What causes some men to have pain when they have a biopsy?

New Topic Post Reply Printable Version
33 posts in this thread.
Viewing Page :
 1  2 
[ << Previous Thread | Next Thread >> ]

wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 2/10/2009 9:16 PM (GMT -6)   
 
  There have been many posts concerning men who have biopsies that are painful and many men who state that their biopsy was just uncomfortable.  Please read what a well known urologist had to say on the subject.  Wiggyann
 
Question
 
  What is the reason some men have pain when they have a prostate biopsy done and for others it is just uncomfortable? Would state of the art equipment make the difference? 
 
 
Answer  
 
  There is no significant "state of the art" equipment that makes the biopsy easier; at the basic level, there is still a needle.  Use of a local anesthetic into the prostate can be helpful.  It's unclear why some men have significant pain and others don't.
 
  Stephen W. Leslie, MD FACS  (urologist)

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 2/10/2009 9:24 PM (GMT -6)   
It sounds like it would be an obvious answer, unless I am missing something. It is not natural for most men to have something long and hard inserted up their anus. I had 3 biopsies, and it never got better on that part. THen you are trying hard not to want to expel the foreign object. Then you know that the dr is going to start moving the probe around, positioning it while watching the screen. Then of course, you know what is coming next, the needles. I did 2 without pain med, and 1 with. The one with hurt the most to me, as the needles to put in the pain med hurt worse than the biopsy needles. Then the noise, the noise of each needle hit made me more unglued than any real or imagined pain. I think the entire procedure, both on your mind and up your bum, would make any man hurt, feel uncomfortable at best, and perhaps humiliated at the same time.

David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3
3rd Biopsy 9/8 Positive 7 of 7 cores pos, 40-90%, Gleason 7
Open RP surgery 11/14/8, Right nerves saved, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05
 
 


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 2/10/2009 9:37 PM (GMT -6)   
Hi Wiggy,
This does seem obvious that a doctor tries to limit the number of cores taken to keep a patient comfortable otherwise all doctors would do 16 core biopsies. But the price for doing so is increased false negatives. This is my own theory, but personal conversations with doctors I have befriended have told me of patients running down the hall butt naked and screaming after the first core was taken. This was not the case for me and not for most either, but I just know too many guys who had a bad experience with the biopsy to know it is why they try to limit the cores taken. If a person is squimish about a biopsy then ask, can it be done more thoroughly under general anesthesia, and no doubt the answer is yes. Luckily there are alternative technologies and one that we have been talking about here is PCA3 gene detection combined with T2-erg and imaging. A little more comfortable peeing in a cup and no needles. This is not generally accepted here in the states yet, but it will be soon. And while it can detect cancer and it aggressiveness, it remains unclear if it will lead to less needle biopsies. We can hope.

But as for me, I am passed that point anyway...

Nice post...

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 15, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!


wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 2/11/2009 2:08 AM (GMT -6)   
Dave and Tony,

You are right, it was an obvious answer.

This explains it in more detail,

Richard Ashley, M.D., Mayo Clinic urology resident and lead study investigator said researchers discovered that taking tissue samples in certain locations tested in a prostate biopsy were more likely to cause pain. Specifically, biopsy of the part of the prostate closest to the urethra, the prostate apex, was more painful than biopsy of the part closest to the bladder, the prostate base.

"We found we cannot predict who will have higher levels of pain at the time of a prostate biopsy simply based on the patient's history and features," says Dr. Ashley. "We discovered the location of biopsy was the most predictive of higher pain scores -- not age, body mass index, family history or presence of cancer.

Wiggyann

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4826
   Posted 2/11/2009 3:02 AM (GMT -6)   

Multi Choice:

Biopsies pretty much redefine: "Bend over and take it like a man!" yeah

Biopsies pretty much redefine: "Pain in the butt!"

I think after the local pain med wore off was much worse then the procdure itself. I remember going to bed paranoid as heck that I wouldn't get any sleep. Ended up sleeping ok and woke up relived that most of the pain was gone.

