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Biopsy next!!

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User
Posted 07 Nov 2023 at 15:07

Hi folks. So following a raised PSa of 7.4 then going down to 6.5 so still raised I’ve recently had an MRI last week and today received the phone call from urologist that I will need a biopsy done now as mri was showing signs of something there!
Waiting for a call now to attend Northampton Hospital for a biopsy, can anyone tell me what the procedure is for a biopsy as I’ve read that you can have a risk of infection from it.
Can anyone help me with what the procedure will be and will I be able to drive home afterwards??
Just a little concerned about it all!!
thanks😊 

update…

So now just found out the mri results were saying a PIRADS/4 lesion. Malignant neoplasm of prostate suspected!

So guessing this means I have Pca ??

Edited by member 07 Nov 2023 at 17:51  | Reason: Not specified

User
Posted 07 Nov 2023 at 16:49

 Hi Richard,

I think most hospitals now do transperinial  biopsies now where they go through the perineum rather than the rectum. This is what I had and yes, legs in stirrups, but instead  of taking sample through the rectum, the do it through the perineum. the reason for this is it’s less prone to infection…I’m sure you can imagine why?😱

I didn’t find it bad at all, yes you can hear when they samples are taken and you feel a prick(and I’m not talking about the fact you’ve got your legs in the air and arse exposed to everyone🤣🤣🤣) but the nurses are fantastic at keeping your mind off it by talking to you and protecting your modesty. I have a close friend who had his biopsies through the rectum and had a terrible time with infection, so find out what type it is. I had no issues, yes a bit tender for a few days and blood in pee and semen but soon cleared up.😊

Welcome to the club that nobody wants to be in and Good Luck!

Derek

Edited by member 07 Nov 2023 at 16:50  | Reason: Not specified

User
Posted 07 Nov 2023 at 16:57

Yes I was given tablets to take three days afterwards, because of hospital infections. I think this is why they won't let you go home until you can urinate after the procedure. They told me if you couldn't pass urine then you would have to go to A&E. For me I couldn't pass much and I thought that I was going to be there all day - its hard to go on demand. They checked my bladder by ultrasound and could see that It was empty and they let me go home. I was fine when I got home as I was probably more relaxed.

I don't remember being told about complications of infections so I am sure it is rare.

Stephen

User
Posted 07 Nov 2023 at 17:06

Sorry for the confusion. Derek is right - the needles were through the perineum, I think the ultrasound probe is inserted into the rectum to assist in guiding the biopsy needles from the details taken from the MRI Scan. To be honest you can't see what is going on down there.  

User
Posted 07 Nov 2023 at 17:36

Now nearly all biopsies are through perineum, but five years ago they were through the wall of the rectum. Anything you read about probability of infection probably relates to the rectum method. You had to have antibiotics the day before the rectum method, as it had a moderately high rate of infection. The chances of infection with the perineum method are much much smaller.

Dave

User
Posted 07 Nov 2023 at 19:00

A different story in my case. I've had 4 biopsies between 2010 and now, with the most recent one in September this year. In all cases they've been through the rectum, not the perineum, and I've been fine driving home immediately afterwards (although I was advised that I might prefer to get a lift). A dose of antibiotics the morning of the biopsy, and sometimes a course to take following it. These were in two different NHS trusts - Oxford and Huddersfield.

Glad I won't be having any more! 

User
Posted 07 Nov 2023 at 21:45
Mine was a rectal biopsy back in February this year. Into a gown and led into the theatre where I lay on the table, first with bent knees - the doctor then did a DRE and then asked me to lie on my side. I felt her insert a probe into my rectum and then two pin pricks as she injected an anaesthetic. After 5 minutes she fired the gun that removes the cores - a total of 13 in my case. Uncomfortable but not painful. When it was over I was walked back to get changed and then drove home.

I had to take an antibiotic the day before but nothing afterwards.

I was warned about possible blood in my stools (didn't get any) and blood in my semen- that's quite gruesome so I would suggest a week of masturbation before letting your partner see what comes out LOL

User
Posted 08 Nov 2023 at 09:37

You may also have the option of a general anasthetic, I did, and it was transperineal.  But of course this means you can't drive home afterwards.

I had a meeting with specialist soon after the biopsy where I found out the results, 

All the best  

Edited by member 08 Nov 2023 at 09:38  | Reason: Not specified

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User
Posted 07 Nov 2023 at 15:47

I had my Biopsy back in June. My wife took me in the morning, I think they recommend someone to drive you home.

When I got there, they ask you to undress and put on a hospital gown. The nurses check your blood pressure and they check that your bladder is empty with an ultrasound scan.

