A website to provide support for people who have or have had any type of cancer, for their caregivers and for their family members.
Page 3 of 19 FirstFirst 1234513 ... LastLast
Results 21 to 30 of 184

Thread: What I Need to Know About About Prostate Biopsy

  1. #21
    My biopsy was done with locals, the pain was during the 12 core samples.

    There is a big concern for infection over the following 24 hours, so take your temp frequently.

  2. #22
    An interesting thread here http://www.cancerforums.net/threads/...ask-Pre-Biopsy on what questions to ask pre-biopsy...
    BD: 1959 PSA 4.9 11/2012 (no symptoms)
    Biopsy 12/2012 Negative
    PSA 5.9 05/2013 (still no symptoms)
    Biopsy 6/2013 3+4 (thank goodness for PSA tests)
    1 core positive (upper left), 1 suspicious (lower left) out of 12
    DRE: bump right side T1c; PCA-III = 20 (normal)

    Da Vinci 7/18/2013: Invasive carcinoma involves left lobe of prostate only, extends from left apex to posterior mid region of left lobe Gleason 7/10 (4+3); G4 tumor comprises 75% of invasive carcinoma present
    Estimated total volume of carcinoma in entire prostate gland: 10%
    TNM: T2b NX MX (Stage IIA)

    8/13 11/13 2/14 8/14 2/15 8/15 3/16, 8/16, 3/17,9/17,4/18, 9/18 PSA undetectable
    3/19: .1 (damn), 4/19,6/29 retests: .1 (damn)


    My Story:
    T-Minus-36-Hours-until-da-Vinci...
    Catheter is Out!

  3. #23
    Do you have "issues" with teeth fillings or extractions at the dentist? If so you may have issues here.

    Mine was "sold and billed" as a simple outpatient procedure in that I'd be able to return to work afterwards. While many men here may of been able to do that, I was rather lucky mine was done on a Thursday as I ended up going straight home and staying there Friday and over the weekend. This was by far the worse (and painful) experience I've ever had at a Dr's office. I was warned that there might be some blood in my semen and urine afterwards, I did not experience any at all.

    If all the diagnostic indicators steer you towards having one - by all means get a biopsy!

    The test is not perfect. Given the direction (and angle) they are sampling the prostate from makes it mostly impossible to reach up to 1/4-1/3 of the prostate for samples. The biopsy results are subject to human evaluation in which 2 or more labs seldom completely agree with the exact same results. Lastly, those patients whom have their prostate removed via surgery will often times have different post surgery results.

    The number of cores positive, "Gleason Score" (or grade of the cancer) and percentage of the core sample with Cancer are the three main results from the test.

    The "Gleason Score" is the sum of the two most prevalent "Cancer cell patterns" seen in the sample. The patterns range from 1-5 with "1" being the least aggressive (or slow growing) and "5" being the most aggressive (or fastest growing) cancer. The resulting scores fall into three distinct groups: Low(2-4), Medium(5-7) and High(8-10).

    It should be noted that a prostate biopsy is but one in many diagnostic tests that will help guide your doctors recommendations for treatment (or not).
    - George

    55yo at diagnosis 3/14, PSA=395, 1 week later PSA=322, 98cc prostate at biopsy: 16/16 positive, 15-G9 (4+5), 1-G6(unknown). Stage4: T3BN1M0, "Metastatic to pelvic Lymph node" (bone scan clear) 12/14 DEX=normal, 12/16 DEX=normal

    - Currently on ADT/TAB: Lupron 4mo+Cassodex
    - PSA 03/14=322
    - PSA 06/14=55.88
    - PSA 08/14=37.63
    - PSA 10/14=11.35
    - PSA 12/14=6.78
    - PSA 04/15=2.69
    - PSA 04/16=0.38
    - PSA 04/17=0.19
    - PSA 08/17=0.16 Start Lupron Vacation #1
    - PSA 09/17=0.14
    - PSA 04/18=0.17, T=100
    - 5/18 Restart Lupron
    - 6/18 Start 40 sessions RT (8 weeks)
    - 8/18 End RT.
    - 9/18 Get last scheduled Lupron shot
    - PSA 09/18=0.12 (First post radiation reading)
    - PSA 01/19=0.09
    - PSA 07/19=0.06

