. No antibiotics just rest for me. I would want the general anesthesia if I have yo have this again. Good luck everyone...
Seeing as my experience of the prostate biopsy provided material for a whole video and yours is summed up as "a little sore" I think you made the right choice. We all have enough unpleasant memories- why add to them when you have the option? Good luck on the results. 💪💪
Great comments. Thank you so much. @@parristx
Had mine cold turkey, 24 grabs, and thank God no cancer.
Thank you for the info. It helped me feel less stress.
I am glad to hear it was helpful- hang in there! 💪💪
I'm having it done also and like you I'm extremely nervous thanks for the video now I'm at least prepared 🙏👍
Glad the video helped. You kind of laugh at yourself afterwards for making it into a bigger deal than it is. Hoping you get good results. 💪💪
@@parristx thank you 🙏
Scheduled in 4 weeks for TRUS and a cystoscopy (2 for 1 says my urologist ) PSA was 7.2 last year jumped to 12 this year. Main symptom frequent urination. Have been diagnosed with BHP for many years 69 now. My big fear is infection, can't find anyone in my area that does the transperineal (N.W. Ohio). Had a CT scan a week ago to check for a kidney stone, it also showed an enlarged prostate. I really don't want to go down the medical rabbit hole, seems many have a tough time getting out one problem leads to another. Seems to me at the very least they would do an MRI first instead of blindly poking holes through my rectum into my prostate. How do I find a Dr. that offers the transperineal. Thanks really needed a place to talk about this.
Ended up going to Cleveland Clinic, and having the TRUS biopsy done. New urologist did DRE and felt a small nodule. Since there was a target he didn't feel an MRi was needed. Biopsy ended up not being a big deal, uncomfortable yes, painful not too bad. No side effects, no blood from either end. Results came back positive 10 of 18 samples. One sample Gleason of 4+5. Bone Scan and CT look good, now going for PSMA Pet. Looks like a Radical Prostatectomy is in my near future. Get the biopsy done it's not that big a deal.
The worst part of my 2nd biopsy is my urine flow has never been the same since. They deny and deny it had anything to do with it, but please…. I’m not a fool.
OH CRAP! thanks for the info...This is getting crazy!
@@TheLastDays24 It's gotten better since this posting, though. Hopefully all is OK!
Having one soon, not scared. Under light sedation-ie, pretty much knocked out. Fine by me. In April I underwent spinal fusion-biopsy not much compared to that, which went very well.
Sedation is the way to go. Wishing you good results. 🤞🤞
Thank you for this video, I am going to have mine in 2 weeks and this helped me alot.
Insist on sedation
I've had 3 samples over the years, until 2013, when I was diagnosed. Those were all while asleep. For the radiation treatment, I had 3 gold beads installed, without any painkillers.
I am hearing from more people that being asleep for the biopsy is the way to go.
Thank you for this. As a wife I am really worried for my husband who is having it done on Monday.
I am glad you found it helpful. I really can't imagine what my wife and kids have gone through having to deal with my prostate cancer. But I am thankful everyday that they are there for me (and I should probably say that to them more often!). I am sure your husband will appreciate your support just as much.
@@parristx He had the biopsy done Monday under local anaesthetic, still a bit tender but thank God he is feeling much better, just waiting for the results now.
I just had this procedure done four hours ago and I'm at home in front of the computer writing this note. I haven't had a bowel movement yet, that is actually what I'm fearful of. That pain. But the procedure was the same here. (Germany)
I've been going without any pain so far. Had mine yesterday.
I had a biopsy 7 years ago. It was uncomfortable but not painful. Im due for another one in about a week. Rising PSA. Active surveillance. No anesthesia etc.
Had first biopsy a few weeks knew i had bph going in. This likely contributed to complications resulting in excessive bleeding and clotting which led to a catheter and more blockage and bladder spasms worst pain in life. Three days in hospital after being moved to continuous flow catheter. Still peeing small amounts of clots today but much less than a week ago. Would do everything in my power to avoid another and go MRI route if possible. Results were one core gleason 6 with psa 4.1. Next step is active surveillance.
