Biopsy Scheduled

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Jack Z
Regular Member


Date Joined Jul 2008
Total Posts : 43
   Posted 7/24/2008 9:54 AM (GMT -6)   
Hi:
 
I am scheduled for a prostate biopsy next Tuesday the 29th and am really concerned because I have read a number of articles and reports online suggesting that there are potential complications such as infection, inflamation of the prostate etc. Can anyone tell me waht to expect. The doctor of course says don't worry problems are rare...not sure I take him at his word.
 
Just some quick background:
 
Im 63
One year ago my PSA was 4.4 and was then retested in three months and was 3.4
My most recent PSA 7-15-08 was 12.5
The Dr. says the prostate is slightly enlarged but his main concern is that the prostate feel hard...no lumps just hard. He says hard is not good! I'm not sure what he means by hard except that cancer tumors are hard.
 
Any information would be appreciated.
 
Thanks
 
Jack 

Doting Daughter
Veteran Member


Date Joined Aug 2007
Total Posts : 1064
   Posted 7/24/2008 10:00 AM (GMT -6)   
Hi Jack! Sorry to hear your need for a biopsy, but I am glad that you found HealingWell. My father had his biopsy done a year ago and he was extremely nervous about the procedure. He was pleasantly surprised that he didn't experience ANY pain during the procedure. Unfortunately, the result of the biopsy was not what we had hoped, but it is what it is. I believe risk of infection is very rare, you may be given antibiotics to prevent infection. Good luck and keep us posted!
Father's Age 62 (now 63)
Original Gleason 3+4=7, Post-Op Gleason- 4+3=7,
DaVinci Surgery Aug 31, 2007
Focally Positive Right Margin, One positive node. T3a N1 M0.
Bone Scan/CT Negative (Sept. 10, 2007)
Oct. 17 PSA 0.07
Nov. 13 PSA 0.05
Casodex adm. Nov 07, Lupron beg. Dec 03, 2007 2 yrs
Radiation March 03-April 22, 2008- 8 weeks 5x a week
July 2, 08 PSA <.02
Praying for a cured dad.

Co-Moderator Prostate Cancer Forum


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 7/24/2008 10:34 AM (GMT -6)   
Hi Jack...you have come to a great place. The biopsy makes anyone nervous that hasn't had one. I was no different. I can tell you from my experience what took place. I was given an antibotic pill the day before, the day of (along with an additional shot), and the day after to avoid any infection. They gave me a numbing gell just prior to the numbing shots to numb the prostate so that was pretty easy with not feeling anything at all. The actual core sampling (12 cores) was more intrusive because I could feel the bump against the prostate but no pain. I did have on cores 7 & 8 a sharp pain but it went away immediately. After that no problems. Trust me when I say that getting the biopsy will be much easier than you think it will be going in.

Good luck and you won't be sorry on the decision to have the biopsy, because no matter what all the other indicators may or may not show...it is the only test that can give lab results and even then it's not 100% because of the small sampling amount... but it is the best out there at this time.
Age 58 at Diagnosis
Oct 2006 - PSA 2.6 - DRE Normal
May 2008 - PSA 4.6 - DRE Normal / TRUS normal-Gland 38 cc
July 2008 - Biopsy 4 of 12 Positive 5 - 30% Involved
Gleason (3+3) 6  Stage T1C
No Treatment Decided yet


Jack Z
Regular Member


Date Joined Jul 2008
Total Posts : 43
   Posted 7/24/2008 10:54 AM (GMT -6)   

Thanks for the supportive replys. It makes me more comfortable to know that the biopsy may not be as bad as I thought.

Does anyone have a opinion on the prostate being "hard" as a potential sign opf cancer?

Thanks

 

Jack

 

 


KC9AOP
Regular Member


Date Joined Jun 2008
Total Posts : 85
   Posted 7/24/2008 11:15 AM (GMT -6)   
I had a high density biopsy that took 42 core samples. I was under a general and knew nothing about what was going on. With that many samples you really don't want to be awake! After that procedure I was sore to be sure but it really was not too bad at all. I would describe it as high discomfort but not pain. I'm still recovering (3 days) and am doing OK. I am taking Cipro and an anti-inflamitory

My uncle had the "normal" biopsy and in his words, "It felt like a rubber band snap and that was it." My father had a biopsy and never even mentioned it to me.

The anxiety is the issue here. I just had my biopsy on Monday so I can tell you that when you are done it will be a great relief. You will be surprised that it really is not so bad.

