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Transperinial Biopsy

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User
Posted 05 Sep 2020 at 10:48

I had one on 4 September 2020. It wasnt as freightful as I had expected. Pssing urine is passing feels like passing sharp blades. In addition have to stand for couple of minutes before the last drop. But when the next pee is due I find my underwear wet with leaking urine. 

Unfortunately, no detail instructions were given on discharge from hospital. Like "is it Ok to have a shower, how log to wear stockings etc.

Please let me have your comments

Thanking you

User
Posted 05 Sep 2020 at 16:23
Yes it is fine to shower.

If you were given stockings, I assume you had a general anaesthetic? I don't think it is common to be given stockings after a biopsy but you are perhaps in a high risk category for thrombosis? If in doubt, call your GP practice or the urology department where you had the biopsy for advice.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 05 Sep 2020 at 20:32
Incontinence is certainly not normal following a biopsy, and neither is pain while peeing. Difficulty peeing, yes, because your prostate is bruised and swollen, but there really shouldn't be any pain. I really would ask for medical advice if I were you.

Best wishes,

Chris

User
Posted 06 Sep 2020 at 03:51
Difficult to give a categorical answer on this because even setting aside the matter of infections, men can have very different reactions to medical procedures and have different pain thresholds, I didn't experience these problems mentioned after my two transperineal biopsies and I don't think most men do.. If the situation does not improve, you could contact your GP or perhaps the specialist nurses on this site who doubtless have more experience than your GP, for advice..
Barry
User
Posted 06 Sep 2020 at 05:43

Whilst in the hospital my first two post-biopsy micturitions felt like I was p***ing razor blades, but I was OK once I got home. It’s very early days for you, of course, and everything should resolve itself soon.

Look forward to rosé semen for some weeks to come!

Best of luck.

Cheers, John.

 

Edited by moderator 06 Sep 2020 at 08:47  | Reason: "Pissing" edited. Not caught by filter

User
Posted 06 Sep 2020 at 07:50

I was told to wear the stockings for at least a week, which is about how long it takes for the GA to leave your system (which in my case shows up by having low blood pressure for a week afterwards).

The stinging may be because they put a catheter in, which will irritate the lining of the urethra. They often use one so they can fill the urethra with a liquid which shows up on the ultrasound, so they can see where it is then doing the biopsies. They may or may not leave it in afterwards (I was told I would wake up with it in, but they'd removed it before I woke up).

Originally Posted by: Online Community Member
Look forward to rosé semen for some weeks to come!

More like tomato ketchup here. It only stays red for a few days, after which the blood turns brown as it oxidises (like a scab does). People who leave it weeks before ejaculating can find it's gone black. I rather suspect it's a good idea to get it out without too much delay - when I asked, my urologist said there was no reason to delay ejaculating, and suggested it was a good idea.

Edited by member 06 Sep 2020 at 08:07  | Reason: Not specified

User
Posted 24 Sep 2020 at 13:15

Definitely a good idea to ejaculate sooner rather than later. I left it for around 2 weeks and it was a big shock to see the iron fillings colour etc. Also I think I was unusual in feeling quite a lot of discomfort for months after the Biopsy. I mentioned this permanent aching to my surgeon before the RP and when she talked to me Post Op she described the area to one side of the Prostate Bed to be "sticky", I assume due to blood remains. She also said I was very lucky as the stickiness was on the side that required the Nerves removal. Otherwise I would have had no nerve sparing rather than 50%

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User
Posted 05 Sep 2020 at 16:23
Yes it is fine to shower.

If you were given stockings, I assume you had a general anaesthetic? I don't think it is common to be given stockings after a biopsy but you are perhaps in a high risk category for thrombosis? If in doubt, call your GP practice or the urology department where you had the biopsy for advice.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 05 Sep 2020 at 20:32
Incontinence is certainly not normal following a biopsy, and neither is pain while peeing. Difficulty peeing, yes, because your prostate is bruised and swollen, but there really shouldn't be any pain. I really would ask for medical advice if I were you.

Best wishes,

Chris

User
Posted 06 Sep 2020 at 03:51
Difficult to give a categorical answer on this because even setting aside the matter of infections, men can have very different reactions to medical procedures and have different pain thresholds, I didn't experience these problems mentioned after my two transperineal biopsies and I don't think most men do.. If the situation does not improve, you could contact your GP or perhaps the specialist nurses on this site who doubtless have more experience than your GP, for advice..
Barry
User
Posted 06 Sep 2020 at 05:43

Whilst in the hospital my first two post-biopsy micturitions felt like I was p***ing razor blades, but I was OK once I got home. It’s very early days for you, of course, and everything should resolve itself soon.

Look forward to rosé semen for some weeks to come!

Best of luck.

Cheers, John.

 

Edited by moderator 06 Sep 2020 at 08:47  | Reason: "Pissing" edited. Not caught by filter

User
Posted 06 Sep 2020 at 07:50

I was told to wear the stockings for at least a week, which is about how long it takes for the GA to leave your system (which in my case shows up by having low blood pressure for a week afterwards).

The stinging may be because they put a catheter in, which will irritate the lining of the urethra. They often use one so they can fill the urethra with a liquid which shows up on the ultrasound, so they can see where it is then doing the biopsies. They may or may not leave it in afterwards (I was told I would wake up with it in, but they'd removed it before I woke up).

Originally Posted by: Online Community Member
Look forward to rosé semen for some weeks to come!

More like tomato ketchup here. It only stays red for a few days, after which the blood turns brown as it oxidises (like a scab does). People who leave it weeks before ejaculating can find it's gone black. I rather suspect it's a good idea to get it out without too much delay - when I asked, my urologist said there was no reason to delay ejaculating, and suggested it was a good idea.

Edited by member 06 Sep 2020 at 08:07  | Reason: Not specified

User
Posted 24 Sep 2020 at 12:29

Thank you very much for your reply. Puts my mind at rest

User
Posted 24 Sep 2020 at 12:30

Thank you very much for your reply

User
Posted 24 Sep 2020 at 13:15

Definitely a good idea to ejaculate sooner rather than later. I left it for around 2 weeks and it was a big shock to see the iron fillings colour etc. Also I think I was unusual in feeling quite a lot of discomfort for months after the Biopsy. I mentioned this permanent aching to my surgeon before the RP and when she talked to me Post Op she described the area to one side of the Prostate Bed to be "sticky", I assume due to blood remains. She also said I was very lucky as the stickiness was on the side that required the Nerves removal. Otherwise I would have had no nerve sparing rather than 50%

 
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