A woman I know told me her husband had prostate surgery. I said - that must have been awful. She said - the operation was fine but the biopsy was a nightmare.
How would she have known or did she take the bullet for him and the surgical staff was greatly surprised by the prostate found in HER.
I decided to have a scan before the biopsy. If you told a woman that she Might have breast cancer and you were going to blindly take random biopsy samples from her breast with no imaging what would she say? It saved my quality of life and possibly my life itself. I did have aggressive cell cancer. No problems now.
So did they remove the prostate
Glad to hear you are doing well! And it makes sense that you want to have the best information on exactly where those samples should be taken.
Thanks, very useful for knowing what to expect.
I'm in the UK and had the biopsy done a few months ago. Its different here I guess. I had to sit in a chair, with legs in stirrups. Family jewels were taped up against my stomach, probe inserted in the rectum and 28 biopsies taken. Not pleasant, just uncomfortable, but not painful as I was injected with Novocain locally. Doctor, technician and nurse were present. Once completed, I was given the paper towels to clean all the lubricant and blood up. It obviously bleeds as a 12" needle shoved in your undercarriage 28 times is going to get a reaction. Went home on the bus and was sore for a few days. Be prepared for blood in your urine. Four out of 28 biopsies were cancerous. Gleason score of 7. PSA blood tests every 3 months, and "active surveillance" ( watch & wait).
Here in Ireland, prostate biopsies are similar. I had a transperineal biopsy and the initial anaesthetic needle hurt as did one of the bioosy needles. All three medics in the room were women,which does not help!!
Had one last Friday. Counting helped !
Whatever gets you through it, right? 😁 Hope you are well.
Thanks. Biopsy results next Friday 🤞
Thank you. Going to my urologist in 3 days. I'm pretty sure a biopsy in my future.
Have had three prostate biopsies over the last 15 years. The first two were without a local numbing anesthetic and sorry, but they hurt. On the third one I developed an infection and went septic. I spent 5 days in the hospital on IV antibiotics two days in ICU. Fortunately I was ca free. I go for an MRI next week, and needless to say, I'm not a big fan of prostate biopsies.
After all that I can understand your feeling. Glad to hear they were at least all negative.
Had mine done. I was shaking like a shitting dog all the way through. It was a transperineal after it was finished I got a lift home from my wife, I completely broke down in tears in front of her as I felt so brutalised. But I would advise all men to have it done if there psa is high. Not having it done could be fatal. Would I go through it again having had it done? Off course I owe it to my wife, children and grandchildren. It could save your life xxx
Thanks... I'm a grandpa as well and want to stick around as long as possible...
Thank you so much. Will be having this done soon
Hope it goes well for you.
I’m having one on October 16. Worst part is going to the urology office the day before and after to get high doses of powerful antibiotics. I’ve had multiple spine injections so the needle part isn’t a big deal. I had a biopsy back in 2018 but it was with a testicular surgical procedure I was having done. I have no fear of needles or injections. Sometimes it’s a bit uncomfortable positioning but the docs and their nurses have seen it all before so no need to panic or get embarrassed. The lumbar spine epidural injections are very similar to what the urologist does, so I’m
Used to being poked..😊
My experience differed from yours in what I experienced. My urologist did not give me the option of a local anesthesia. I assumed that I would be given something but clearly I was not. It was one of the most painful experiences of my lifetime. I cannot believe that 12 gun shots with a small caliber weapon would have been less painful. Indeed, my only greater experience with pain was when I passed a stone some 30 yrs ago. I didn't expect nearly so much pain. I struggled walk after the process was completed. I am certain that I did not receive any form of medication to reduce pain prior to or during the procedure. There was an alarming amount of blood on table when they finished. I was never told about that. All in all a necessary but extremely unpleasant procedure.
Sorry to hear you had such a terrible experience. At a minimum everyone should be given something for the pain. And more and more hearing from other men who have gone through the procedure I think some light anesthesia should certainly be offered. Let's hope doctors take note!
