Worried about AUR with TP Biopsy -

Morning mate,

I've had two biopsies,  TRUS and TP under general anaesthetic. Neither affected my urine flow just turned it red for a while, but I think my urine flow was pretty normal prior to both procedures.

Adrian

Hi Meunier. I also had poor flow prior to my transrectal biopsy but I had no problem with AUR afterward. Flow seemed to remain the same, although somewhat bloody as already mentioned. I did experience AUR further down the line after my RP. That in itself is quite unusual but my visit to A&E for re-catheterisation wasn't such an ordeal. Like everyone else I was triaged and got to the front of the queue. In hindsight I wish I had presented at A&E sooner but it was dealt with in a timely manner. It happened again after the catheter was removed but this time I was shown how to self catheterise and sent home with a box of catheters. Self catheterisation sounds terrible but it's not. It is quite straight forward. In all probability you won't suffer AUC but it you do it's not such a big deal.

Thanks so to the two Chris'. My understanding is that TPB have a greater habit of AUR than the TR ones. Still all fingers crossed that I won't bump into this. Hopefully the size of my prostate will be an advantage under these circumstances.  Don't worry, I'll definitely be bringing this up with the urology staff.  

Edited by member 21 Nov 2023 at 19:29  | Reason: Not specified

I had 2 biopsies in 2021, one local and one under a GA and apart from blood in the urine had no retention issues afterwards. My prostate was 55 cc in size and I had low flow (Had been getting lower for years), both of which following my surgery are no longer a  problem: Because my prostate was removed and because following its removal I have the flow of a 16 year old.

By the way, I have just responded to your private message

Ivan

Edited by member 22 Nov 2023 at 09:47  | Reason: Not specified

You could ask for some Tamsulosin to take if you're worried. They actually gave me this as a matter of course at my second biopsy, but I didn't need it.

Just to say that I had my TPB yesterday and it was, happily, without incident. I did wait about for a couple of hours following the procedure but didn't produce anything - even though I did drink two bottles of water. (At this hospital they don't actually require that people DO pass urine before departure.  'It could take hours,' the nurse said.)  Still, after going home and having something to eat and drink I did pass urine easily within the stated six hour window without any 'noticeable blood' in the mix. I did a dipstick and there was, of course, blood there.

In a sense I enjoyed the TPB .... if, that is, sitting in a medieval torture chair somewhat upside down with air darts being pummelled into your behind might actually be said to be fun! Necessary, of course.

I had the privilege of the procedure being undertaken by a consultant - who was most kind and informative - as he was giving instruction to two guest urologists from France. I was allowed to watch alongside them on the screen which also gave me the benefit of the precise instruction (including notations on the procedural differences in France) as well as being able also to ask more detailed questions myself. I was, sincerely, grateful and found it fascinating.

Edited by member 25 Nov 2023 at 09:19  | Reason: Not specified

Hi Meunier, let's hope you get a negative, or insignificant result.

Steve, the widespread adoption of TP biopsy in UK is very recent. NICE issued new guidance less than a year ago. I guess all healthcare providers look at their neighbours to see what the latest thinking is.