As far as a prostate being hard I can't say, but my father had a hard spot and he did end up with PCa and choose brachytherapy.
 
I am age 47 - Father, Paternal Uncle and Maternal Grandfather had/have Prostate Cancer.
Father 74 years old, PSA = 10.6 Gleason = 5 + 5 = 10 (very aggressive) and high involvement in all cores. Seed therapy is the only option. Father died cancer free.
6/4/08 - At physical DRE normal, PSA test returns 4.4
6/20/08 - First Urologist visit. DRE and ultrasound finds nothing conclusive. Doctor says biopsy is the only safe way to go. Prostate volume is 40 grams.
7/11/08 - PSA test returns 4.1. Scheduled the Stereotactic Transperineal Prostate Biopsy for 7/21
7/21/08 - Had the biopsy.  Not so bad but sore on day 2. Back to work tomorrow
7/23/08 - Pathology comes back NO CANCER DETECTED!


Jack Z
Regular Member


Date Joined Jul 2008
Total Posts : 43
   Posted 7/24/2008 11:33 AM (GMT -6)   

Wow you had a lot of samples!

I just read the stuff the doctors office gave me and it says they take "at least 8 samples" no mention of 40 something. As far as I know I am not going under antyhing and frankly they did not say anything about numbing me first but that just may be so standard that the don't even say it...!

The procedure is done in one of the doctors offices wher they are set up to do this proceedure so no hospital. The doctor Dr. Chang has a great background...Harvard educated, Columbia Med School and he is the Chairman of Urology at St. Joseph's Medical Center in Paterson NJ. Has anyone ever used him? Know him? Any feedback would be great.

Thanks

 

Jack

 


KC9AOP
Regular Member


Date Joined Jun 2008
Total Posts : 85
   Posted 7/24/2008 2:30 PM (GMT -6)   
John Zambelli said...
Wow you had a lot of samples!

I just read the stuff the doctors office gave me and it says they take "at least 8 samples" no mention of 40 something. As far as I know I am not going under antyhing and frankly they did not say anything about numbing me first but that just may be so standard that the don't even say it...!

The procedure is done in one of the doctors offices wher they are set up to do this proceedure so no hospital. The doctor Dr. Chang has a great background...Harvard educated, Columbia Med School and he is the Chairman of Urology at St. Joseph's Medical Center in Paterson NJ. Has anyone ever used him? Know him? Any feedback would be great.

Thanks



Jack

Jack,

My doctor recommended this more extensive biopsy because of my family history. Since my father had very aggressive cancer at age 74 that was highly involved in the whole prostate, it was a more cautious approach than the standard test. All of the samples were accurately mapped to locations in my prostate so if anything was found a good, exact location could be determined. Also with more samples is more assurance that any cancer will not be missed. In the end it was a very good choice for me.

If you are interested I have a post here on the biopsy process. It is called Stereotactic Transperineal Prostate Biopsy. The procedure is obviously not for everyone but if you are interested I’ve posted information here and on my web blog in my signature too. A link to the paper my doctor, Dr. Brian J. Moran wrote on this biopsy procedure can be found at www.prostateimplant.com/pdf/news/2.pdf,


Right now just collect all of the information you can and browse the conversations here. You will be surprised at all of the collective knowledge and experiences you can find. In knowledge is peace. Fear not and forge ahead.


Jim
 
I am age 47 - Father, Paternal Uncle and Maternal Grandfather had/have Prostate Cancer.
Father 74 years old, PSA = 10.6 Gleason = 5 + 5 = 10 (very aggressive) and high involvement in all cores. Seed therapy is the only option. Father died cancer free.
6/4/08 - At physical DRE normal, PSA test returns 4.4
6/20/08 - First Urologist visit. DRE and ultrasound finds nothing conclusive. Doctor says biopsy is the only safe way to go. Prostate volume is 40 grams.
7/11/08 - PSA test returns 4.1. Scheduled the Stereotactic Transperineal Prostate Biopsy for 7/21
7/21/08 - Had the biopsy.  Not so bad but sore on day 2. Back to work tomorrow
7/23/08 - Pathology comes back NO CANCER DETECTED!


