I had a TRUS biopsy a fortnight ago, so perhaps I can relate my experience.
You’ve presumably had a DRE? You basically adopt the same position for the biopsy - you lie on your side, knees drawn up to your chest. The surgeon then inserts the ultrasound probe into your rear passage. This is uncomfortable, there’s no denying it, but it doesn’t hurt. The next part does hurt a bit - you’ll be scratched by the needle to administer the local anaesthetic. Exactly the same as at the dentist (same drug, I think), but it’s in a more sensitive area! You won’t feel a thing after that - just a vibration and a “click” sound as each sample core is taken, probably about 12 cores in total. The whole process takes 10-15 minutes. The probe is then taken out, and (in my case at least) the surgeon put some anti-inflammatory/painkiller paste inside me. I then went back to a room, was given a cup of tea and a biscuit, and lay down for an hour. They won’t let you go until you’ve urinated. Don’t panic - it’ll look like pure blood, but that’s entirely normal.
Once the local anaesthetic wore off, it ached like hell inside me for about 36h, but paracetamol took the edge off it. The first day I had a LOT of blood in my urine, and my urination was a bit “stop and go” (the biopsy badly bruises your prostate and it swells up) but that soon tailed off and by about day 3 I just had a red “spurt” at the start, then clear urine, and another dribble of blood at the very end. The first couple of times I had a bowel movement, I had a fair amount of blood come out of my penis (I guess it puts pressure on your prostate and makes it bleed). Blood in the urine entirely disappeared after a week. I didn’t get any blood come out of my rear end - some people do.
No impact whatsoever on erectile function or ejaculation, although I was too sore to think about it for a couple of days. First time I ejaculated (about a week after the biopsy) it was vivid red - looked like pure blood - but now a week later it’s the usual white with just streaks of blood in it. There’s no health risk from this to either you or your partner.
You’ll be given strong antibiotics to reduce the risk of infection. I had an injection in my backside at the start of the biopsy, and was then given tablets to take twice a day for three days after. These gave me a slight case of “the runs”, but no other side effect (and, more importantly, no infection).
I hope that’s helpful to you. It’s definitely not a pleasant process, but nothing to worry about.
Hope it goes well for you,
Edited by member 30 May 2018 at 21:30
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