Because I had some increasing prostate (PSA) levels my urologist thought that I should have a prostate biopsy done. He told me that the biopsy is done through the rectum and with the guidance of an ultrasound they use a needle to obtain several biopsy tissue samples. After hearing that, I was definitely not looking forward to this procedure.
Read on if you want to know what happened for my prostate biopsy procedure:
I was instructed to give myself a Fleet enema two hours prior to the prostate biopsy. When I arrived at the clinic for my prostate biopsy procedure, I was taken by an attractive female nurse MA in her early to mid-30’s to a room. There was a table in the center of the room that was positioned about 24” off the ground. The female nurse told me to: “take off your pants and underwear, lay on the table, then to put a paper drape over yourself”, and then she left the room for me to undress. When she returned, she instructed me to “turn over lying on your left side with your knees pulled up”, and then she said “I want you to scoot your bottom over the edge of the table until you feel like you would fall off”. I moved so that only my hip was on the edge of the table and my paper draped ass was protruding over the table. She walked behind me and then folded back the paper drape to expose my bare butt and started rubbing something cool on my right butt cheek. I asked her what it was and she said “it’s alcohol. I’m going to give you an antibiotic shot”. Then she said “1, 2, 3” and then stuck the needle in my butt cheek giving me a shot. She covered my butt with the paper drape and said to lay there and the Doctor would be in shortly.
When the doctor came in with the nurse he jokingly said, “today I’m going to give you the finger handshake”. I thought that was funny and appreciated his lightheartedness. With a little bit of chatting, the doctor then sat down on the stool where my butt was hanging off the table. I was facing away from the doctor and I couldn’t see him. He told me that first “I’m going to give you a rectal exam to feel the size of your prostate”. The nurse moved beside the doctor and folded back the paper drape uncovering my butt and then she pulled my right cheek up to expose my asshole. That felt awkward and slightly embarrassing having her retracting my butt knowing that both her and the doctor had a clear view of my exposed asshole. I could feel the doctor spreading the cool KY lube all over my anus. Then I could feel some pressure on my asshole as the doctor began to slide his finger into my ass, and the nurse released holding up my butt cheek. I laid there feeling the doctor’s finger probing and feeling my prostate for probably about 3 minutes (which is a long time compared the typically short DRE that I receive for an annual exam).
After he withdrew his finger, the doctor said “I’m going to do an ultrasound of your prostate to determine and measure its size. This is going to feel larger than my finger going in”. I could feel the ultrasound wand pushing into my asshole and going up my ass. The doctor was right that it did feel bigger inside me, but I wouldn’t say that its size was significantly larger or considerably uncomfortable. The wand maneuvering and probing inside my butt and around my prostate was a strange sensation. For about 5 minutes I could feel the wand moving around and pushing at my prostate. I laid there thinking this is so weird, not to mention humiliating, having an ultrasound wand stuck up my ass and feeling it moving around inside my butt. As I could feel the tip of the ultrasound moving around my prostate, the doctor told me the measurements and size of my prostate; and he indicated that the left side of my prostate was slightly larger than the right side, but that was not overly concerning to him.
Then the doctor said “I’m going to give you two shots of Lidocaine in your prostate to numb it before I take the biopsy samples.” Lying there with the ultrasound wand still up my ass, I suddenly felt the needle go into my prostate being given the shots of Lidocaine. It wasn’t really painful and kind of felt like a bee sting. Since I was facing away from the doctor and nurse, I couldn’t see anything and I had to wonder how he was able to guide the needle in. I wondered if somehow the needle was introduced through the wand or if maybe there was someway that the wand itself could administer the Lidocaine shot. Maybe I really didn’t want to know the details, so I didn’t ask. Then the doctor said “OK, we’ll wait a few minutes for the Lidocaine to numb your prostate before I take the sample biopsies”. So here I am for the next three to four minutes or so lying on my left side with my bare ass facing the doctor and nurse with this ultrasound wand still stuck up my butt. It felt so awkward and undignified just lying there with the wand still in my ass as the doctor and I made small talk chatting about football. Then the doctor said he was going to get biopsies of my prostate tissue. I could feel the wand moving around inside me, but fortunately the Lidocaine was effective and I didn’t feel any pain as the biopsy samples were taken. At most, I maybe felt this slight pinching sensation. Each time he got a tissue sample I could hear this snapping or clicking sound like you would hear when you pull the trigger on one of those long lighters to start a fire. A total of ten tissue samples were taken to be sent off to the pathology lab. I felt the doctor slowly pull the ultrasound wand back and the tip of the wand out from my asshole. I remember thinking to myself how I suddenly felt “normal” not having that wand probing and being stuck up my butt.
The doctor and I discussed when I would have the results and some treatment considerations depending on the pathology lab report, and then he left the room. The nurse told me that I could get up and get dressed. She told me “There are some wet wipes and a washcloth on the counter for you to clean up with. You need to also put a pad in your underwear in case you have some bleeding”. As she was about to leave the room, I asked her about taking off the patient ID band that was on my wrist that had been put on me when I checked in. She said “I’ll get some scissors to cut the band off” and she left the room. I got off the table and went over to the counter and used two wet wipes to clean myself. When the nurse came back in with the scissors and I was still naked from the waist down. She hesitated for a second, and I just took some steps toward her to cut off the wrist band. I could see her take a flash glance down at my shaved cock and ball sack as she decided to continue walking towards me. It didn’t at all bother me her seeing my cock…especially after she had already seen my asshole and me lying on the table with a wand stuck up my ass. Since she works in a urology clinic, I’m sure she has seen many men’s cocks before. I stood there with my cock showing as she cut off the patient ID band from my wrist. She left the room and as I began to put a pad (like a menstrual pad) in my underwear it suddenly struck me that I enjoyed the taboo-ness of standing there with my cock exposed to the nurse while she cut off the band. Ten days later I got the pathology results and I was delighted that all the biopsies were benign and there was no indications of prostate cancer. I wouldn’t want to go through that procedure again, but it is a huge relief knowing my elevated PSA levels are not cancerous.