 


Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
 
06/25/08 - Da Vinci robotic laparoscopy
Catheter in for five weeks.
Dry after 3 months.
 
10/03/08 - 1st Quarter PSA -> less then .01
01/16/09 - 2nd Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.
 


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 2/11/2009 7:44 AM (GMT -6)   
wiggyann,

your second post rang more of a bell with me. For starters, a doctor doesn't know your particular threshold for pain. Every human being is different there. On the biopsies needles, the standard pain level per man might range from a 1 to a 10, and yes, fear can intensify one's position on the pain scale. Second point, and I remember this from my 3 biopsies. Some cores taken didn't hurt a bit, just the every annoying snapping noise, and others, would make me grab the hand rail against the wall and go white with pain, so it had to have something about where they were hitting. There is only so much they can tell or predict while moving and positioning the probe while looking on a small screen. Third and final, there are simply drs out there with bad bedside manners and rough hands. A previous surgeon of mine, not PC related, also happened to be the county coreneor here, and I swear when he handled me, it was the same degree of roughness as he would a corpse or body from a crime scene. He would actually hurt me during an exam. Glad he's retired now. lol.

David
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3
3rd Biopsy 9/8 Positive 7 of 7 cores pos, 40-90%, Gleason 7
Open RP surgery 11/14/8, Right nerves saved, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05
 
 


LV-TX
Veteran Member


Date Joined Jul 2008
Total Posts : 966
   Posted 2/11/2009 7:49 AM (GMT -6)   
Gosh Steve...a bit up early are we... All I can say is, I am thankful I only had to have one biopsy...because if it had came back negative, I doubt I would have gone through another one again. I was given the medication and there were two cores taken that felt like I had a spike shot up the end of the penis to all the way inside me. It was terrible and that pain lasted until well after the surgery. So I am one of the ones that hope that they can detect this disease without having to go through that procedure sometime soon in the future.
You are beating back cancer, so hold your head up with dignity
 
Les
 
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 Bilateral (Perineural Invasion present at base) - Gleason (3+3) 6  Stage T1C
August 23 - Bone Scan - Hips, Spine and ribs marked uptake - X-Ray showed clear -Hooray
Sept 9 2nd DRE - questionable - TRUS...shadow in base - Gland now 41 cc
Robotic Surgery Sept 18, 2008
Pathology October 1, 2008 - Gleason 7 (4+3) Staged pT2c NO MX - Gland 50 cc
Seminal Vesicles and Lymph Nodes clear
Positive Margins Right Posterior Lobe
4 tumors in prostate - largest being 6 cm 
PSA 5 week Oct 2008 <.05
       3 month Jan 2009 .06


Tobmeister
Regular Member


Date Joined Jan 2009
Total Posts : 41
   Posted 2/11/2009 8:53 AM (GMT -6)   
It is actually not such an easy answer. Like surgery some of it is the skill of the urologist. My urologist told me that he had recently been to a seminar on performing the biopsy and learned that there is a certain method that will decrease pain in a certain area. I don't remember all the details but I'm glad he did.
Diagnosed 11/12/2008 at age 51
PSA 2006 - 2.8, 2007 3.06, 2008 4.6 (remember the rate of increase is as important as the level), PSA free 8.7%
Family history - brother and uncle (remember family history is very important)
Gleason score 7 (4+3); 6 out of 19 cores sampled positive for cancer; perineural invasion present
Bone scan and CT scan both negative
Prostate mildly enlarged, DRE negative
DaVinci radical prostatectomy 12/30/2008 - left side nerves spared
Catheter removed 1/15/09 - no pain!

Post operative results:
Pathologic stage - T3aN0Mx
Post surgery biopsy - Bladder neck margin negative, lymph nodes negative, specimen confined, extracapsular extension positive, perineural invasion positive, seminal vesicle invasion negative, all margins negative, Gleason 3 + 3 = 6.

