Prostate Biopsy

Male doctor, male patient

https://www.youtube.com/watch?v=K7NJNYAllMI

Maybe some of our medical members can chime in here; when I had my prostate biopsy procedure done in 2011, this "spinal" needle procedure was not done. I just had lidocaine gel applied locally in my rectum prior to the actual biopsy procedure (ten separate sticks..).

I'd just like to know what this YouTube video procedure accomplishes versus the procedure I had administered to me.

That was a little intense.

This demonstrates the trans-perineal approach to the bx. Today, most bx are trans-anal (the rectal mucosa isn't especially sensitive to needles) and there is a guide attached to the US probe to help with needle placement (much higher chance of bx'ing a particular place in the prostate than with the trans-perineal approach). No local anesthetic is needed and there is no chance of the local degrading the tissue sample. The bx. needle is smaller than the one shown. The needle itself has a slight "hook" and the diameter is reduced at the end, and a movable sheath that can "snap" over the needle. Sliver bxs are taken in this way. There is a higher probability of obtaining tissue than with a simple needle aspiration. I've had it done; the bxs become painful after 2 or 3 are done; I will admit to being a pussy, flinching with each subsequent "snap". But...all in all, a not-so-bad procedure; drove myself to the office and home again without difficulty. The inconvenient after effects include voiding/leaking/ejaculating blood for a while after; stained one set of sheets permanently (the eternal reminder of the bxs). The post-procedure pain was well managed by a single dose of motrin. So, guys, no fear; this may well save your life! As an added benefit, "ventilating" my prostate this way appears to have helped resolve my chronic prostatitis (perhaps by encouraging the ingrowth of blood vessels during healing - the prostate is pretty resistant to antibiotic penetration).

My understanding is that in the US, the most common methods are done in office. The patient is in the left lateral recumbent position (Sims) and the nerve block is accomplished by transrectal needle under ultrasound guidance. There's no external skin prep, no surgical draping or other OR type preparation. Definitely no need for stirrups.

My biopsy was that way turned out positive.......,...16 years ago. It went to the land fill as quickly as I could get it removed.

My biopsy was that way turned out positive.......,...16 years ago. It went to the land fill as quickly as I could get it removed.

What way?

Cool. I liked seeing the injections.

Thanks for sharing.....very intense stuff!

It was removed by surgery........actually I was field dressed.Cut from navel to top of penis. Now it is done with micro surgery.

Course; Did you have any post-op permanent trauma such as incontinence or ED issues with your complete prostate removal?

They do it different now

Nothing permanent but recovery took a long time......icontinent for about 16 weeks.

I Had my prostate biopsy done recently and did not feel a thing till the last sample and there werev a total of twellve samples taken! Thankfully it was negative!

@ course do you visit an urologist or a meat man ?

@ subpatient lucky man

Three biopsy once 12 samples, the next 16 samples, the last 12 samples, thank you no more for me, I am served.

Https://www.youtube.com/watch?v=oxw1tYYFbz0

Https://www.youtube.com/watch?v=eLMeDhOseCo&list=PLDZW-dPtwz1yumobbzysfa29J5b5HYr3b

I go to urologist............................what the hell is a "meat man"?

When I had mine done i had a few minutes to see the probe and I wasv surprised at the size of it but it was not as bad as it looked, the doc positioned me and much to my surprise literally shoved this egg sized thing into my rectum no warning whatsoever! Hurt for a while but not too bad as a matter of fact I was talking to doc and nurse the whole time about kids school etc! once it was in i did not even feel the lidocaine injection! just that heard loud click (12 times!) and only felt a pinch as the last biopsy sample was taken and as the probe was removed. the doctor took her time wiping things off tho! another strange thing was that I had 2 enemas at home but still got 2 scope exams and like 3 enemas! 1 fleet 2 large bags! guess they wanted things really clean. overall not a bad experience was more concerned about the results than anything else. yes my bottom was sore for several days and I bled for over

a month.

Sub.

Not often do you see a guy in stirrups, thanks for the share

I hope everyone realized that the poor guy in the video had prostate ca which had metastasized to the spine. Not fun.

Went and got my results the other day all neg but PSA is stilll high retest in couple months will keep all posted so far so good, funny thing is I have a ton of health problems and I felt great till they started doing tests finding stuff and treating it! And I was in the medical field for years! - Sub

Has anyone ever had a prostate biopsy?

What was the pain level? I have had two totally different experiences, one slight discomforrt and the otger almost unbearable pain.

Thanks!

I've had a prostate biopsy, and spoken with a few other guys that have had that procedure. Usually, there isn't unbearable pain, it's a lot like someone gave you a snap with a large rubber band on the side of your colon. That's sort of how it felt to me, I was really dreading it, but it wasn't so bad. The doc took 12 tissue samples from my prostate and afterwards found cancer cells in 5 of them. That being said, a couple of guys I've talked to said that the pain was really unbearable, and in one instance told the doc to stop, that he couldn't take any more pain.

I had my first one done in 2012; I'm scheduled to have another next week.