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 7/24/2008 3:45 PM (GMT -6)   
John you'll likely have the normal 12 needles biopsy. While it's uncomfortable it's not all that big a deal. You'll feel fine soon after it.
Diagnosed 10/08/07
Age: 58
3 of 12 @5%
Psa: 2.3
3+3=6
Size: 34g
T-2-A
 
2/22/08
3D Mapping Saturation Biopsy
1 of 45 @2%
Psa:2.1
3+3=6
28g after taking Avodart
Catheter for 1 day
Good Candidate for TFT
(Targeted Focal Therapy)
Cryosurgery(Ice Balls)
Clinical Research Study
 
4/22/08
TFT performed at University of Colorado
Medical Center at Denver Fitzsimmons Campus
Catheter for 4 days
Slight soreness for 2 weeks but afterward
life returns as normal
 
Quarterly PSA tests to start and
another biopsy next April
 
 


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 7/24/2008 4:56 PM (GMT -6)   

Hi John,

The biopsy is not that rough. I had the standard twelve samples and the needle firing felt like a mild thump. As for infection I was given an antibiotic for five days.... one prior and four following. I also took an enema about two hours before the test. The day of the test the doctor did numb the area with a local and I was offered a tranquilizer but declined. The enema is important in avoiding the infection so don't take a pass on it. Makes the doctors job a little easier too. tongue A little rest in the afternoon and I was up and running the next day. (Literally) I did not have any blood in my stool other than immediately after. Gone the next day and none in the urine.

Your other question regarding a "hard spot" gives me some concern. On my DRE the doctor said that the left side of my prostate was hard as a rock. This turned out to be the primary tumor. Hopefully this will not be the case with you.

Good luck.

Don

 


Diagnosed 04/10/08
Age 58
PSA 21.5 (first and only test resulted from follow up visit to emergency room for kidney stone. first time for kidney stone too)
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear
Chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Starting IMRT/IGRT on July 7, 2008. 45 treatments scheduled
 
 


sterd82
Regular Member


Date Joined Sep 2006
Total Posts : 187
   Posted 7/25/2008 6:57 AM (GMT -6)   
Chiming in....

The biopsy isn't bad. I had mine in the office, but my doc gave me a valium/dermerol combination that chilled me out that morning. The biopsy generally inflames the prostate for a while --- never heard of infections.

My only physical indication of my DRE wat that the prostate felt "a little firm" --- not sure how much I'd read into that, though. GOOD LUCK!
Sterd82
Age 47 - pre-surgery PSA 39
Open Radical Prostatectomy 6/9/2006
Pathological Stage T3a, Positive Surgical Margin
Gleason 3+4
PSA rose to .24 in November of 2006
6 month hormone therapy initiated December 1. 2006
36 sessions of IMRT Ended Feb 1, 2007
PSA as of May 25, 2007 undetectable
PSA as of November 29, 2007 undetectable
PSA as of May 14, 2008 undetectable
Next PSA November of 2008


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 7/25/2008 9:17 AM (GMT -6)   
                                                             tongue    Hi ~Jack and Loved Ones,

 

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livinadream
Veteran Member


Date Joined Apr 2008
Total Posts : 1382
   Posted 7/25/2008 7:43 PM (GMT -6)   
usually the anxiety is more for the results of the biopsy than the biopsy itself. I recall mine very well, I did not have time to prepare so I had no anxiety, I went to the doctor one morning for a checkup and he did the biopsy and hour later. There was some obvious discomfort, but not as much as not knowing. please get this done asap and get it behind you. Welcome to HW, like the rest sorry you had to join our country club. It is the club no one wants to join, but since you are here wonder around, get to know some folks, as some questions, and allow us to share the anxiety with you. You are not alone.

peace and love
Dale
My PSA at diagnosis was 16.3
age 46 (current)
My gleason score from prostate was 4+5=9 and from the lymph nodes was 4+4=8
I had 44 IMRT's
Casodex
Currently on Lupron
I go to The Cancer Treatment Center of America
Married with two kids
latest PSA 5-27-08 0.11
PSA July 24th, 2008 is 0.04
cancer in 4 of 6 cores
92%
80%
37%
28%
 


henry5
Regular Member


Date Joined Jul 2008
Total Posts : 24
   Posted 7/25/2008 11:18 PM (GMT -6)   

Hi John,

 

I know what ur going through. I found that post-biopsy I was a little uncomfortable for a few days, but other than that it was ok. No infections. Was prescribed anti-biotics for a couple of days afterwards.

It took me a couple of hours b4 I passed urine following the biopsy...they wouldnt let me go until then. I think I drank water, coke and coffee. I thought that I has to pee like a horse, so sat in day surgery for a couple of hours more than necessary.