No incontinence problem within 1-2 weeks after catheter removal
1st post op PSA scheduled for 4/16/09

"Pick a good doctor and say your prayers"


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 2/11/2009 9:15 AM (GMT -6)   
Well, in my case, I went in neutral on the subject of pain, not knowing if I would have it or not. The probe itself and the manuevering wasn't a problem, once he fought against the initial resistance to insertion, no pain or any real discomfort when repositioining. The 16 sample biospy began fine, numbing shot to deaden the pain, wait 5 minutes then begin. During the 5 minutes he did some survey untrasound work, and determine my gland was 'huge'. 110gms at removal, maybe that is why my experience was so painful. The first few wasn't an issue, but at around 7 it began to be noticable, at 12 it was really intense and painful. I began sweating and became dizzy and nauseaous, each after that was worse and at 16 I was on the verge of throwing up and passing out all at the same time. I was very dizzy and had to lie there for about 10 minutes. My blood pressure shot straight up, but went back down during the cooldown period. I normally am immune to the white coat syndrome, and accept medical procedures well, with no preconceived worry about it, but this one was a doozy of a difference. I went home and started aching bad and feeling really awful , after a couple hours I took a long nap and woke up all better and over the procedure, except for the normal blood in urine and semen. I know most men have much better experiences with it, and I am hesitant usually to discuss my episode so as to not make the worry any more for those who are getting ready for one, but since everyone was sharing their scars... wink
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
16 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix .35ml 2X week continues
PSA's: .04 each 3 months

Post Edited (James C.) : 2/11/2009 8:20:40 AM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 2/11/2009 9:41 AM (GMT -6)   
Well, James. I think all stories and variations are useful here. Even then unpleasant ones. Of course the positive stories are more soothing, but the negative ones at least tell that things don't always go as expected, and might make for additional questions to ask your doctor before a particular procedure or test.

David
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3
3rd Biopsy 9/8 Positive 7 of 7 cores pos, 40-90%, Gleason 7
Open RP surgery 11/14/8, Right nerves saved, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes 
First PSA Post Surgery   2/9 .05
 
 


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4089
   Posted 2/11/2009 10:32 AM (GMT -6)   

Hi All:

My 16 core biopsy was easy and no big deal...my doc uses IV sedation so I took a little nap and it was over.  He tells me he does this for two reasons:  (a) patient comfort and (b) so he can take his time and get the 16 samples the right way without squirming patients.

I woke up, popped a Vicodin before going to sleep that night, and the next day all was well except a small amount of discomfort.  I had the usual blood in urine for a day and in ejaculate for weeks, but no pain.

So, I compare my experience to some bad ones and advise anyone considering the biopsy to get the sedation...

Tudpock


Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 1/31/09.


mozart250
Regular Member


Date Joined Jan 2007
Total Posts : 102
   Posted 2/11/2009 11:10 AM (GMT -6)   

Hi:

Not all doctors use adequate pain medication with biopsies.  My first one did not and I ended up walking out on him.

My second doctor which performed the biopsy did.  On a pain scale of 1-10, I would rate the pain at most a 3.  It was mostly discomfort from having an object shoved up my butt.

So make sure first of all that adequate pain medications are available.

 


53 Year Old DBA by profession; amateur pianist by passion.
 
June and Aug 2006:  PSA 4.6.  DRE prostate enlarged.  Second opinion
Sep  2006:  Biopsy results positive one lobe.  Gleason 3+3.
Nov  2006:  RPA performed at Fletcher Allen in Burlington VT.
Nov  2006:  Pathology report: Stage T3a and Gleason 3+4.
Dec  2006:  PSA 0.1
Feb, May  2007:  PSA 0.0 (under 0.1)
Aug, Nov  2007 and Feb 2008:  PSA 0.1
Mar-May  2008:  IMRT Radiation..completed May 1, 2008 
Sept 2008, Jan 2009: PSA still 0.1.  Dang. 
 