  4. #24
    Senior User
    Join Date
    Mar 2015
    Posts
    149
    Quote Originally Posted by anesthesia96 View Post
    "the biopsy was the worst experience of the whole deal for me."
    That sums up my experience. The uro said it was unusual to be so painful. I do not recall a local.
    July 2012 DRE normal but the test was shallow and quick, no PSA
    May 2013 Doctor retired, new Doctor
    May 2013 PSA 5.7, DRE with significant hard lump left side
    July 2013 Biopsy 10 of 12 cores scored 4/4, CT abdomen, bone scan both negative
    Nov 2013 DaVinci prostatectomy at Beth Israel Deaconess Boston, non-nerve sparing - surgeon went wide, age 63
    seminal duct, urethra, and 3 of 26 lymph nodes positive, Gleason upgraded to 4/5 =9
    Post op exams 3/14 <.01, 6/14 .01, 9/14 .05, 11/14 .1
    Lupron injec 11/14 30 day, 12/15 90 day, 3/15 90 day, 6/15 90 day (T heads up after 9/15)
    With HT exams 12/14 <.1, 3/15 <.1
    Salvage IMRT 3/31 - 6/4/2015 34 X 2GY= 68GY
    6/2015 PSA <.1 (still on HT)
    9/2015 PSA <.1 (still on HT)
    12/2015 PSA <0.01 no HT, T normal

  5. #25
    Senior User
    Join Date
    Feb 2015
    Posts
    361

    Post Biopsy Activity

    Hello, friends,
    Finished my second biopsy on 3 Apr this year....two days later I got the call that it was positive for cancer. I have scheduled surgery for early June.
    My question is.....should I technically have orgasms for the sole purpose of clearing the prostrate, or, if left alone, will it clear on its own?
    Regards,
    DD
    Last edited by Dogdollar; 04-24-2015 at 11:11 AM.

  6. #26
    Ok, DD. I'm going to deny I ever said this (LOL!), but after 2 biopsies myself, I believe in "helping things along" in the clearing issue! I've found that "helping" make things move along faster! So, while I can't testify as to how long it'll take on its own to clear out, I had the same theory as I did after having a vasectomy, the more you push through there, the faster the old stuff is out of the way! I spent lots of time trying to convince my wife of this also, in a desperate plea for ....."help!"

    Good luck with that!
    Ron
    DOB: 8/1963--Great-Grandfather/Uncle had PC
    9/13 PSA 4.85, 2/14 PSA 6.7, TRUS Bx 12 core-neg, 6/14 PSA 4.8, 12/14 PSA 5.9, PCA3: 38, 1/15 PSA 5.4 (switched docs to JH), 3/15 PSA 5.8/fPSA 17.4/PHI 28.4, 3/15 3T MRI/Fusion-Guided Bx @ Johns Hopkins, 2/14 cores pos, bilateral, <5% involvement, Gleason 6, Open RP: 8/10/2015 w/ Dr. Carter @ JH

    Final Pathology:
    LN-, SV-, Margins-, EPE-
    Tumor Extent: Moderate, organ confined
    Gleason upstaged to 3+4=7 (2% pattern 4)
    Additional Findings: HGPIN
    pT2 NO
    PSA 11/2015 <.1, 05/2016 <.1, 09/2016 .02 & 3/2017 .02 (different assays), 09/2017 <.1, 03/2018 <.1, 10/2018 <.1, 4/2019 <.1

  7. #27
    We've been tracking my PSA for the last 10 years. It remained around 1.4 until 2 yrs ago and then bumped to 2.7. 10 mo ago it went to 4.4 and then to 7.7. All DRE & urine tests were normal. So, on my 70th birthday, I was told I should have a prostate biopsy....Happy Birthday!

    After reading just about everything I could find on the dreaded procedure, I finally had it yesterday. The anticipation was way more of a problem than the procedure. I can say it was PAINLESS! TG my doctor ordered 10mg of Diazepam to calm me down. My BP always skyrockets around "white coats". After scanning the prostate, he used a numbing gel, numbing injection, and took 12 samples. The entire process was done in 20 minutes and completely pain free. I had more pain being a passenger while my wife drove us home. LOL I have a return visit scheduled in two weeks. His nurse knew I was nervous about the results and told me to call back in a week to see if the results are back. If they are, she'll get me in earlier.
    Last edited by glock19; 06-05-2015 at 10:19 PM.