After I saw the consultant I was lead into the theatre where there are about five people and the consultant who put me at ease and they asked me to put my legs into stirrups and hold my penis and testicles up which are covered by a towel. I was injected with anaesthetic which helps with the pain. The consultant then takes about twenty samples through your rectum, if feels like being punched, although it was uncomfortable the anaesthetic helps with the pain. They use the MRI scan to guide the needles to where they to need to go in the prostate, so you may have less than me as my cancer was in both lobes. The whole process is over in about 15 mins. 

The most difficult part was they don't let you go home until you have passed urine. So you have to drink a few cups of coffee/tea before they are satisfied you can go home which for me took a while. 

Although I was nervous about having it done, it wasn't as bad as I thought it was going to be and the staff at the hospital were great and put me at ease.

User
Posted 07 Nov 2023 at 15:51

Thanks for the reply, I’ve heard so many stories about getting infections afterwards Etc, did they give you antibiotics afterwards for a couple of days?

User
Posted 07 Nov 2023 at 16:49

 Hi Richard,

I think most hospitals now do transperinial  biopsies now where they go through the perineum rather than the rectum. This is what I had and yes, legs in stirrups, but instead  of taking sample through the rectum, the do it through the perineum. the reason for this is it’s less prone to infection…I’m sure you can imagine why?😱

I didn’t find it bad at all, yes you can hear when they samples are taken and you feel a prick(and I’m not talking about the fact you’ve got your legs in the air and arse exposed to everyone🤣🤣🤣) but the nurses are fantastic at keeping your mind off it by talking to you and protecting your modesty. I have a close friend who had his biopsies through the rectum and had a terrible time with infection, so find out what type it is. I had no issues, yes a bit tender for a few days and blood in pee and semen but soon cleared up.😊

Welcome to the club that nobody wants to be in and Good Luck!

Derek

Edited by member 07 Nov 2023 at 16:50  | Reason: Not specified

User
Posted 07 Nov 2023 at 16:57

Yes I was given tablets to take three days afterwards, because of hospital infections. I think this is why they won't let you go home until you can urinate after the procedure. They told me if you couldn't pass urine then you would have to go to A&E. For me I couldn't pass much and I thought that I was going to be there all day - its hard to go on demand. They checked my bladder by ultrasound and could see that It was empty and they let me go home. I was fine when I got home as I was probably more relaxed.

I don't remember being told about complications of infections so I am sure it is rare.

Stephen

User
Posted 07 Nov 2023 at 17:06

Sorry for the confusion. Derek is right - the needles were through the perineum, I think the ultrasound probe is inserted into the rectum to assist in guiding the biopsy needles from the details taken from the MRI Scan. To be honest you can't see what is going on down there.  

User
Posted 07 Nov 2023 at 17:09

Thanks for the reply, makes it a bit easier to understand the process involved. 

User
Posted 07 Nov 2023 at 17:36

Now nearly all biopsies are through perineum, but five years ago they were through the wall of the rectum. Anything you read about probability of infection probably relates to the rectum method. You had to have antibiotics the day before the rectum method, as it had a moderately high rate of infection. The chances of infection with the perineum method are much much smaller.

Dave

User
Posted 07 Nov 2023 at 19:00

A different story in my case. I've had 4 biopsies between 2010 and now, with the most recent one in September this year. In all cases they've been through the rectum, not the perineum, and I've been fine driving home immediately afterwards (although I was advised that I might prefer to get a lift). A dose of antibiotics the morning of the biopsy, and sometimes a course to take following it. These were in two different NHS trusts - Oxford and Huddersfield.

Glad I won't be having any more! 

User
Posted 07 Nov 2023 at 21:45
Mine was a rectal biopsy back in February this year. Into a gown and led into the theatre where I lay on the table, first with bent knees - the doctor then did a DRE and then asked me to lie on my side. I felt her insert a probe into my rectum and then two pin pricks as she injected an anaesthetic. After 5 minutes she fired the gun that removes the cores - a total of 13 in my case. Uncomfortable but not painful. When it was over I was walked back to get changed and then drove home.

I had to take an antibiotic the day before but nothing afterwards.

I was warned about possible blood in my stools (didn't get any) and blood in my semen- that's quite gruesome so I would suggest a week of masturbation before letting your partner see what comes out LOL

User
Posted 07 Nov 2023 at 21:50

Thanks for that information, did you get a good result from your biopsy?

User
Posted 08 Nov 2023 at 09:37

You may also have the option of a general anasthetic, I did, and it was transperineal.  But of course this means you can't drive home afterwards.

I had a meeting with specialist soon after the biopsy where I found out the results, 

All the best  

Edited by member 08 Nov 2023 at 09:38  | Reason: Not specified

 
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