Sleepytime
New Member


Date Joined Jan 2009
Total Posts : 12
   Posted 2/11/2009 4:01 PM (GMT -6)   
I had 3 biopsies over 3 years, 8, 12, and then 16 cores, all performed by the same doctor.

The first two biopsies were slightly uncomfortable whenever a core was taken, but nothing to complain about. The pain was a 1 or 2 out of 10. I conversed with the doctor through the whole procedure and got up, got dressed, and caught a train to work immediately after both biopsies.

The last biopsy was completely different. The first core was easily a 7 on the pain scale and every core afterwards kept getting worse, quickly hitting 10. I was in shock by the 4th or 5th sample. I was too out of it to move for an hour afterwards (from shock, not medication) and finally was able to get pull it together enough to be wheeled to the car. I went home, took vicodin and slept for 2 days afterwards. I was extremely uncomfortable for several days afterwards.

I can't explain the difference in pain and neither can my doctors, but I do know that my prostate had doubled its size since the previous biopsy.

Meanwhile, a close friend just informed me that he was the opposite. His first biopsy was horrendously painful, but his second and third were very easy.

It seems that there is no rhyme or reason to how the prostate will react.

Shawn
Age 54 - 6'2" 200lbs
Overall Heath Condition - Good

PSA monitored every 3-6 months starting 04/01/04
Important readings and actions:
10/18/04 - PSA 03.48
05/24/06 - PSA 04.92 - 08 sample biopsy: negative
05/10/07 - PSA 16.84 - 14 sample biopsy: negative
09/02/08 - PSA 26.54 - 16 sample biopsy: positive - GS 4+3=7 - Stage T2b
11/11/08 - PSA 37.95
11/17/08 - PSA 40.98 - (doubling time less than 8 weeks)
11/21/08 - non-nerve sparing Laparoscopic radical prostatectomy

Pathology GS 4+5=9 - Stage T3b N0 MX - bilateral lobes - perineural and seminal vesicle invasion - surgical margins: negative - largest tumor 2.1 CM

Catheter in for four weeks - only minor stress incontinence after 6 weeks

01/19/09 - 1st post-op PSA: less then 0.1
01/30/09 - started hormone therapy


mspt98
Regular Member


Date Joined Dec 2008
Total Posts : 370
   Posted 2/11/2009 11:20 PM (GMT -6)   
I'll chime in on this wonderful conversation too. My first prostate biopsy I had really no idea what it was about or what was going on. I went in there and though the urologist did give me 2 shots of novacaine, or some other "caine" it hurt like bloody hell. Because it came back "suspicous for cancer but not diagnostic" I had to repeat the experience 3 months later. The second time I had my wife drive me to urologist's office and I took one of my sleeping pills, ativan, about an hour before this biopsy. BIG DIFFERENCE. Very little pain this time. Sort of tiwilight sleep. And since the second biopsy was postive for cancer and I had robotic prostatecomy on 09/11/08 at least I'll never have to have another prostate biopsy again! :-)

MarineMustangPA
New Member


Date Joined Jan 2009
Total Posts : 17
   Posted 2/12/2009 7:32 AM (GMT -6)   

Simple answer - having a doctor who doesn't administer anesthesia is what produces pain.  I've had four biopsies and was injected with a mild anesthesia which permitted the procedure and allowed me to regain consciousness quickly with no after effects. 

 

Chuck


Age 73.  Excellent health (work out 5 days a week), except for prostate cancer.  Also had colon cancer 12 years ago.  PSA 10.5, Gleason 3+4=7.  3% involvement in one area only, Left Apex.  Stage 1ct, negative bone and C-Scan.  IMRT 40 doses completed 05/05 at Fox Chase center.  Post treatment PSA went down to 1.8.  Since then it has gone up slowly 1.3 to 3.1 01/09.  Consulted with Oncologist and Urologist and decided to wait - get 4 month PSA and exam and take it from there depending on results.  Trying to preserve quality of life.  Will consider cryosurgery and ADT when the time comes to take the next step.  I know there are thoughts either way to start ADT now or wait and also ADT or ADT3. 