During my first one, the doctor's nurse instilled some lidocaine gel in my rectum and let it "work' for about 15 minutes prior to the doctor taking ten different samples. When the needle hit each time, the only sensation I noticed was like an electrical jolt to the head of my penis. Once the procedure was complete ( about 5 to 7 minutes total to collect all ten samples), I was given some tissues to wipe the excess gel from my anus and got dressed. I noticed some blood tinge in the gel. I then drove home and around 45 minutes after the procedure had the urge to expel something which was a somewhat large blood clot. That was the end of that issue. You will spend around a month clearing remaining blood from your prostate when you masturbate. You'll be alarmed the first time you see your semen tainted dark-ish red.

I will let you know next week how that procedure fares.

Much has to do with method of pain control used. Some docs use a nerve block around the prostate, others, as @watertrain said, just use a topical gel in the rectum. Discuss this with your doctor before the procedure.

I had a prostate biopsy done about 6 years ago. The doctor inserted this device in my rectum an then there was a snapping sound each time he activated the device. He took about 12 samples and it was over. No real pain to speak of and there was no cancer found after the procedure was over. If it has to be done, just do it with a doctor that you trust to do it the right way. No big deal.

I had one a few years ago. It was done at my urologists office by a female ultrasound tech and a nurse. The pain was tolerable but it was a bit of a grueling procedure. When finished the tech had me sit on the table for a few minutes any gave me a cool towel to put on back of my neck. She told me it was quite common to feel a bit faint afterwards.

As promised, here's a recap of today's biopsy procedure.

My appointment time was scheduled at 11:20 this morning; I had received a robo-call two days prior to confirm that appointment; during that call they requested I arrive 20 minutes prior to that time. I assumed this would be my pre-procedure prep time and I was correct on that score.

Before I left for the procedure, I took a 500MG generic "Cipro" high powered antibiotic @ 9:30AM. I also did three "Fleet" sized bottles of water mixed with J&J soap to rinse my rectum out. I had done 2 each 2 quart cleansing enemas late yesterday afternoon in preparation for the morning rinses-I still needed the rinses today as I found out.

Once I arrived at the doctor's office @ 10:50, I waited for my name to be called and likely heard that about 10:55. I was led in by a nurse who had me donate the usual urine sample. I was then led to a chair to have my BP taken using a new little device that wrapped around my wrist. I don't know if it transmitted the results to her computer station or not, but I did have my (typical for me) doctor's office "bump" in BP as the high was 143.

Once the preliminaries were done, I was led to the procedure room - about 10' X 15'. It housed a sink and supplies cabinet on the entry door end of the room. Situated on the other end of the room was a "mini" exam couch that electrically raised and lowered. Next to that was the computer screen, keyboard and ultrasound probe and its support equipment.

The doctor's PA directed me to strip from the waist down and gave me a paper sheet to cover up with sitting on the end of the exam couch. She had positioned two absorbent medical towels on the end of the couch previously to sit on.

The PA had left the room during my dis-robe and returned with a tray with an injection. The injection was some sort of high power antibiotic as well. She asked about any allergies to meds to which i answered none that I was aware of. She instructed me to stand facing away from her and to put all my standing weight on my right foot while she scoped out a nice injection site on my left glute. I was careful to keep my left glute relaxed while she prepped the injection site. She then carefully slid the needle in and injected the antibiotic. All in all, a very good shot that did not burn.

At this point, the PA instructed me to lie on my left side with my buttocks positioned right on the corner of the exam table for good anal access. Once positioned, she instilled a quantity of lidocaine gel and covered me up to let the gel work its magic.

About ten minutes later, my urologist appeared, greeted me and asked if everything was good, to which I replied yes. He pulled the ultrasound console over to him while he was seated on a roller stool near my buttocks. He then proceeded to insert the probe into my rectum and position it for the first biopsy needle. Within five minutes, he had collected a total of 12 biopsy sticks. He removed the probe and cleaned my anus and surrounding area with some gauze pads. He left with another pad applied to my anus for any leakage.

I was then instructed by the nurse that I was are to get dressed after ascertaining I had a follow-up appointment scheduled (February 10th). All in all, my procedure was essentially painless from start to finish. I take one more 500MG Cipro tablet tonight to finish the procedure.

I will keep you all updated once I have results.

I thought it was a huge non-event! I was worked up to the point of suicide when I went in. Nurses were super cool and made me feel great. I had a cystoscopy first - that was a little freaky. 375 ml of saline right up the weenie. Doc scoped around and said my bladder was perfect! I peed that off and came back for the biopsy. Had to lay on left side with my butt hanging nearly off the table. Probe/gun was smaller than I pictured it. He did some ultrasound photos. Then it was snap snap snap with the rubber band powered needles. By number 12 I was sore but not in pain. Whole thing was over in less than 30 mins. Met him in his office. He gave me some instructions and I left. Went to eat pancakes then home to a hot tub. Very little blood in urine after - maybe a couple of times. He called me 3 days later and said it was all negative - just a benign nodule!!!!!! The funkiest thing was when I dropped a lot with an assist from my wife - what came out was like grape jelly in color and consistency - really weird. No pain, but no great pleasure either. Since the procedure 2 years ago my orgasm simply hasn't been the same..... Glad I'm healthy, but was the lost sensation worth it?????