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New Member

Date Joined Sep 2007
Total Posts : 5
   Posted 9/17/2007 7:53 AM (GMT -6)   
Does anyone have expierence in the two different biopsy's for the prostrate? STPB VS. TRUS confused

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 9/17/2007 11:25 AM (GMT -6)   
Not sure. I tried reading up on the STPB and it seemingly does a better job. But I did not find anything conclusive. I had TRUS and it was effective and accurate enough that I had to take action. I will note however that most here had TRUS and some, like myself, had a different post op pathology than biopsy pathology. I was not able to find anything that stated that STPB would have had any different results.


Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology was poor: Gleason 4+3=7, 4 positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
My PSA did drop out after surgery to undetectable.  It has not returned and I will continue HT until January '08.
My Life is supported very well by family and friends like you all.

Post Edited (TC-LasVegas) : 9/17/2007 6:09:24 PM (GMT-6)

New Member

Date Joined Sep 2007
Total Posts : 5
   Posted 9/17/2007 8:13 PM (GMT -6)   
Thank you I maybe jumping the gun about action.
50 years old
6/6 PSA 1.2
6/7 PSA 1.2
9/10 PSA 1.2
DRE urologist found an abnormality has scheduled a biopsy this week at Northwestern in Chicago. Eight blocks from my house a new prostrate clinic and cancer center has opened, wen for a cunsult. The doctor agreed after a DRE, I should be biopsied and gave me litature on his STRP proceedure. All the studies suggest that the proceedure is less painful and more comprehensive. Just confused!!

Regular Member

Date Joined Jun 2007
Total Posts : 176
   Posted 9/30/2007 7:32 PM (GMT -6)   
I too am in Chicago. I just had surgery and am 42 yo. Please feel free to contact me if you find yourself having to move forward with treatment. It was a shock to me and I'm hopeful for you with a PSA of 1.2 that your biopsy comes back negative.

It's a tough road, but one that early detection is the key. Email me if you want. My email is available on the site here.

Just click on my name and you'll get to it.

42 yo.
PSA 4.65
Gleason scores from 4 pathologies of the same biopsy with 2 of 12 cores positive for cancer (if this isn't confusing to the patient...):
1) both cores 3+4 (Weiss Memorial)
2) one 3+4 and one 3+3 (Univ. of Chicago Hosp.)
3) both cores 3+3 (Mass General Hosp.)
4) both cores 3+4 (Northwestern Memorial Hosp.)
9/17/07 - Radical Retropubic Prostatectomy Surgery at Northwestern Memorial in Chicago by Dr. William Catalona.
and the winner op Gleason score of 3+4.
Good pathology report with negative margins, no seminal vesicale involvement, no lymphatic or vascular invasion, bladder and urethral free and tumor volume was 5% of 27.3g.  Amazing how something so small can cause such problems!
9/27/07 - Catheter removal...let the games begin...

Regular Member

Date Joined Mar 2007
Total Posts : 426
   Posted 9/30/2007 10:23 PM (GMT -6)   


I do not know which is best, but I did find a few articles for reading:

A detailed 21 page pdf of the study:






Age 59 y/o - Last 3-4 years of annual general health checkups - PSA 5-6
3/13/2007 - 12 point biopsy - Left 0/6  Right 1/6 Gleason 3+3 Diagnosed as T1c
4/24/2007 - DaVinci performed at Virginia Mason hospital in Seattle
5/2/2007 - Catheter Out! Final pathology of Gleason 6  T2c Nx Mx,   approx 20% of prostate involved, positive margin, but only at 2 focal points.  
6/28/2007 9 weeks post-op incontinance... Overnite, went from 4-6 soaked pads a day from prev 8 weeks to 2 barely wet pads a day.
7/12/2007 11 weeks post-op  Minimal leakage...  one small pad a day
7/18/2007 First Post-Op PSA...  0.01 !!! 
7/30/2007 ED improved to about 60% erection and "functional". Only using 50mg Viagra generic every 2-3 days.
9/10/2007 Ran out of pads one day and had no dribbles all day...  Now pad free. :-)

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