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Thread: Prostate Biopsy AND Cystoscopy

  1. #11
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    Quote Originally Posted by Skipper Chuck View Post
    I've had both,although not on the same day. They're unpleasant but not terribly painful, at least in my case. I agree with Southsider, get them done and out of the way.

    Good luck, man - keep us posted!
    Thanks so much for the well wishes, Chuck. I'll let you know how it goes.

  2. #12
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    Quote Originally Posted by HighlanderCFH View Post
    As with the others, I have had both, but not on the same day. I had minimal (basically none) pain during my 20 core biopsy because the doctor numbed both the rectum and prostate.

    The day prior to my surgery at Mayo, my surgeon did a cystoscopy. Make sure they use a FLEXIBLE probe as my doctor did. They shoot a numbing agent in before starting and I really felt nothing at all. As I recall, the exam only took about one minute and it was over.

    I don't see it being any huge deal to have both the biopsy and cysto done on the same day.

    I think you will get through this just fine!
    Highlander - Thanks so much for your response. Your words really reassured me.

    Cheers, Max.

  3. #13
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    Quote Originally Posted by Groot View Post
    Technically, this seems to be more "front to back"....?

    Sorry, couldn't resist.

    I'm with everyone else, think getting both done on the same day makes sense, especially with the sedation. I also went through both (blood in urine too) without sedation; while both are not pleasant experiences, they're not that bad. Best of luck to you, please keep us posted.
    Haha - front to back indeed! Thanks for the reassuring words. I'm feeling better about having them both done the same day.

  4. #14
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    Quote Originally Posted by garyi View Post
    Another recommendation to get them both the same day. Much more convenient, and will give the doc more data, faster.

    Not painful at all. At most - a bit uncomfortable. Treatment anxiety can be much worse than the procedures. You can control that. Good luck!
    Good point about getting the data back faster. Makes perfect sense to me. Thanks!

  5. #15
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    Quote Originally Posted by DjinTonic View Post
    Agree with all for same day,. Any of the mild symptoms after scoping will be the sililar to the post-biopsy ones, so just one combo procedure to get over
    Thanks, DjinTonic. One procedure to get over sounds good to me!

  6. #16
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    Quote Originally Posted by mjimsr View Post
    I had both on the same day. The most unpleasant part was waiting for it to begin. I waited over an hour for the Dr after the nurse had applied numbing gel in both areas.
    Hi mjimsr - I've heard other people echo that sentiment - that the waiting is the hardest part...often even worse the the procedure itself. Thanks!

  7. #17
    Moderator Top User HighlanderCFH's Avatar
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    Quote Originally Posted by Maximus View Post
    Highlander - Thanks so much for your response. Your words really reassured me.

    Cheers, Max.

    You're very welcome, Max. Things are going to go nice & smoothly.
    July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA 9/ 2011 = 5.7.
    Local uro DRE revealed significant BPH, no lumps.
    PCa Dx Aug. 2011 age of 61.
    Biopsy DXd adenocarcinoma in 3/20 cores (one 5%, two 20%). T2C.
    Gleason 3+3=6. CT abdomen, bone scan negative.
    DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
    Surgeon was Dr. Matthew Tollefson, who I highly recommend.
    Final pathology shows tumor confined to prostate.
    5 lymph nodes, seminal vesicules, extraprostatic soft tissue all negative.
    1.0 x 0.6 x 0.6 cm mass involving right posterior inferior, right posterior apex & left
    mid posterior prostate. Right posterior apex margin involved by tumor over 0.2 cm length,
    doctor says this is insignificant.
    Prostate 98 grams, tumor 2 grams.
    Catheter out in 7 days. No incontinence, minor dripping for a few weeks.
    Seven annual post-op exams 2012 through 2018: PSA <0.1
    Semi-firm erections without "training wheels," usable erections with 100mg Sildenafil.
    NOTE: ED caused by BPH, not the surgery.

  8. #18
    Top User garyi's Avatar
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    Quote Originally Posted by mjimsr View Post
    I had both on the same day. The most unpleasant part was waiting for it to begin. I waited over an hour for the Dr after the nurse had applied numbing gel in both areas.
    At least it wasn't a pain in the a$$
    72...LUTS for the past 7 years
    TURP 2/16,
    G3+4 discovered
    3T MRI 5/16
    MRI fusion guided biopsy 6/16
    14 cores; four G 3+3, one G3+4,
    CIPRO antibiotic = C. Diff infection 7/16
    Cured with Vanco for 14 days
    Second 3T MRI 1/17
    Worsened bulging of posterior capsule
    Oncotype DX GPS 3/17, LFP risk 63%, Likelihood of Low
    Grade Disease 81%, Likelihood of Organ Confined 80%
    RALP 7/13/17 Dr. Gonzaglo @ Univ of Miami
    G3+4 Confirmed, Organ confined
    pT2c pNO pMn/a Grade 2
    PSA 0.32 to .54 over 3 months
    DCFPyl PET & ercMRI Scans - 11/17
    A one inch tumor remains in prostate bed = failed surgery
    All met scans clear
    SRT, 2ADT, IMGT 70.2 Gys @1.8 per, completed 5/18
    PSA <.006 9/18, .054 11/18, .070 12/18, .067 2/19
    We'll see....what is not known dwarfs what is thought to be fact

  9. #19
    Good luck Maximus! Having both procedures during a single visit under sedation will be a "stroll in the park!" You will not have any bad memories to relay to The Forum!

    When is your Double Date with Destiny?

    Best wishes for a smooth experience with good results!

    MF
    Last edited by Michael F; 01-14-2019 at 03:38 PM.
    PSA: Oct '09 = 1.91, Oct '11 = 2.79, Dec '11 = 2.98 (PSA, Free = 0.39ng/ml, % PSA Free = 13%)
    Referred to URO MD
    Jan '12: DRE = Positive: "Left induration"
    Jan '12: Biopsy = 6 of 12 Cores were Positive: 1 = Gleason 7 (3+4) and 5 = Gleason 6
    Referred to URO Surgeon
    March '12: Robotic RP: Left Positive Margins + EPEs. MD waited in surgery for preliminary Path Report then excised substantial left adjacent tissue(s) down to negative margins and placed 2 Ti clips for SR guidance, if needed in future.
    Pathology: Gleason (3+4) pT3A pNO pMX pRO / Prostate Size = 32 grams; Tumor = Bilateral; 20% / Perineural invasion: present
    3 month Post Op standard PSA = <0.1 ng/ml
    1st uPSA at 7 months Post Op = 0.018 ng/ml
    uPSA remains "stable" at 81 Months Post Op: Mean = 0.022 (19 uPSAs: Range 0.017 - 0.026) LabCorp: Ultrasensitive PSA: Roche ECLIA
    Continence = Very Good (≥ 99%)
    ED = present

  10. #20
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    Quote Originally Posted by Michael F View Post
    Good luck Maximus! Having both procedures during a single visit under sedation will be a "stroll in the park!" You will not have any bad memories to relay to The Forum!

    When is your Double Date with Destiny?

    Best wishes for a smooth experience with good results!

    MF
    Hi Michael,

    Thanks for the reassurance and good wishes!

    The big day is one week from tomorrow (on 1/22). I'll be sure to check back in and let you all know how it goes.

    Thanks again!

    Max

 

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