What does a transrectal prostate biopsy feel like?

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rgmjr
New Member


Date Joined Nov 2010
Total Posts : 8
   Posted 11/6/2010 3:22 PM (GMT -6)   
Sorry to be asking such a novice question but I am scheduled for an untrasound and transrectal biopsy next week as a result of my PSA doubling to 6.2 in less
than a year and obviously full of questions.

My urologist prescribed 4mg of Lorazepam to take one hour before the biopsy. I know this should knock me out a bit but was wondering during the
actual biopsy, how much pain is involved as the needles go into my prostate? Also if the procedure takes place at 11:00am, will I be good to go for a
dinner meeting at 6:30pm the same day?

Thanks in advance for any advice and/or answers you can give me. Needless (no pun intended) to say this whole situation is frightening as is the anxiety
over what the results will be. If anyone wants to take my place I'll give you a used eight track tape player in compensation :-)

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2567
   Posted 11/6/2010 3:39 PM (GMT -6)   
Most guys find this and uncomfortable, but bearable event. I think the sound of the injector is worse than the needle stick. You hear a pop, and then feel a little stick. I didn't take anything, got up, wiped the goo off my butt, and went back to work.

Some guys have had anestheia, some take drugs to relax. Some complain of intense pain, but most just find it an inconvenient, kind of humilating experience that we wouldn't do of our own volition.

Welcome to HW, and good luck on your biopsy. It will be ok. It's the results that can be a stinger. Start reading sone of the resources listed at the top of this forum, so you aren't surprised with words.
Goodlife
 
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5616
   Posted 11/6/2010 3:49 PM (GMT -6)   
Welcome to HW - sorry you have to be here, and hope the biopsy will come back negative.
 
As to pain, there are opinions from "none" to "the worst day of my life" represented here.
I had mine done in the morning, with only a local anesthetic (needled into the prostate - no pain pre-meds, but they did give me a few days of antibiotics). I continue to say getting my last crown was much worse, but it was moderately, but briefly, painful. You will certainly feel it. I was joking with the nurse about my private parts being "hung out to dry" in the stirrups. She did say that I was a better than average patient.
Mine was a 12 core, and I was ready for it to be finished. I would not have supported much more.
 
I got up, cleaned up, and drove myself back to work for a while, but I did crash (more from stress and anxiety of what was happening) late in the afternoon. I was hurting later, and would not have wanted to have to be sitting for any great length of time. A 6:30 meeting might be just a bit optimistic.
 
I had some mild rectal bleeding for a few days, but nothing significant. Was back at work the next day without any issues.

142
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Date Joined Jan 2010
Total Posts : 5616
   Posted 11/6/2010 3:54 PM (GMT -6)   
Now that I think about it, for me it was not the gun click, but the manuevering of the probe that caused more discomfort for me. My uro was very precise about the areas he wanted to hit, and he accomplished his goal.

Gone1
Veteran Member


Date Joined Dec 2009
Total Posts : 514
   Posted 11/6/2010 4:09 PM (GMT -6)   
142 and goodlife pretty much nailed it as far as I'm concerned.  I had two biopsies, no anestheia.  Not much pain, a few sticks were felt more than others.
 
I did have bleeding from the rectum which went away by the next day (so you might want to wear a pad to your 6:30 dinner ... just in case).  I also had blood in the urine for a day or so.
 
Good luck and best wishes.
PSA 2007 - 2.8; 11/24/2008 - 7.6; PCa Dx 2/11/09; age at Dx 62; RLP 4/20/09

Biopsy - Invasive moderately differentiated prostatic andenocarconoma; G 3+3=6; PT2C; No evidence of Seminal Vesicle or Extraprostatic Involvement; Margins clear; Tumor identified in sections from prostatic apex. 70 gram prostate. Continent after removal of cath.