  8. #28
    Newbie New User
    Join Date
    Jul 2015
    Posts
    2
    I found the biopsy mostly painless and a non event, maybe I'm lucky. I had a local and 14 cores were taken. Except for the snap of the "staple gun" I didn't feel anything during the event. My doctor gave me antibodics a day before the biopsy and several days after to make sure there was no infection. I didn't have any issues here. I agree that there is a lot of blood in your semen, but it went away for me in two weeks. Mine was done in the doctors office, took less than 30 minutes total. I got back a complete diagnosis sheet listing by core what was found and the Geason score for each one. I had 10 cancer cores and 4 benign. Gleason scores mostly 6's with two 7's and one 8.

    I'm going through the process of picking treatment options now. To me that is very hard. I live in an area with lots of options and good doctors, for me it's between robotic removal or seed implant. Any thoughts on these are very welcome, or maybe list this in a different thread? I'm 67 years old an in good health.

  9. #29
    Senior User
    Join Date
    Nov 2012
    Posts
    277
    I had the same offer as you "seeds" or Da Vinci. For me I went with Da Vinci. My urologist gave me a lot of literature to read and also I got Dr. Walsh's book. I think the deciding factor for me was I am in good health, exercise regularly, and I wanted to get rid of any possible chance of having the cancer return. And I thought getting the prostate out was the best choice for me. Looking back now, 2 1/2 years after the surgery I have no regrets and would do the same again. Also, I have a very supportive and understanding wife who backed my decision 100%.
    Good luck with whatever route you choose, and keep a positive attitude.
    Age: 65 / At surgery
    10/01/12 PSA 5.7 & climbing
    10/25/12 Transrectal biopsy / results T2 b/c Score of 3-4 & 4-3 / Gleason Score 7
    10/28/12 Consultation with Surgeon Dr. Vipul Patel (8,000+ surgeries) for Da-Vinci Radical Prostatectomy (my choice)
    01/11/13 Da-Vinci Prostatectomy, Florida Celebration Hosp. (above surgeon), Cancer confined within prostate capsule & none found in margins or lymph nodes.
    02/26/13 PSA test <.01
    06/11/13 PSA test <.01 and Testosterone 510
    09/09/13 PSA test <.01
    01/15/14 PSA test <.01
    07/21/14 PSA test <.01
    07/28/15 PSA test <.01
    02/02/16 Quadruple Bypass Heart Surgery
    06/28/16 PSA test <.01
    03/18/19 PSA tested yearly and to date still <.01

  10. #30
    Newbie New User
    Join Date
    Jul 2015
    Posts
    2
    Quote Originally Posted by Sarg View Post
    I had the same offer as you "seeds" or Da Vinci. For me I went with Da Vinci. My urologist gave me a lot of literature to read and also I got Dr. Walsh's book. I think the deciding factor for me was I am in good health, exercise regularly, and I wanted to get rid of any possible chance of having the cancer return. And I thought getting the prostate out was the best choice for me. Looking back now, 2 1/2 years after the surgery I have no regrets and would do the same again. Also, I have a very supportive and understanding wife who backed my decision 100%.
    Good luck with whatever route you choose, and keep a positive attitude.
    Sarg,
    Many thanks for your personal experience here. I need all the background I can get. I see the seed doctor in two weeks (Dr. Matthew Poggi) and a week after that the Da Vinci doctor (Dr. Simon Chung). I kind of agree with you on having it done now while I'm in good health. I do need to get back to rowing every other morning for sure. I have heard that the seeds have very close to the same success rate as surgery these days, but can you have surgery a few years later after the seeds treatment, if the cancer comes back? I'll find out shortly.
    I'm the same here on the wife side, she is a blessing to me every day, and a very supportive partner right now. Thanks again, and glad to hear you are doing so well.

 

Similar Threads

  1. A few questions following Prostate Biopsy
    By Leob in forum Prostate Cancer Forum
    Replies: 10
    Last Post: 10-17-2013, 04:39 PM
  2. First Prostate Biopsy today
    By canadianprostate in forum Prostate Cancer Forum
    Replies: 13
    Last Post: 05-02-2013, 10:03 PM
  3. Repeat Prostate Biopsy
    By trb6814 in forum Prostate Cancer Forum
    Replies: 14
    Last Post: 10-12-2012, 09:30 PM
  4. Prostate Biopsy Complications
    By Kay in forum Prostate Cancer Forum
    Replies: 1
    Last Post: 06-21-2008, 05:25 AM
  5. Prostate biopsy, how painful? PSA 6; smooth prostate
    By psajack in forum Prostate Cancer Forum
    Replies: 9
    Last Post: 05-15-2008, 01:17 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •