My recollection was the doctor (Radiologist, not a Uro as I was told) worked with the ultrasound tech during my TRUS biopsy. The doctor operated the probe and fired the core needles. I overheard them both talk about the shadows they were seeing on the display as they did my biopsies. The last couple were painful as the doctor was trying to get to get to a specific area, while both observing the display (the worst pain was mostly from the probe manipulation, not the core shots).
This was done at my local hospital in the nuclear/ultrasound med lab.
Maybe it was because of the size of the discrepancies in the ultrasound echoes they were seeing, that they were able to target well. Maybe it was the facility, equipment and medical personnel. My signature includes the results. 5 of 8 positive with 30%-65% cancer.
However, it's there and while I'm unhappy about the diagnosis...I'm happy it was found. Now it can be dealt with.
With all the advances in medical technology, things are still very much hit and miss...hence, false negatives. I'm sure in a few years, these tools will be much improved.
Even with some of the latest technology that wasn't as refined 5-10 years ago, I go to find out the results of my bone scan tomorrow morning. If negative, I may have the surgery only to find out later it had already spread. Some of what I've found states that the bone scan is sensitive to maybe 10% uptake of the markers that were injected. Less than that may not be detected...
I've had a couple of close meltdowns. I've had a chance to do a lot of looking and reading, since.
Next step tomorrow.
Lower left groin hernia; mesh and large scar: surgery early 2006
Nov/Dec 07 and March 08 and now Dec 08: Severe perineal pain (between scrotum and rectum). Septra/Bactrim for 8 months for diagnosed prostatitis previously.
PSA start of 08: 5.3
PSA June of 08: 7.3
6 DRE all benign or nothing felt
TRUS Biopsy Nov 08: Got copy of pathology recently (see below).
General Health: pretty good, 5' 10", 180 lbs, slim.
Bone scan Dec 08: waiting for results
Biopsy Pathology: 5 of 8 cores positive, adenocarinoma in both lobes
1) 30%, GS 3+3, perineural invasion identified
2) 40%, GS 3+3
3) 60%, GS 3+3
4) 65%, GS 3+3
5) 30%, GS 3+3
Open RP recommeded. Looking at nerve sparing da Vinci in London, Ontario.
Wonderful wife...and 1st grandchild on the way.