ED - Trimix works well; levitra @ 90%
PSA - 7/31/09 <0.06; 12/1/09 <0.06; 3/29/10 <0.06; 8/4/10 <0.06

Jazzman1
Veteran Member


Date Joined Sep 2010
Total Posts : 920
   Posted 11/6/2010 4:11 PM (GMT -6)   
Good question.

I found it uncomfortable, but entirely tolerable. The local anesthetic injections were more uncomfortable than the biopsy itself. The local does a good job of taking the edge off of any discomfort.

However, once that local wears off you'll be seriously sore, which will probably happen in the car on your way home. They told me to take Extra Strength Tylenol, which worked fine, but I really wish I'd had it when I left the doctor's office. Do yourself a favor and take a couple with you and pop those buggers just as soon as they turn you lose. You'll have a far more comfortable ride home.

The soreness afterwords, for me, was worse than the procedure itself. Besides general soreness, there's the feeling that you need to urgently have a bowel movement, even though you don't. It's just the inflamed tissue messing with you. Again, Extra Strength Tylenol will handle it, but plan on taking it continuously for a couple days. And don't be surprised if you experience mild soreness for weeks after. Nothing you can't handle, but don't expect to experience no discomfort.

That was my experience, anyway. Your mileage may vary. Good luck.
Age 55

PSA:
8/09 2.69
7/10 4.00
8/10 4.11

Biopsy 8/10
Three of 14 cores positive: 10%, 60% & 80%
Stage T1C; Gleason 6

open radical prostatectomy at Cleveland Clinic 11/2/10

clocknut
Veteran Member


Date Joined Sep 2010
Total Posts : 2204
   Posted 11/6/2010 4:14 PM (GMT -6)   
My brother, who has had three of these, told me horror stories about the pain. My urologist assured me that mine would not be painful. My uro was correct. On a scale of 1-10, I rated it a .5 for pain, hardly noticeable. That's not to say I enjoyed the procedure, but it really was not painful. When I asked him why my brother's was so painful, he said my brother's urologist must not have applied the anesthetic properly, but that every urologist he knows has been doing these painlessly for the last five or six years.

I would suggest you voice your concerns to your uro and get his reassurance that you will be properly anesthetized. Uncomfortable? Yes. Painful? Hopefully not.
Age 65
Dx in June 2010.
PSA gradually rising for 3 years to 6.2
Biopsy confirmed cancer in 6 of 12 cores, all on left side
Gleason 7 (3 + 4)
Bone scan, CT scan, rib x-rays all negative.
DaVinci surgery late August at Advocate Condell, Libertyville IL
Negative margins; negative seminal vesicles
Smooth recovery; 18 holes of golf at 4 weeks.
Continence OK after 7 weeks. ED continues

rgmjr
New Member


Date Joined Nov 2010
Total Posts : 8
   Posted 11/6/2010 4:26 PM (GMT -6)   
Geez you guys reply quickly....THANK YOU!

Did someone say stirrups??? That ruined my afternoon!

The urologist did give me 6 Cipro tablets and the Lorazepam and hopefully he will use numbing creme if there is such a thing. I think i'll need some
help with humorous lines to use while i'm sitting exposed in stirrups. It's doubtful that flirting with the nurse will get me anywhere with my rear end
exposed like that....and a wife in the waiting room.

Seriously I do appreciate the responses. It's comforting to be able to talk to people who have gone through this. And as much as I don't look
forward to the biopsy it will be the week of waiting for the results that will be most difficult. Unfortunately I know this in unavoidable so we'll just
take it one day at a time.

Clocknut - my PSA went from 3.7 to 6.2 in 10 months. I wasn't too concerned but my regular doctor demanded I get to a urologist that week. I didn't
like my first one but the second guy is great. Glad to see you're doing so well. We have the 6.2 in common.....

Post Edited (rgmjr) : 11/6/2010 4:29:55 PM (GMT-6)


Sunbird
Regular Member


Date Joined Apr 2008
Total Posts : 127
   Posted 11/6/2010 4:56 PM (GMT -6)   
I thought the biopsy procedure would be a 10 of 10 on the "bad" scale, but it turned out to be about a 3. I did have the shot of lidocaine prior to the sampling, so the pain wasn't too bad. Your ejaculate will resemble used motor oil for a few weeks, but it will clear just in time for surgery.