John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4188
   Posted 2/12/2009 8:46 AM (GMT -6)   
I've had 13 biopsies over the last 10 years so hear's a few tips:
Take a vicodine before the biopsy, It won't promote bleeding. A vicodine about 2 hour later also helps with the pain. I've had biopsies with and without lycodyne shots. A 16 core without lycodine was really bad. I had a couple of 12 cores with lycodine no problem. The 25 core with lycodine and vicodine still hurt like hell. What confuses me is some docs make you fast for at least 12 hours and take an enema before hand. The last 6 core targeted biopsy by a dr who has done over 14,000 biopsies didn't require either fasting or an enema and used no lydocane. It was the best biopsy I had. Go figure.
JohnT

I had a psa of 4.4 in 1999 and steadily increasing psa every 3-6 months before reaching 40 in 5-08.Free psa ranged from 16 to 10%

I had biopsies every year, 13 total in all. I saw 5 different doctors, all urologists or urological oncologists at Long Beach, UCLA, UCSF and UCI and had an MRIS at UCSF in 2007. All tests were negative and I was told that because of all the biopsies I most likely didn't have PC, but to keep getting biopsies every year.

in Oct 08 my 13th biopsy of 25 cores indicated 2 positive cores, gleason 3+3 less that 5% in 2 cores. Doc recommended surgery.

2nd opinion from a prostate oncologist, referred by my wife's oncologists said cancer found wis indolant and statistacally insignificant, but PSA histor was a major concern and ordered a few more tests.

Color Doppler ultrasound with targeted biopsy found a transition zone tumor 18mmX16mm, gleason 3+4 and 4+3. CT and bone scans clear, but Doc thinks that there may be lymph node involvement (30% chance) because of my high PSA, and referred me for a Combidex MRI in Holland, currently scheduled for Feb 14.

Changed diet and takiing supplements while I wait. The location of the tumor plus the high psa make surgery an unlikely option. I'm still evaluatiing all treatment options and will make a decision once I get the results of the Combidex scan.

JohnT


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 2/12/2009 11:21 AM (GMT -6)   
Oh my, John,
You have almost had a prostatectomy one needle at a time. 13 biopsies? I think after about 5 I woulda said just take it out.

Yikes...

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 15, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (January 13, 2009): <0.1
 
My Journal is at Tony's Blog  
 
STAY POSITIVE!


Paralleli
Regular Member


Date Joined Jul 2008
Total Posts : 123
   Posted 2/12/2009 12:27 PM (GMT -6)   
For the record, I’ll contribute my experience. If I remember correctly, I did a sort of mini-fast the day before, took an antibiotic the evening before, and did an enema that morning. The lycodyne shot stung a bit. However, the 12 samples weren’t that bad. I’d give them a 1 or 2, well maybe a 2+, on a scale of 10 pain-wise. Of course I was glad when it was over, but I’ve had worse experiences in the dentist’s chair. Sounds like I was pretty lucky.

I went back to work for the afternoon and left for a five day trip to hunt pheasant in Kansas the next day. I was surprised I was given only one antibiotic, but there were no problems. The problems occurred when I had a message waiting for me to call the Doc upon my return!

Best to all
53 yrs
PSA 4.8
T1c – Gleason 3 + 3
IMRT 1/07 thru 2/07 (42 treatments)
PSA 6/07 – 0.76
PSA 12/07 – 0.36
PSA 6/08 – 0.72
PSA 12/08 - 1.02 (Uro & Rad Onc want me to give it 3-6 more months before freaking out.  O.K. say I.)


MarineMustangPA
New Member


Date Joined Jan 2009
Total Posts : 17
   Posted 2/12/2009 12:54 PM (GMT -6)   
Again - I've had four biopsies, each 12-15 sticks. No pain or discomfort. Anesthesia was administered by an anesthesiologist on each occasions. I have a very humane and caring urologist. I am a Marine but no fan of pain. We get enough of it anyway. Avoid it when you can.