Be kind to yourself after the procedure. Treat yourself.

My thoughts are with you. For me the wait after the biopsy was the most difficult. Get that over with, then you know what ur dealing with.

John.


Age : 45
 
Nerve Sparing Rad. Prost: 3 July 2008
 
PSA: 3.2 (had been high for four years)
 
Gleason : 3+3 = 6
 
T1 .1cm diameter, right apex. Contained, excellent clearance.
 
First Post op PSA: 18 August 2008
 
Continence: Discovered my pelvic floor, continence was great day one...wore pads for insurance, no pads from day five after catheter removal (had a few small stress leaks).
 
Potence: A work in progress...


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 7/26/2008 7:16 AM (GMT -6)   

 

   Hey John,

     Welcome to the club, and what a club it is the folks here are superb and full of knowledge and experiences....I can't really speak to the biopsy question, I took alittle nap during mine, just what they call twilight......after though no problems, wasn't sore at all, took the antibiotics for a few days after, up and going strong the next day.....Good luck and check out the site and post, I would have been a basket case the last three months without all these great people!!  that's a fact! :)  

   See ya'all later....bikes are on the carrier and I'm out of here!! 

 

 


 
   age: 53
   Pre-0p PSA  Feb. 08, 5.0
      4.22.08, 4.1
      PSA had spiked once about 8yrs ago to 5.0 three months later
      back to 2.9...then into the 1.2 range until my re-scheduled 
      "missed" appointment this past Feb.
      Biopsy 5.1.08 
      Gleason-3+4=7
      T2a
      5 of 15 cores positive
      Da Vinci scheduled..7.29.08..as I read somewhere on this 
      site....."the first show of the day"


Jack Z
Regular Member


Date Joined Jul 2008
Total Posts : 43
   Posted 7/27/2008 11:33 AM (GMT -6)   

Thank you all for the encourgament and the great advise. Finding this wonderful resource really helps one better understand what to expect and eases my concerns.

I have another question and I hope someone can help.

I have a number of symptoms including classic back pain and discomfort in my pubic area, But I am getting this dull pain in my rectum...like I have a marble in my butt. I'm not sure if this is a symptom or my hemmroids are acting up from the two digital exams I've had. I spoke to my neighbor who has prostate issues but no cancer and he said he gets rectial pain.

Can anyone tell me if this is normal? And if it is my hemmroids will the biopsy cause more problems?

Thanks

Jack

 

 


Male: 63
PSA: 12.5
Scheduled For Biopsy 7-29-08
Current situation/symptoms: Back pain, some flow problems, Dr. says prostate is "hard" not soft...no nodes on examination.


jrponalameda
Regular Member


Date Joined Dec 2007
Total Posts : 56
   Posted 7/28/2008 7:42 AM (GMT -6)   

Jack,

Although they were not acting up at the time of my biopsy, I had a history of hemorroid issues that started long before my PCa journey. Neither the biopsy nor the surgery caused any hemorroid flare-up in my case. I don't recall others mentioning rectal pain like you describe... I know I didn't. It could be unrelated, it's probably worth mentioning to your doctor.

Good luck on your biopsy! For a lot of us, the stress/nerves ended up much worse than the procedure itself...

John


Diagnosed Sep 2007 Age 54 Gleason 6 (3+3)
DaVinci Surgery 11/8/07 University of Minnesota
2/22/08 PSA Undetectable


KC9AOP
Regular Member


Date Joined Jun 2008
Total Posts : 85
   Posted 7/28/2008 11:20 AM (GMT -6)   
I'll be thinking about you tomorrow Jack. Take it from me, I'm a "weenie" and I survived it. It is really not bad. You will be relieved when it is over and fine within a day or so.

Do take it a little easy afterward and you will be back to normal in a few days.
 
I am age 47 - Father, Paternal Uncle and Maternal Grandfather had/have Prostate Cancer.
Father 74 years old, PSA = 10.6 Gleason = 5 + 5 = 10 (very aggressive) and high involvement in all cores. Seed therapy is the only option. Father died cancer free.
6/4/08 - At physical DRE normal, PSA test returns 4.4
6/20/08 - First Urologist visit. DRE and ultrasound finds nothing conclusive. Doctor says biopsy is the only safe way to go. Prostate volume is 40 grams.
7/11/08 - PSA test returns 4.1. Scheduled the Stereotactic Transperineal Prostate Biopsy for 7/21
7/21/08 - Had the biopsy.  Not so bad but sore on day 2. Back to work tomorrow
7/23/08 - Pathology comes back NO CANCER DETECTED!