F8
Veteran Member


Date Joined Feb 2010
Total Posts : 3085
   Posted 11/6/2010 5:29 PM (GMT -6)   
i was panick-stricken and my wife held my hand through the procedure.  afterwards i felt silly because it wasn't that bad.  in fact there was nothing about the biopsy that was painful. a nurse made me drink a coke to get my blood sugar up  before they would release me.  my buddy had his biopsy a couple weeks after me.  he didn't get a coke and that night he passed out and ended up in the emergency room. 
 
ed
 
 
age: 55
PSA on 12/09: 6.8
no symptoms, no prostate enlargement
12/12 cores positive....gleason 3+4 = 7
HT, BT and IGRT
received 3rd and last lupron shot 9/14/10

Post Edited (F8) : 11/6/2010 5:32:40 PM (GMT-6)


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 11/6/2010 6:16 PM (GMT -6)   
No stirrups for me. The biopsy was performed while I was laying on my side. The worse part was the prep and anxiety. Low pain and not near as bad as I had expected.
Age 51 @ DX
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
Mild ED for about 10 months. Levitra worked well for me. No ED at one year.
PSA 0.00 at 24 months post op

Pocketman
Regular Member


Date Joined Aug 2010
Total Posts : 120
   Posted 11/6/2010 7:24 PM (GMT -6)   
Like most everyone else has stated, it's uncomfortable but certainly a long way from awful. I was on my side with one leg pulled up, almost fetal, which was actually sort of comforting. Doctor gave me a local, which no doubt helped. The most uncomfortable part was some of the probing that was necessary to position the biopsy needle.

Too things that I learned is there is no modesty in urology. Just go along with the program. Second thing is the importance of caring health care professionals. The doctor was sensitive to my situation and talked me through the entire process.
Age 61, Diagnosed July 2010
PSA 04/09 - 2.5; 05/10 - 3.7; 07/10 - 4.7
DRE and Ultrasound - Negative
Size at biopsy - 32 grams
T1C, 3+3=6, 1 core of 12 60% positive

Highwayman
Regular Member


Date Joined Sep 2010
Total Posts : 148
   Posted 11/6/2010 8:17 PM (GMT -6)   
RGMjr,
Be sure to ask for the Lidocane numbing stuff. I ended up having three biopsies by two different doctors. It is not really too bad.
Your semen will be bloody for weeks to months afterword so don't let that freak you or your partner out. It really scared my wife the first time.
Good luck and may it just be a case of prostetitus or something benign.
Mike
Age 48 w/diagnosed
10/06 PSA 3.0
11/06 PSA FREE %13.2
10/07 PSA 3.4
12/07 Biopsy-neg
1/09 PSA 4.6
6/09 psa 5.8
2/10 psa 8.7
7/10 PSA 10.8
8/2010 3rd biopsy GG 3+3=6, one of eight cores -2%
Lap 10/22/10 Dr. Troxel
Path- Neg Margins, Gleason 6, Nerves spared
next appt 11/2

fulltlt
Regular Member


Date Joined Nov 2010
Total Posts : 190
   Posted 11/6/2010 8:36 PM (GMT -6)   
I wrote up what happened to me shortly after the transrectal prostate biopsy.
I wish I had known at the time that I could have had a stereotactic transperineal prostate biopsy.
I learned about the STP from attended a support group meeting at the Chicago Prostate Center.