Chuck
Age 73.  Excellent health (work out 5 days a week), except for prostate cancer.  Also had colon cancer 12 years ago.  PSA 10.5, Gleason 3+4=7.  3% involvement in one area only, Left Apex.  Stage 1ct, negative bone and C-Scan.  IMRT 40 doses completed 05/05 at Fox Chase center.  Post treatment PSA went down to 1.8.  Since then it has gone up slowly 1.3 to 3.1 01/09.  Consulted with Oncologist and Urologist and decided to wait - get 4 month PSA and exam and take it from there depending on results.  Trying to preserve quality of life.  Will consider cryosurgery and ADT when the time comes to take the next step.  I know there are thoughts either way to start ADT now or wait and also ADT or ADT3. 


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 2/12/2009 1:20 PM (GMT -6)   
Paralleli said...
For the record, I’ll contribute my experience. If I remember correctly, I did a sort of mini-fast the day before, took an antibiotic the evening before, and did an enema that morning. The lycodyne shot stung a bit. However, the 12 samples weren’t that bad. I’d give them a 1 or 2, well maybe a 2+, on a scale of 10 pain-wise. Of course I was glad when it was over, but I’ve had worse experiences in the dentist’s chair. Sounds like I was pretty lucky.

I went back to work for the afternoon and left for a five day trip to hunt pheasant in Kansas the next day. I was surprised I was given only one antibiotic, but there were no problems. The problems occurred when I had a message waiting for me to call the Doc upon my return!

Best to all

No you weren't lucky I'd guess that's the experience most guys have with a standard biopsy. After mine I played golf the next day with no problems. I have to have another one, I hope the final for a long time in April. While I'm, not looking forward to it, I'm not fearful. I too have had root canals much worse than that.
Diagnosed 11/08/07 - 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 - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal
 
7/30/08 - Psa: .32
11/10/08 - Psa.62 - Not unexpected bounce after the 80% drop the quarter earlier. Along with urine flow readings, an acceptable amount left in bladder measured by sonic. Results warrant skipping third quarter tests, and to return April, 2009 for final biopsy scheduled to
complete clinical research study 
 
 
 


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 714
   Posted 2/12/2009 11:15 PM (GMT -6)   
Have to disagree with you, realziggy, I think Paralleli was lucky. I've said here before that my biopsy experience was like dental work done on your butt. Much more painful than dental work for me, though the biopsy had the advantage of being over with sooner. To come full circle with this picture, after the biopsy (and subsequent surgery), I learned that I'd clenched my teeth so hard from the pain that I cracked a molar.

And, you don't get that phone call after dental work.

DJ
Diagnosis at age 53. PSA 2007 about 2; PSA 2008 4.3
Biopsy September 2008: 6 of 12 cores positive; Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter out on 7th day, replaced on 8th day, out again 14th day following negative cystogram
Pathology: pT2c; lymph nodes negative; margins involved; 41 grams, 8% involved by tumor; same Gleason 4+3=7
PSA 1/22/08 non-detectable! 8-)


Ziggy9
Veteran Member


Date Joined Jul 2008
Total Posts : 981
   Posted 2/12/2009 11:32 PM (GMT -6)   
DJBearGuy said...
Have to disagree with you, realziggy, I think Paralleli was lucky. I've said here before that my biopsy experience was like dental work done on your butt. Much more painful than dental work for me, though the biopsy had the advantage of being over with sooner. To come full circle with this picture, after the biopsy (and subsequent surgery), I learned that I'd clenched my teeth so hard from the pain that I cracked a molar.

And, you don't get that phone call after dental work.