Guy66
Regular Member


Date Joined Jul 2008
Total Posts : 32
   Posted 7/28/2008 12:53 PM (GMT -6)   
Jack my PSA steadily climbed over 10 years to approx 10.4 this year. I had 3 biopsy procedures in those ten years. The first two were negative, the last positive. For almost 10 years I was dx'd as BPH. But the last biopsy finally caught it. Had the Da Vinci procedure this march. Surgeon said I had the second largest prostate he had ever removed (out of a total of over 400). So for you, high PSA is not good. Hope they take 12 to 16 samples. My first two only took 8 and probably missed. I was lucky and although both lobes were involved, the cancer was still confined to the prostate. Most guys find the biopsy procedure to be unconfortable but tolerable. Some mild blood discharge with urination for a few days is the only usual side effect. I was given Cipro for a couple days following my last biopsy. Its good you are having the biopsy. Good luck.

Mavica
Regular Member


Date Joined Jun 2008
Total Posts : 407
   Posted 7/29/2008 12:35 AM (GMT -6)   
I had a biopsy in late-June this year and, afterwards, developed a serious case of sepsis - partial shock - and was hospitalzed or three days. The result of my biopsy wasn't wasn't what I wanted to hear - positive for some of the samples - and I'll undergo the da Vinci procedure at Northwestern Memorial Hospital in Chicago in September.

Age: 58 (59 in August '08)                                                                                         April '08 PSA 4.8 and percent free 7.9, up from 3. Something a year prior.                          June '08 had biopsy, 2 days later told results positive but less than 1% of sample involved.    Gleason’s 3+3.                                                                                                          Dr. Recommends robotic removal using da Vinci, 6 weeks out.                                          Developed sepsis 2 days after biopsy, seriously ill in hospital for 3 days, on the mend now.  Northwestern Memorial Hospital, Chicago, IL.  Dr. Robert Nadler, Urologist


Jack Z
Regular Member


Date Joined Jul 2008
Total Posts : 43
   Posted 7/29/2008 4:01 PM (GMT -6)   

Hi:

Well today is my biopsy at 2PM and while nervous the kind words of encourgement from everyone has made me more comfortable about the biopsy. Just in case I'm going to take 10mg of Valium an hour before the biopsy and that should take the edge off!

Now the waiting. But with a 12. PAS and a hard prostate I am fairly sure I'll be joining the club here!

Thanks again,

Jack


Male: 63
PSA: 12.5
Scheduled For Biopsy 7-29-08
Current situation/symptoms: Back pain, some flow problems, Dr. says prostate is "hard" not soft...no nodes on examination.


KC9AOP
Regular Member


Date Joined Jun 2008
Total Posts : 85
   Posted 7/29/2008 10:51 AM (GMT -6)   
Jack Z said...
Hi:

Well today is my biopsy at 2PM and while nervous the kind words of encourgement from everyone has made me more comfortable about the biopsy. Just in case I'm going to take 10mg of Valium an hour before the biopsy and that should take the edge off!

Now the waiting. But with a 12. PAS and a hard prostate I am fairly sure I'll be joining the club here!

Thanks again,

Jack

Jack,

Don't count yourself out yet! I was certain that I would be diagnosed with PCa and SURPRISE the pathology was negative.

The Valium is a fine idea. I would endorse that option.

I'll be thinking of you at 2 PM.


Jim
 
I am age 47 - Father, Paternal Uncle and Maternal Grandfather had/have Prostate Cancer.
Father 74 years old, PSA = 10.6 Gleason = 5 + 5 = 10 (very aggressive) and high involvement in all cores. Seed therapy is the only option. Father died cancer free.
6/4/08 - At physical DRE normal, PSA test returns 4.4
6/20/08 - First Urologist visit. DRE and ultrasound finds nothing conclusive. Doctor says biopsy is the only safe way to go. Prostate volume is 40 grams.
7/11/08 - PSA test returns 4.1. Scheduled the Stereotactic Transperineal Prostate Biopsy for 7/21
7/21/08 - Had the biopsy.  Not so bad but sore on day 2. Back to work tomorrow
7/23/08 - Pathology comes back NO CANCER DETECTED!

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