@@parristx For heart patients it is not possible
@@iamyazee That is something to consider too
I blame doctors for not considering pain when doing this procedure. One problem is that the doctor only knows what the patient tells them and many patients don't want to complain directly to the doctor about how painful any procedure (this one included) was for them. Patients have an obligation to medicine to make sure doctors know what their experience is like. Sometimes a patient has to demand attenton to be heard and that is not easy. It's the doctor's exam room, the doctor is very much at home and the patient feels like they've been kidnapped by aliens. Nevertheless, if only because the patient owes it to the next person going to have the procedure, a patient must explain exactly what they felt. I have a rule and will interupt a doctor mid sentence if they use the "D" or "T" word. Discomfort is when the drycleaner puts heavy startch instead of light. Tolerate is a difficult proces and cannot by definition be done "well". I will cock my head sideways if a doctor says something to the nature of, "it's a simple procedure that is generally well tolerated and we do our best to manage any discomfort." I then say, "what I heard was it doesn't hurt the doctor while the patient is in agony. Do you want to explain that again?" As patient who really believes I have an obligation to tell a doctor when I've had a bad experience, last year I had a very bad experience at the dermotoogist. I phoned twice, and then confirmed when they called to reconfirm my appointment that I'd have 10 mintues with the doctor and the entire staff to explain how they'd failed basic customer service at my last appointment. Of course, when I got there, nobody had any idea that I'd been promised the 10 minutes. I was offered the office manager instead and told her exactly what went wrong and why I'd not been treated with respect. After she heard me out, she asked if we were all good now. I said that we would be as soon as the doctor and everyone who would be treating me that day was in the room and I could repeat what I just said. Reluctantly, she got th doctor who at first attempted to blow me off. I seriously felt like I was doing them a favor by telling them of my bad experience. (side note it was the dermotologist and I was butt naked by the time the doctor got in the room which didn't make giving a presentation to him and three women easier). But, I did get my 10 minutes and when I was done, the doctor thanked me for what I'd said. He said that if patients don't speak up when something goes wrong, they have no way to know. I'd had my time and did not point out how hard it was to get his attention. All that to say, speak up if it hurts. Tell them to stop.
I had the same exact experience. 6yrs later I am told I have to have a Prostate biopsy again! :( This time a MRI Fusion Biopsy. GL to all when doing this. Definately a whiskey & ice at end of procedure.
I hope the best for you!
Glad to hear you were sedated, I’ve had two biopsies done without sedation, and it sucked.
So long as a person has a ride home I don't know why they wouldn't give a Xanax to make it more bearable. Hopefully that will become the standard of care.
Your right no sedation, it was 20 minutes of hell , they can stay away from my prostate, 12 years later now
Great comments. Thank you so much.@@parristx
I had a prostate biopsy yesterday. At Penn Medicine here in Philadelphia. I have 3 lesions on my prostate. The whole procedure went well. Home about 3 hours later. A little blood in my urine, and my poop but that’s to be expected. Now I wait until next week to find out the results. Getting old sucks. Diet, exercise and good sleep are all important factors in helping your prostate. Not vitamins or supplements or anything else.
Glad things went smoothly for you Mark. I very much agree about the diet, exercise and sleep. But some studies suggest that supplements like lycopene "may decrease the growth of prostate cancer"- pubmed.ncbi.nlm.nih.gov/11489752/ They aren't conclusive but I am of the mind that if it is not going to hurt me, and it may help me, then here- take my dollars and I will give it a try. 😁
Eat like Paleolithic 🥩🍳🥩🍳
Wow! My experience was the polar opposite of yours! No sedative, just my urologist and a nurse, extremely painful, and I bled like a stuck pig for HOURS afterward! I almost went unconscious because of how much blood I lost! Most unpleasant medical procedure I’ve ever been through. You didn’t mention having to do a fleet enema before. Did you have to do that?