Here's my journal entry from right after the biopsy:

Two days after my 57th birthday I went in and had a routine blood
test. My doctor called me on my cell phone on m way to work the
following Tuesday morning like there was some emergency. He said
my PSA score was 8.2 and was worried I might have prostate cancer.
I had no idea at the time what a PSA score was. I told him I
would call him back after I got to work. So I hung up and continued
on in to work. I tried to call him back but could only get his
answering service. Eventually through my persistance they patched
me through to a back line to his office. He told me I needed to
see a urologist ASAP. He gave me two names of local urologists.
I called the first one but he was booked up. So I called the second
one and made an appointment for that afternoon. As it worked out
I could not make that appointment due to meetings at work running
late. I rescheduled for Feb. 11th. I spent the next few days a
little concerned but not really knowing a lot about what was
happening. After all I am fairly healthy with no family history
of this type of thing or anything. The doctor did the finger up
the butt and feel around routine. He said it felt normal but there
might be a hard spot. He said he wanted to do a biopsy so I
consented. If I had known the after effects of the biopsy I would
have had second thoughts about so easily consenting. The nurse
handed me a bag and directions for my return visit. I went to work
on the 16th with my bag containing the Fleet enema. I was supposed
to give myself the enema at 1:30. Well I had a meeting that went
until 2:00 so I went in the bathroom and put the enema in. As I
was half way into the enema my cell phone rings and I answer it.
They want me to come back to the meeting. I tell them to give me
a minute. So I finish the enema and go back to the meeting with
the enema solution still in. Was I glad they only had a few
questions and then let me go. I went straight back to the bathroom
and let loose. Later that afternoon I headed out to the urologists
office for the biopsy. He had me lay on my left side in the fetal
position on his table in his exam room. He inserted a tube of
anesthetic up my butt and told me to tell him if it hurt any time
he did anything. Next was the ultrasound probe. I could see the
black and white pictures on his screen of my prostate. Then began
the biopsy. I just closed my eyes and endured it. It sounded like
the pushbutton on my gas grill every time he took a sample. It
kind of felt like it too. I was glad when he was done taking the
16 samples. I never counted them though. He gave me a prescription
for an antibiotic and sent me on my way with a toilet paper plug
still stuck in my butt. So I drove on down to Target to get my
prescription. When I got there I had to pee so bad. To my shock
blood and little clots of blood came out and it hurt. While I
peeing my cell phone rings and I answer it. It's my son who needs
a part from Menard's. So I go out and get in the car and drive
across the street to Menard's and get his part for him. I drive
back to Target and pick up my prescription. I then drive on home
to relax like the doctor told me I should do right away after the
procedure. I headed right to the bathroom as there was a great
sense of urgency at the back end. I barely got my pants down and
the toilet paper butt plug shot out like as I imagined a mucous
plug would blast out of a pregnant woman. It's probably not the
same but the thought did go through my head for some strange reason.
The urologist called me back on Thursday Feb. 18th and abruptly
told me I had tested positive for prostate cancer. What a shock.
My mind reeled. How could this be. Not me. I told me wife and
we both hugged and cried. I called a family meeting and told my
kids. I thought about finishing writing my book. I thought about
writing my will and buying a tombstone and a casket. I already
had a cemetery plot I bought decades ago while researching my family
history. It was an easy way to get info from the curator of the
cemetery. .... to be continued.

Herophilus
Regular Member


Date Joined Sep 2009
Total Posts : 468
   Posted 11/6/2010 9:10 PM (GMT -6)   
I go all the way around the block to tell this, but this is how it was with me. I never took one pain shot or pain pill after my robotic prostate surgery…and I’d have a gazailion surgeries for each prostate biopsy. Because my biopsy liked to kill me. However I’m in a very unique position to add the additional information. My younger brother and I had the same physician do our biopsy and follow-up surgery. (lucky us, we ONLY have prostate cancer) I was in terrible discomfort after my biopsy. I actually took off an additional day following my biopsy. On the other hand my brother and his wife had dinner and went out to see a movie after his biopsy. I was home 30 hours after my surgery and was hunting in a tree stand and dragged a deer to the truck and processed it by myself on post-operative day 19. So the moral to the story is… all of us are individuals and for the most part a biopsy is a “walk in the park”…(for most of us) best of luck.
Hero
Age 51 PSA 6.8
Bxy 10 of 12 Cores positive for Gleason 6. up to 75%
Robotic surg 11-02-09
Post op path. 20% neoplasm;4+3=7 Gleason
All nodes (14) and other related tissue negative for cancer
No EPE
Post op PSA x 3, all <0.01

Sunbird
Regular Member


Date Joined Apr 2008
Total Posts : 127
   Posted 11/6/2010 9:47 PM (GMT -6)   
rgmjr,

If that used 8 track tape player you wish to offer to anyone who will take your place at the prostate "pin cushion" procedure was taken out of Elvis' Cadillac and can be proved and verified, I might take you up on the offer. Wait a minute! I have no prostate gland! I imagine it's on display in a jar of formaldehyde somewhere.......However, when I was receiving my post surgical check-up two days ago, the doc sure probed my prostate bed, and it wasn't too comfortable!

Terry Herbert
Regular Member


Date Joined Sep 2010
Total Posts : 92
   Posted 11/7/2010 1:39 AM (GMT -6)   
rjmjr,

I guess you'll have realised that there is a wide variety of experiences with biopsy. I have to say I've never noticed anyone mentioning stirrups before, but no doubt there'll be someon who feels they can get a better result that way. My own biopsy (14 years ago) was noting to write home about - just like getting kicked pretty hard in the backside. What was a shock was the blood in urine and ejaculate which lasted a long time for me - about six weeks - althogh that is variable too.

My only reason for mailing you was to say don't stress too much about your 'rapid rise' in PSA. In 2001 I ran a small experiment when I had PSA tests on 28 successive days to see what variance might develop over that time - if you're interested you can read about it here 28 DAY EXPERIMENT. Over one three day period my PSA went from 4.5 to 6.0 and back again four days later. Since PSA is not prostate cancer specific, there are many reasons for changes in PSA results.

Good luck with your biopsy.
Diagnosed ‘96: Age 54: Stage T2b: PSA 7.2: Gleason 7: No treatment. Jun '07 PSA 42.0 - Bony Metastasis: Aug '07: Intermittent ADT: PSA 2.3 Aug '10

It is a tragedy of the world that no one knows what he doesn’t know, and the less a man knows, the more sure he is that he knows everything. Joyce Carey

pipedream
Regular Member


Date Joined Aug 2010
Total Posts : 64
   Posted 11/7/2010 7:09 AM (GMT -6)   
My brother had a biopsy at age 48 and had horrible pain during the procedure....so much so that even now, 6 years later, when told that my husband was having a biopsy, he made a point to urge us to insist that he receive anesthesia for the procedure. My brother is not particularly sensitive to pain and has had a number of painful accidents resulting in a broken back and broken ankle - so he knows pain. But he said the pain was about the worst of anything he had experienced up to that point in his life and tears were literally pouring out of his eyes toward the end of his 12 sample biopsy.

My brother's opinion is that most of the doctors performing biopsies have not had one themselves, so when they downplay the discomfort, it is without first-hand knowledge. I don't know if my husband would have had the same experience but I was unwilling to take the chance....so I was the one who insisted that the biopsy be done under anesthetic.

As has been stated here, everyone is different. There is no reason why you have to be awake and aware for the biopsy - the procedure sans sedation seems barbaric to me. A colonoscopy is done with sedation and it is generally less traumatic. We did have to reschedule the biopsy for a month later in order to have it done in the operating room rather than the x-ray department. Of course, no driving for 24 hours after anesthesia and you probably would not be ready for a 6:30 meeting that evening if you go this route.
Husband DX @ 64; 7.5 year survivor colon cancer; father had PCa @ age 65
04/09 - PSA 3.06
10/09 - PSA 1.55
04/10 - PSA 4.26

