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Biopsie: im Spital oder bei einem Arzt?

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User
Posted 03 Dec 2024 at 07:39

My husband (PSA 67, extensive PI-RADs lesion in tZ and pZ with long contact to pseudocapsule, relatively fit, in his 50s) should have a fusion biopsy as a next step. 

I already got him an appointment at a nearby hospital (the one mentioned by the referring urologist) but a husband of a colleague said he could do it at this practice (this would be on our social health insurance the same as in hospital, we are not in the UK, so it is not a question of money) and recommends this as it would be less hectic than in hospital and apparently takes less than 10 minutes. That sounds nice to me but not sure how much I should say one thing or another to my husband. 

Both options would be soon, the hospital scheduled a pre-Op consult for this Friday with biopsy one week later. My colleague's husband would be roughly the same time frame, on the other hand he is further away than the hospital but not a major journey. 

Anyone who has been through it have a recommendation? I only want to be supportive of course and not complicate things or stress my husband. 

User
Posted 03 Dec 2024 at 11:11

In my opinion go to the hospital. Imagine if you need a second opinion about something, effectively you are telling your colleague you think her husband is wrong. How is that going to effect with your friendship.

The hospital is more anonymous, and that's better.

Dave

User
Posted 03 Dec 2024 at 16:21

I can well understand that a smaller place makes it appear more comfortable and personal.   If I was confident the place had the same or better equipment, staff and timescales it could be tempting.

Although, as you already have the date of the biopsy at the hospital and Christmas is approaching I'd be wanting to get it done.   There are possible advantages of having all the diagnosis and treatment at the same place.  Dividing treatment makes any blame for delays, for example, less easy to identify. 

The biopsy isn't always accurate, mine was upgraded after the operation, and that's not uncommon.  So the final treatment is a bigger factor.

Thanks for coming on here.  I guess you're in Germany and it would be interesting to know more about how treatment goes there if you wish to continue asking or writing progress.

I recognise your name is 'questions'.

All the best, Peter

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User
Posted 03 Dec 2024 at 11:11

In my opinion go to the hospital. Imagine if you need a second opinion about something, effectively you are telling your colleague you think her husband is wrong. How is that going to effect with your friendship.

The hospital is more anonymous, and that's better.

Dave

User
Posted 03 Dec 2024 at 16:21

I can well understand that a smaller place makes it appear more comfortable and personal.   If I was confident the place had the same or better equipment, staff and timescales it could be tempting.

Although, as you already have the date of the biopsy at the hospital and Christmas is approaching I'd be wanting to get it done.   There are possible advantages of having all the diagnosis and treatment at the same place.  Dividing treatment makes any blame for delays, for example, less easy to identify. 

The biopsy isn't always accurate, mine was upgraded after the operation, and that's not uncommon.  So the final treatment is a bigger factor.

Thanks for coming on here.  I guess you're in Germany and it would be interesting to know more about how treatment goes there if you wish to continue asking or writing progress.

I recognise your name is 'questions'.

All the best, Peter

User
Posted 03 Dec 2024 at 16:58

The biopsy is quick and without pain. I would still have it done at the hospital as having a close colleague connected to it as just being given a referral by a colleague and you then check the person out. Your records are at the hospital along with the tissue and your colleague’s husband does not need to add a step getting it to pathology which is probably at or near the hospital. A good excuse is you are just going to the hospital for convenience because of the holiday’s.

 
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