Sorry to hear you had such a hard time with it. I seem to remember having to do an enema beforehand. And one before the prostate MRI. And several times in prep for the radiation imaging and having the ceramic fiducial markers put in. Dealing with prostate stuff you just get used to doing the enemas.
Yes had to do a fleet enema.As a final word in lots of clinics all staff wear scrubs so because the young woman who is helping dr is wearing them doesn’t mean she is a nurse due to medicine being a business and their being to concern for male dignity that female could be the receptionist or a note taker or even a random female employee.Remember your dignity is of no importance
@@19530ashland You check your dignity at the door , their is non with this .
@Donald Piper 🤣 I get it. This is not fun....I'm a nervous wreck and I'm not even scheduled yet
@@19530ashland Get over your dignity. It means nothing to them. They are medical professionals, and a penis is a penis.
I had a transperineal biopsy here in Cork city, Ireland. It was more bear it than grin,believe me!
On my third biopsy, (in office) I developed infection and became septic. I'm scheduled for my fourth biopsy after an MRI of my prostate found a lesion. This biopsy will be done under General anesthesia in the hospital. It will be a transperineal biopsy guided by MRI. The first three transrectal biopsies were horrible without anesthesia. Don't let anyone tell you that's not a painful experience.
I know what you're referring to! I had it done twice and it was not my idea of a perfect day!
I really appreciate you doing this video!!!
Shit! I just jad a TURP and they found a small amount of slow growing cancer. My PSAs have never been over 3.5 and my last before the TURP was 2.6. So in 6 months the doc wants a needle biopsy. I definitely do not! I'll be honest, I'm not liking what i saw in a couple of videos. Imma get fucked up before I go in. To hell with it. I have chronic pain so I have pain meds and they don't offer something better that Xanax, I'm cancelling this shit. I loathe Xanax. Needles through my peroneum? Not without big valium. BUG SHIT! You're a better man than I, Sir!
My urologist offered to do my procedure at an outpatient surgery clinic so they could put me completely under- if that was what it was going to take to get me to agree to the biopsy. Insurance may not cover the extra cost but it might be worth the expense. And if you discuss your concerns with the doctor maybe they can offer you something other than Xanax. Good luck with everything!
Transperineal in Feb with a local,wasnt bad but knew it was for the greater good
I have had two first was 12 cores 2nd was 24, both were done with a local injected in prostate. Seriously for me the worst parts was the insertion of the probe/ultrasound, just very uncomfortable. I had no issues, but everyone is different. A coworker had his about week after mine, he freaked out , panicked and passed out. We had the same Doc. I had blood in urine and semen for about a week or two, best thing you can do to clear it up is keep the pipes clean. Fortunately no cancer for me, my coworker was not so lucky. Currently doing the foot work for a third biopsy.
I have three biopsies done 15 years ago and they are all negative, I’m going to have another one again, I have done a lot of research and found there are some new technologies to do this called MRI targeting and Transperineal instead of transrectal to reduce infection. I also wish to get general anesthesia.
I just had this done last week at the VA. The 3 shots of lidocaine was the worst part. I didn't have any kind of anesthetic, If its offered i would recommend it.
Just had mine, the probe was more painful than the needles. Expect blood from both ends. The first time I peed I had some big clots and my urethra burned somewhat. I did feel my prostate ache the first few times I peed. Tylenol Fist two night to sleep. 20 cores
thanks i have to go tomorrow. feel better,
Thanks Todd. Hope things went well for you.
Thanks for the informative video.
Did the biopsy needles access the prostate via the rectum wall, or was it the so-called "transperineal" route which is not via the rectum (much less risk of infection)? Thanks.
They go through your rectum, you’ll bleed out your rectum and urine for about a week .
@@donaldpiper9763 Ouch!
Thank you for sharing!
Sure thing Erik.
Wow it seems you took that easy as I can see your face, just now I am in anxiaty because I will do the prostate biopcy next week coz according to my MRI result they found 2 tumor in my prostate I hope its not agressive one n still curable.
The biopsy is pretty quick and then it is done. The worrying beforehand is the harder part. I am hoping things turn out well for you- stay strong. 💪💪
@@parristx thanks, before I met my urologist my psa was 3.8 and took again weeks efter still thesame result, dre and ultrasound was normal according to my dr. Then the MR showd something suspiciousI and one abnormal in my bone so tomorrow they will scan my bone, thats makes me worried if I have a cancer hope its not yet apread to the bone. I'm 62 yrs old this yr and I want to live for my son and I will fight for it.
@@nestordupo845 Yes, you are still young. My kids are in college now and I certainly understand your feelings. Hang in there.
The latest method is a transperineal biopsy with a general anaesthetic lasting about 1 hour. You obviously don't feel anything and post the procedure there is just some general soreness in the area and blood in the urine for a few days. I had a fairly low PSA of 3.4 but there was a lesion on the MRI. On biopsy it is a Gleason 3+4 which needs treatment....this information could only be obtained via the 16 core biopsy (12 random cores and 4 targeted cores). I had an excellent surgeon and I didn't even need painkillers post the biopsy.
Transperineal biopsy is the method to consider after a MRI since it does not require needles to go through your rectal cavity.
Do not let a urologist stick needles into your prostate through the rectal cavity without first getting a MRI. You may not even need a needle biopsy. My urologist stated that a transrectal biopsy was not a "big deal" and I walked out of his office and found another doctor. I received an MRI that showed no cancer or disease but an enlarged prostate. And no side effects from this middle ages technique of a transrectal biopsy.
END TRANSRECTAL PROSTATE BIOPSY. Norway has recently (2023) has banned this procedure (transrectal) due to complications and death. Investigate your own heath and new advances in prostate treatment and cancer (disease) before submitting to any invasive procedure.
Hello I have prostate cancer and going to start with a testosterone injection and then going to get a shot of something else crazy expensive and then start on radiation therapy. I’m scared as hell about the testosterone injection and the horrible side effects. Can you tell me how bad the testosterone injection is and how long is makes you have zero energy and when will I feel normal again?? My Gleason is 8,9,8 and I’m a high risk for surgery. Is radiation also going to make me sick as they say??? Thanks for posting this topic
I have had bone marrow extracts eight times, and twelve intertheacal (spinal column) injections, and it was tolerable. Scheduled for this procedure in six weeks. Time will tell.
Hey Robert- sounds like you have been through plenty already. I wouldn't stress too much over this procedure. Wishing you good results!
@@parristx chemo really sucked with all the biopsies and spinal fluid injections.
Just had a 14 sample done last week (all negitive). Let me assure you, the fear of the biopsy is way, way, way, worse than the actual biopsey. I didn't think a calming drug was necessary and did not take any. Most will tell you they would rather have this done than a tooth pulled.
Glad to hear that your biopsy results were negative. 👍👍. I think different people have different tolerances to pain and different degrees of anxiety so it would be good if pain and anxiety reducers were offered as a matter of course.
I have had 5 biopsies since 2017, the last one 2 weeks ago. The first was trans rectal in the office and yes was rather painful. The last 4 trans perineal. Worlds apart in reducing pain and recovery time. The one last week was the easiest of all. I would never go back to trans rectal.
How long did it take for the pain to go away? Any long term side effect?
For me it was just a couple days. And I don't think I had any long term effects from the biopsy.
I've got to say that my biopsy was nearly painless. They inserted the probe, not entirely unpleasant, then the actual biopsies, where the needle shoots through your rectum and into the prostate. Each of the dozen needle inserts were kind of painful but not any big deal. Nothing i would try to avoid if i needed it again. Afterwards i didn't have any bleeding or anything untoward. It was all done in very little time and not bad at all.
I just DO NOT understand how sedation for a cscope is fine but to have someone dig in the prostate…. Oh you’ll be fine, no sedation needed. All I know is I am demanding the hubs is knocked out. I don’t care what the bill is.
I love your videos, keep it up!
Thank you!