Biopsy 7/10 Gleason 7; 3+4 & 4+3 - 6 of 10 cores

RRP - 10/1/10; Gleason 3+4; 20%; pT2c; contained, clear margins

Ger42
Regular Member


Date Joined Apr 2010
Total Posts : 189
   Posted 11/7/2010 7:52 AM (GMT -6)   
Not a problem here. So uneventful I hardly remember it.
Age 68 weight 185 height 6'
Samples taken 4/19/2010 sent to Bostwick
3 out of 12 samples cancer
1) gleason score 3+3 involving 65%
2) gleason score 3+3 involving 65%
3) gleason score 3+3 involving 10%
PSA 3.5 Mar 19
PSA 2.5 Apr 4
Bone scan clean CT scan clean
Da Vinci 10/12/2010 DR Paul Kahn all nerves spared
Home 10/19/20
Cath out 10/22/2010
Prostate 56 gm. Gleason grade 3+4 = 7

Odillo
New Member


Date Joined Nov 2010
Total Posts : 1
   Posted 11/7/2010 8:02 AM (GMT -6)   
I have had 3 biopsies, 2 from one urologist who did these while I layed on my side while the third one (done by different doc) put me in the stirrups. I changed docs because the 2nd procedure almost killed me literally. I immediately tasted the lidocaine and had a reaction to it, the sad part was the doc and nurse didn't know what to do, I couldn't communicate with them as my speech was not recognizable. I ended up in misery for 3 days following that procedure as I felt like my bladder was going to explode. The first one went off without a hitch, no issues so I know this guy screwed up big time. So onto another doc who put me in the stirrups which is very uncomfortable when they insert the tube. The procedure itself was easy even with no anesthetic. Other than the tube it was not bad. No cancer but abnormal cells, whatever that means (PIN), and prostatitis. I went to a chirpractor who specializes in holistic medicine and his question to me was why the prostatitis. He said we should not have inflammation in the prostate or anywhere else for that matter so has put me on supplements, Beta-Sitosterol for one which as not only lowered my PSA but my cholesterol as well. He also swears by Apricot kernels that these will keep you from getting cancer. I was not one o believe originally but this seems to be working for me at this point. By the way, I just joined but don't see anyone discussing the PCA3 urine test. Many urologists including my first one, don't use this test, which like a PSA is not 100% accurate but can help in deciding if one may have cancer. I'd like anyones feedback on the PCA3 test to se if others are doing this??

rick27
Regular Member


Date Joined Sep 2010
Total Posts : 69
   Posted 11/7/2010 8:13 AM (GMT -6)   
I had three. All were painful. I didn't have the stir-ups, just laid on my side comfortably in the fetal position. The first biopsy lasted about ten minutes,12 cores, pain was about a 4. I drove home. The second they told me 12 but did 2 more. It took about 40 minutes, pain was about a 7. I took the RR and subway home and was in real pain about a 9 while traveling and for the first hour at home. I took tylenol and the pain was gone. Both of these two I had only the local lidocane needles. The third one I insisted on vicaden, I took three 5/500 before and the pain was down to about a 3. It was 14 cores and 15 minutes. I had my wife drive me home and that helped too.
I think with the pills you are taking it will be tolerable, plus many men don't have as much pain as I had. I wouldn't schedule anything until the next day. I had red to pink semen for 3 months. red urine for one to two days.
History: 2 brothers with prostate cancer
Age 56
PSA at age 45: 4.7. DRE normal.
PSA at age 52: 8.0. DRE normal. 1st biopsy 12 cores, negative
PSA at age 55: 9.5. DRE normal. 2nd biopsy positive 2 of 14, gleason 3+3. both cores <5%, Start WW
PSA at age 56: 9.2. DRE normal. 3rd biopsy positive 4 of 14, 3 cores <5%, 1 core 7% Gleason 3+4 in 1 core, prostate 81cc
LRP, no robot, Sloan Kettering

Arch
Regular Member


Date Joined Jun 2010
Total Posts : 174
   Posted 11/7/2010 10:05 AM (GMT -6)   
I had 12 cores taken and found it VERY uncomfortable, 6 were taken with a needle inserted through the perinium (between scrotum and rectum) and 6 cores were through the rectum. Pain from the local anesthesia needle was uncomfortable as were the core samples, especially feeling the core line up for the next "pinch" when the core is taken.
 
