Blood in urine and semen is perfectly normal. For semen, they say it can take 6 weeks to clear. After about 3-4 days, it will turn brown (like a scab does as it oxidises). My urologist said it's a good idea to ejaculate, and doing so daily, it took me 3 weeks to clear the blood.
Blood in first few cc's of urine is exactly what I had too, although for a shorter period. I also had occasional blood on stools (like perhaps once every 2 weeks) for about 3 months, but not immediately after the TRUS. (I got them to check it out at a subsequent template biopsy, and they said it was nothing to worry about.)
None of these are indicative of infection - they are expected.
Barry,
There's a third type of biopsy which is rapidly replacing TRUS, and that's exactly same as TRUS but done through perineum. It didn't have a consistent name for a year or so, but is now most commonly being referred to as LATP - Local Anesthetic Trans-Perineal. There's no template and typically 12 samples are taken, and this is done via two needle holes through perineum and pelvic floor muscle (one each side), and then guiding the needle by angling it into the desired areas, always guided by a previous mpMRI scan. It was made available by the development of a technique to administer local anesthetic to the required areas, so this can be done in an outpatient clinic setting, just like TRUS. Futhermore, it can sample the whole prostate, whereas TRUS can't sample the anterior, and is difficult to sample the apex. This work was paid for by PCUK and has now been taken up by a large number of hospitals, although Cambridge developed a similar procedure in parallel, but required a more expensive disposable local anesthetic scheme.
TRUS has a 3% rate of infection (which has been rising due to antibiotic resistance) and was regarded as unacceptable for a diagnotic procedure (particularly given some of these show up as sepsis and a few have been fatal). LATP has a 30 x lower infection risk.
Edited by member 19 Dec 2019 at 09:02
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