Well, I just got back from my first biopsy. Was it as bad, or as good, as they say?
My doctor doesn't do intrvavenous sedation. He prescribed two 10mg Valium (enough to "stun a horse" in the words of my primary care doc), and I took both! So by the time I went in I was high as a kite! Just perfect!
After a few minutes of my nodding off beside the fearsome ultrasound probe, everyone bustled in and we got down to business,
I have to say that the positioning of the probe, and the injection of the lidocaine, was the most uncomfortable experience I have ever had in my life. Not as painful as tearing my knee meniscus, but more painful than the meniscus surgery. As I tensed up, the doc would just say "relax, you're only making this harder."
But once that was done the "clicks" of the biopsy were painless and I felt nothing. I said (or it was the 20 mg of Valium talking - "just take out the whole gland this way!" The doc said "that would take a long time!
I was quite incontinent all over myself on the ride home, so bring a towel or diapers.
The post op pain is building, but I have half a bottle of vicodin left over from my knee surgery standing by, and a hot bath has already helped. And I can start taking ibuprofen again, which I actually found more effective than vicodin after my knee op.
Bottom line: I don't understand why docs don't do "twilight sedation" for this. My wife had a colonoscopy a few months back and felt, and remembers nothing, and suffered no anxiety.
Bottom line #2: If your PSA is over 4 (mine was 5.5 and I am only 51 yrs), you probably should get biopsied (my doc biopsies PSAs over 2 at my ago), but there are very effective safe drugs on the market to block your anxiety, and of you are anxious seek out more options.
I am very needle phobic, and I had not slept for three weeks in anticipation of this. IMHO not being willing to use deeper sedation is inconsiderate of the need of the patient and borderline butchery. I doubt I will go back to this doc for further treatment beyond the followup. Certainly if there is any cancer I will seek help elsewhere unless he answers my anxieties in a considerate manner.
Post Edited (firsttimer) : 12/14/2007 1:11:49 PM (GMT-7)