I was Relieved to finish, the scary part was when I stood up blood pored out of my rectum, all over the floor, down my leg etc, hell of a mess. The nurses assurred me this was not a problem. Then I felt like I needle to have a  bowel movement, to my surprise out came a big clot and dropped like a fried egg on the floor. I was kind of shocked but I seemd to be the only one in this state so I let it pass. I had to sit in a recovery room by myself for a while to recover my composer, again when I stood up up I dropped what looked like a fried egg clot on the floor. It really was the bleeding that worried me.
 
I walked down the hospital hallway like I had a stick up my rectum thinking, "wow, that was an experience"
I felt fine after a couple of hours but took the day off work.
 
I hope yours goes well, its uncomfortable but its something that you can laugh at later...especially the stirrups...giddy-up!
 
r
age 56
PSA 5.5
Biopsy, both lobes involved
Gleason 3/4=7
open RP May 18, 2010
Pathology: 15% involved, lymph nodes and v. d. clear, margins clear
June 3-10 10-12 pads/day
2 months 8 pads/day
Aug 1, 2010 5-6 pads/day
Aug 20, 2010 3-5 pads per day
Aug 16, 3 month PSA: undetectable
ED 95% with viagara
Sept 22, 2 pads a day
Oct 12, PSA 0.03
ED, 100% with viagara, just doeable without

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 5616
   Posted 11/7/2010 11:10 AM (GMT -6)   
For once, I am glad I didn't find this board before my surgery (not really, but... wink .
 
If I had read all these horror stories, I'm not sure I would have been so calm about it.
 
One point that my doctor made was that for all of this PCa affair, I needed to plan so that nothing got in the way - there are a lot more patients than open time slots for procedures, operating rooms, and radiation equipment. If you miss an appointment, it could cost you a month or more of additional delays in the process.
 
I can't imagine doing a fleet enema in the toilet at work - and then holding it in a meeting - smhair

rgmjr
New Member


Date Joined Nov 2010
Total Posts : 8
   Posted 11/7/2010 12:45 PM (GMT -6)   
Once again thank you to everyone for the replies. After reading everything, I'm just hoping to have one of the more unpleasant experiences and
of course good results.

It's kind of funny....when the urologist told me I definitely needed to get the biopsy I had absolutely no fear. I am a veteran of several colonoscopies and
a few surgeries. However as the time draws closer I must admit to a fair amount of fear and anticipation. The fear of the unknown re the procedure is
gone thanks to all of you. The fear of the known is there but I'm thinking not doing anything would be a huge mistake so I'll bite the bullet. Besides as
hard as I try and can't think of anyone to blame for this.

As an aside, I fondly remember my last colonsocopy when I had done all the prep and was clean inside. In the pre-procedure room the anethesiologist came
in with the nurse to go over everything and ask the redundant questions. When he asked if I had eaten anything in the last 24 hours, I replied "just a bowl
of chili and onions". He knew I was joking but the nurse just about dropped her clipboard. He told me that's like crying fire in a crowded theater. You gotta
have some sense of humor about all of this if possible....

142
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Date Joined Jan 2010
Total Posts : 5616
   Posted 11/7/2010 1:00 PM (GMT -6)   
RGMjr,
 
No one ever accused me of having any patience or even a whisp of a sense of humor, but the "new normal" of my PCa world has given me the ability to make dark jokes about body parts and functions that would never have been mentioned in public. 
 
I should have seen it coming when I did my colonoscopy prep. I asked them if all that mess I drank was supposed to have caused me to have a BM -
 
But I didn't get Mel's "joke" post, so my normal level of support for April fool's and pranks seems to remain the same - there are prisons for those folks devil
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