DJ

And I'll disagree with you by saying my and Paralleli's biospy experience is much more common than yours. I can't see needlessly alarming guys who haven't had one yet to expect the horror show you had. I'm not doubting your word just stating my experience is much more the norm. I go by that conclusion by reading of others biopsies here since Nov 2007. Which is my real original date arriving here, some could attest to. I had that phone call too and later a saturation biopsy of 45 needles where yes you are required to be sedated for but that's due more to the mapping part of it requiring you to be still. That said I'm to have another normal biopsy in April and I'll be looking forward to it to end for sure while lying there. But I'll also expect to be able to play golf the following day if I want to.
Diagnosed 11/08/07 - 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 - Catheter for 4 days - Slight soreness for 2 weeks but afterward life returns as normal
 
7/30/08 - Psa: .32
11/10/08 - Psa.62 - Not unexpected bounce after the 80% drop the quarter earlier. Along with urine flow readings, an acceptable amount left in bladder measured by sonic. Results warrant skipping third quarter tests, and to return April, 2009 for final biopsy scheduled to
complete clinical research study 
 
 
 

Post Edited (realziggy) : 2/12/2009 10:49:20 PM (GMT-7)


Tudpock18
Forum Moderator


Date Joined Sep 2008
Total Posts : 4089
   Posted 2/13/2009 8:37 AM (GMT -6)   
realziggy:
 
I don't think DJ's post was "needlessly alarming" anyone.  The truth is that, before any biopsy, a person just does not know how painful it will be.  The pain (or lack thereof) depends on a number of factors, e.g. number of samples taken, skill of the doc, pain threshhold of the patient, etc. 
 
My bottom line is similar to Chuck's (MarineMustangPA)...I advise those getting biopsies to get anesthesia...that takes the worry, uncertainty and pain out of the equation.
 
Tudpock
Age 62
Gleason 4 +3 = 7
T1C
PSA 4.2
2 of 16 cores cancerous
27cc
Brachytherapy December 9, 2008.  73 Iodine-125 seeds.  Procedure went great, catheter out before I went home, only minor discomfort.  Regular activities resumed, everything continues to function normally as of 1/31/09.


MarineMustangPA
New Member


Date Joined Jan 2009
Total Posts : 17
   Posted 2/13/2009 12:09 PM (GMT -6)   
Got that right! Tadpock! Anesthesia removes any doubt and pain. But for those that don't mind it more power to them. And my advice to anyone who hasn't yet had a biopsy of the prostate is to get anesthesia and you'll do just fine.

Chuck
Age 73.  Excellent health (work out 5 days a week), except for prostate cancer.  Also had colon cancer 12 years ago.  PSA 10.5, Gleason 3+4=7.  3% involvement in one area only, Left Apex.  Stage 1ct, negative bone and C-Scan.  IMRT 40 doses completed 05/05 at Fox Chase center.  Post treatment PSA went down to 1.8.  Since then it has gone up slowly 1.3 to 3.1 01/09.  Consulted with Oncologist and Urologist and decided to wait - get 4 month PSA and exam and take it from there depending on results.  Trying to preserve quality of life.  Will consider cryosurgery and ADT when the time comes to take the next step.  I know there are thoughts either way to start ADT now or wait and also ADT or ADT3. 


wiggyann
Regular Member


Date Joined Apr 2007
Total Posts : 171
   Posted 2/20/2009 11:14 PM (GMT -6)   
Sleepytime... Hi Shawn

I was just reading about your biopsy and I wondered if the nurse stayed with you when you were in shock and could not move for about an hour after the biposy and if she was the one who wheeled you out to your car later. Also, did the urologist talk to you about your experience afterwards or did he offer to stop when he noticed you were in such agony during the biopsy. What a horrible experience
for you.

Wiggyann
New Topic Post Reply Printable Version
33 posts in this thread.
Viewing Page :
 1  2 
Forum Information
Currently it is Wednesday, April 25, 2018 7:45 PM (GMT -6)
There are a total of 2,955,702 posts in 324,247 threads.
View Active Threads


Who's Online
This forum has 162245 registered members. Please welcome our newest member, Mela14.
395 Guest(s), 11 Registered Member(s) are currently online.  Details
notsosicklygirl, logoslidat, acarined, mattamx, IamCurious, lpaiges23, gravitas7, magoo2, 1hopeful1, Shorty, geezernow