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Just how painful IS a transperineal biopsy?

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User

Posted 22 Jan 2022 at 18:19

I was under a general anaesthetic, so I felt nothing. 42 samples taken.

I woke up on the recovery ward, all OK. My first two micturitions were like pissing razor blades, but no problems after that.

I discharged myself around 2pm that day, and had no further problems thereafter.

I did have a massive multi-coloured bruise on my perineum subsequently, and the inevitable blood clots in my urine and strawberry semen for a few weeks after.

So to answer your original question, the scale of my pain / discomfort after the surgery would be 3/10.

Best of luck.

Cheers, John.

User

Posted 14 Feb 2022 at 18:00

I had biopsy under local had 32 samples taken. As others have said discomfort rather than pain. By the time of the biopsy I'd lost all worries about modesty which was just as well 😏. As with all my appointments I found staff both kind & very professional.

Edited by member 14 Feb 2022 at 18:01 | Reason: Not specified

User

Posted 24 Feb 2022 at 17:06

It’s worth reading the conversations on here about blood in the semen that occurs after biopsy, to prepare yourself. My doctor and nurses underplayed this bit. Totally normal and harmless but a bit of a shock if you’re not expecting it!

User

Posted 26 May 2022 at 22:20

I am 64 have an enlarged prostrate and have a very shy bladder and just have a transperineal biopsy. I am a anxious person so worried for the 4 weeks. However on the day the staff where great, I had a local and that was more uncomfortable than painful, after that I felt nothing at all, I had 5 cores taken( had a MRI before ) and it was all over in 10 mins. I was out of the hospital 30 mins later. I was informed about blood in the urine but when I got home urinated the rest of the day with no blood and a bit sore down below but it was minor. I thought it was all done so I went to work the next day and started to pass blood in the urine. This is day 2 decided to stay at home, sometime there is blood sometimes not (not a lot of blood drinking seems too help). Hoping that will get better over the next few days. Now I wait for the results. Good luck

User

Posted 26 May 2022 at 23:16

Hi Dave, the blood can be a bit surprising and a little unpredictable. I'm sure it will settle down and is almost certainly harmless.

Dave

User

Posted 27 May 2022 at 00:19

Did they warn you that there may be blood when you ejaculate as well?

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

User

Posted 22 Jun 2022 at 11:28

Okay, I had mine yesterday and it was very painful. The biopsy itself was not too bad (staple gun/quick punch). It is the anaesthetic into the perineum and then the prostate that are very painful - but can be endured! Nurse kept saying 'breathe deeply'.

Although the pain was intense at times I have had kidneys stones twice and they are excruciating! I would have another under local anaesthetic if needed.

User

Posted 22 Jun 2022 at 12:55

I'm late to this party but here's my 2p:

I've had two transrectal biopsies, both under a local anaesthetic (which were no worse than you'd suffer at the dentist). Neither was painful as such, just uncomfortable, especially #2.

Of course, the most uncomfortable aspect, for me at least, was enduring such an intimate procedure and trying desperately to make conversation with a radiologist who's almost certainly heard all the jokes before!

I was well-informed about what to expect afterwards and am surprised to read that some people have had such a bad experience in that respect.

The first wasn't very uncomfortable at all really. Just the occasional 'tugging' feeling as the samples were taken. My back passage was a bit sore as the anaesthetic wore off and passing the first stool was 'memorable'. I had blood in my urine for a couple of days and had one ejaculation with blood in the semen.

The second was less 'enjoyable' and I was in quite a lot of discomfort for a day or two. The blood in the pee was about the same as the first but the blood in the semen lasted for a few weeks.

I guess that the first guy was just a bit gentler than the second.

User

Posted 22 Jun 2022 at 20:45

Lynn, it was a real shocker when I first ejaculated after the biopsy. Nobody prepared me for the colour, volume or consistency.

Grim, but normal and it does get back to normal. Just keep doing it, don’t refrain.

User

Posted 22 Jun 2022 at 21:16

Not Great but tolerable 5 mins off uncomfortable probing that can save your life we all grin and bear it it is uncomfortable but necessary 🙈

User

Posted 23 Jun 2022 at 11:50

Just a comment on anaesthesia, no one has mentioned the use of a spinal blocking anaesthesia.

I've had bladder, kidney and prostate procedures carried out using this method and no pain at all and zero recovery problems.

There may be a reason they don't offer it for those undergoing a TP biopsy but I would be interested to hear if anyone has had a TP done using this form of anaesthesia.

Thanks

Roger

User

Posted 23 Jun 2022 at 12:41

They did numb the area with a solution but it had little effect not nice but over in 10 mins ok afterwards 🙈

User

Posted 28 Jun 2022 at 22:09

I aborted my TP biopsy as it was too painful and rebooked with a general and felt nothing. Go for general would be my advice. My surgeon said only 1 in 20 men could not support the pain of a TP biopsy under local implying I was a bit of a wuss! I was proud to be one of the 1 in 20 !!

User

Posted 29 Jun 2022 at 00:55

I think your consultant was being a bit cruel Jeremy. When template biopsies were introduced, they were all done in an operating theatre under general anaesthetic - I think the spinal block was just starting to come in and then local anaesthetic was only introduced during the pandemic because theatres were all being converted into additional covid wards / critical care units.

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

User

Posted 29 Jun 2022 at 02:05

That’s really interesting Lyn. I wonder if some of the medics had had it under local whether they would continue to do it. The nurses in the room looked a bit surprised that I was sweating and wincing so much!

But then I haven’t had much experience of procedures so maybe this is just one of those things you are expected to grin and bear?

User

Posted 29 Jun 2022 at 08:13

It wasn't fun but I just beared it over in about 10 mins but I told them never again I would just except the conciqunces 🙈

User

Posted 29 Jun 2022 at 09:27

Originally Posted by: Online Community Member

But then I haven’t had much experience of procedures so maybe this is just one of those things you are expected to grin and bear?

Nick, just to clarify - did you definitely have a template biopsy through the perineum (the area between your scrotum and your anus) and not a transrectal biopsy where they shove implements up your bum and take the biopsies via your rectum?

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

User

Posted 29 Jun 2022 at 10:07

Yes, ultrasound device up the bum and biopsies through the perineum. Sounds and feels like a staple gun, 14 times thank you very much (although my dad had 29, so mustn’t grumble!)

User

Posted 28 Oct 2022 at 17:21

Had the local x3 which hurt the most followed with around 20 biopsies via the Perineum. Hated the sound of the tigger every time it was pulled, I was not given any antibiotics just verbal instructions which ended with the line go to A&E.
Walked out 30mins later after urinating no ill affects now just being informed by phone a appointment with the consultant has being made but refused to tell me the results not sure if they just want to prolong my agony. I just want my results to prepare my questions

Edited by member 28 Oct 2022 at 17:27 | Reason: Changed a few words

User

Posted 28 Oct 2022 at 17:59

Hi Terance

Yes, it’s not much fun is it! Just be warned that when you first ejaculate what comes out will be dark red. Nothing to worry about as it clears up over time.

The samples from your biopsy need to be examined so I’d be patient and wait to get the full story at your appointment. Waiting for the results is really difficult but it won’t be long.

This site is a great source of information, reassurance and a sprinkling of humour, so worth checking in.

Good luck,

Nick

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