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Prostate Biopsy

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  • Kap10
    Kap10 Posts: 15,566
    man_at_milletts said:
    Kap10 said:
    An anaesthetic was put on the appropriate area which stings initially and does not obliterate the pain com0letely  but does dull it. I asked them to turn the screen to me and watched the needles going in,

    I had a very attractive female Dr do the procedures, whose final I mmortal words to me were, "All done, just going to pop your haemorrhoids back in !"  :#

    Thanks for that Kap, I hope I can get that image out of my mind before I go to sleep tonight.
    Did you sleep well?  :p
  • man_at_milletts
    man_at_milletts Posts: 5,620
    edited June 2024
    Kap10 said:
    man_at_milletts said:
    Kap10 said:
    An anaesthetic was put on the appropriate area which stings initially and does not obliterate the pain com0letely  but does dull it. I asked them to turn the screen to me and watched the needles going in,

    I had a very attractive female Dr do the procedures, whose final I mmortal words to me were, "All done, just going to pop your haemorrhoids back in !"  :#

    Thanks for that Kap, I hope I can get that image out of my mind before I go to sleep tonight.
    Did you sleep well?  :p
    Yes, I did mate but having just cafc7-6htfc post it's all come flooding back
  • PeterGage
    PeterGage Posts: 1,793
    man_at_milletts said:
    Kap10 said:
    man_at_milletts said:
    Kap10 said:
    An anaesthetic was put on the appropriate area which stings initially and does not obliterate the pain com0letely  but does dull it. I asked them to turn the screen to me and watched the needles going in,

    I had a very attractive female Dr do the procedures, whose final I mmortal words to me were, "All done, just going to pop your haemorrhoids back in !"  :#

    Thanks for that Kap, I hope I can get that image out of my mind before I go to sleep tonight.
    Did you sleep well?  :p
    Yes, I did mate but having just cafc7-6htfc post it's all come flooding back
    When I had my biopsy, is all I had to do was to lay on my side on a couch; nothing like the procedure described above.
  • KingKinsella
    KingKinsella Posts: 1,310
    Derek , I am sorry to hear that you have to undergo these investigations but I hope the outcome will be that you are reassured that nothing untoward is going on. I have some knowledge of this area as I used to meet urologists as part of my job. I have been retired for 9 years and a lot changed in that time. Maybe abit of history can explain why different experiences are being reported here. Going back 15 years biopsies were taken under ultrasound guidance on a routine pattern of positions. This was simply because cancer/suspicious tissue could not be “seen” by imaging (ultrasound ,X-ray, MRI. )There may be small number of biopsy s taken say8- or so. It was hit and miss like throwing darts at a dart board blindfolded.
    A major breakthrough happened when about 10 years ago a radiologist at UCH Clare Allen demonstrated that nasty prostate cancer could be “seen” using a combination of 3 types of MRI. Now it could be seen- but how reliable was this new technique? Then the technique of template biopsies came in - think of a grid like the game of battleships but every position on the grid can be sampled. You are talking 60-100 biopsies and it was done most comfortably under general anaesthetic . Result was a complete map of the prostate. I think these studies showed you can reliably identify the areas of cancer.
    So I’m not up to date but I guess that now areas of nasty /aggressive cancer can be picked up the drs willl aim biopsies at those areas., more comfortable for the patient as there’s fewer biopsies.
    So not all biopsies are the same- and there may variation due to local availability of services eg MRI.see what NICE are currently recommending.
    Please contact Prostate Cancer Charity or MacMillan they will be very helpful for you.
    main concerns will be as listed
    pain/discomfort
    infection 
    bleeding
    missing the cancer (false negative) -less likely now
    Good luck
  • Derek1952
    Derek1952 Posts: 779
    KingKinsella.Sorry for my answer this way but I do know how to insert replies under members names.Thank you very much for your comprehensive
    account of thing's I might have to endure.I was first diagnosed in 2019( P.S.A 112) and for two months was on Bicalutamide which brought the PSA
    down to under 1.Last year it was 4.7 and this year it is 26.13 which is why some tests have been advised.I forgot to mention that  for five years I
     have been on Zoladex 1.8 every twelve weeks.Until now I have had no follow up from Doctors or Consultant.Not even a Biospy when first diagnosed.
     I,am 82 this year if that will be taken into account as to what will be done.I did have the Dye injection at first then a Scan which detected a slight
     local spread from the Postate. Once again thank you.Derek
  • hmmoore
    hmmoore Posts: 125
    PeterGage said:
    man_at_milletts said:
    Kap10 said:
    man_at_milletts said:
    Kap10 said:
    An anaesthetic was put on the appropriate area which stings initially and does not obliterate the pain com0letely  but does dull it. I asked them to turn the screen to me and watched the needles going in,

    I had a very attractive female Dr do the procedures, whose final I mmortal words to me were, "All done, just going to pop your haemorrhoids back in !"  :#

    Thanks for that Kap, I hope I can get that image out of my mind before I go to sleep tonight.
    Did you sleep well?  :p
    Yes, I did mate but having just cafc7-6htfc post it's all come flooding back
    When I had my biopsy, is all I had to do was to lay on my side on a couch; nothing like the procedure described above.
    The first one I had around 5/6 years ago was as you said Peter. The last one (last year) was on my back and stirrups etc. I think the difference was that with the second one, as they knew I already had it, they made a small incision for a "keyhole" camera to go in. 
    Just to reassure you @Derek1952 , I would still describe both procedures as uncomfortable rather than painful.

  • Henry Irving
    Henry Irving Posts: 85,221
    PeterGage said:
    man_at_milletts said:
    Kap10 said:
    man_at_milletts said:
    Kap10 said:
    An anaesthetic was put on the appropriate area which stings initially and does not obliterate the pain com0letely  but does dull it. I asked them to turn the screen to me and watched the needles going in,

    I had a very attractive female Dr do the procedures, whose final I mmortal words to me were, "All done, just going to pop your haemorrhoids back in !"  :#

    Thanks for that Kap, I hope I can get that image out of my mind before I go to sleep tonight.
    Did you sleep well?  :p
    Yes, I did mate but having just cafc7-6htfc post it's all come flooding back
    When I had my biopsy, is all I had to do was to lay on my side on a couch; nothing like the procedure described above.
    This is why Derek needs to speak to his doctor.

    There are different types of biopsy.

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