My transperenial biopsy experience

A little history.
Over the last 3 -4 years I've had a rising PSA.Some big jumps in a 4-5 month period.Last number was 5.6.
I've had two transrectal biopsies,two PC3a tests with last one number of 24.All negative.
A MRI biopsy scan found two suspicious areas.One not so much but the other 1cm area was more suspicious.Recent (8 weeks ago) MRI needle guided biopsy that came back inconclusive but did land me in the hospital for 3 days with an infection.


Transperenial biopsy yesterday
Not too bad at all.I was put under.I was told many samples were taken.How many?I don't know but the wife said the Doctor told her many.I'll find out the number today.No real soreness in the area yet.
To play it safe my urologist has me on a catheter till this afternoon due to taking many samples which may have caused a urination issue.
The catheter experience is awful.Hard to sleep with.Pain at the tip of my penis with any little movement of the hose while moving around in bed or even some walking.Although,not quite as bad this morning except if I sit.Then I get some pain I do now have some dried blood around opening where the hose enters.
Tough sitting down with out some pain at the tip of the penis unless I sit on an angle and ease myself down after awhile but stay slightly on an angle.A bowel movement should be interesting. The catheter should be coming out today.
A lot of blood in the urine early.Still have what seems to be a lot of blood but much less than yesterday.Yet,not many clots.Only a couple.
What I found really amazing is how much urine the body makes even with moderate liquid intake.I have a new respect for the bladder.
Also developed a 100.1 fever last night.Took a couple of Tylenol capsules which brought the fever down last night and I seem to be fine right now.
Again,no pain from procedure in the perineum area which is surprising.Maybe it will be sore later on.I haven't sat much.

Well that's my TP biopsy experience so far.I hope it's help to others who may be in line for a TPB.

I found the cath to be the worst part of the biopsy. I took mine out myself and did not sleep with it in. Good luck with the results.

Gleason 6 said...
I found the cath to be the worst part of the biopsy. I took mine out myself and did not sleep with it in. Good luck with the results.

Thanks,Gleason 6.
Yes,it's awful.Tough to sleep with and painful at times.Sitting can be tricky too.
Never had a catheter before.Does it hurt when it's pulled out?

142 said...
When they "take out" the catheter, they first drain the balloon that is holding it in, by snipping off the fill cap (the Y on the tube). Mine just literally fell out without so much as a flinch. It was on the floor before I knew what was going on. No significant pulling involved unless there is some sort of problem.


It will possibly be a mess, so dress accordingly.

Thanks 142
I just came back and the nurse took the catheter out.Wasn't bad.First she took the bag off and then filled the bladder with I think a saline water untill I needed to urinate.I did but dribbling and not a stream.Urine was clear late this morning but bloody again probably die to taking out the catheter.
I saw the doctor and he said he wasn't going to put the catheter back.He said he took 33 samples which causes swelling along with having an enlarged prostate cause the issue.He gave me a pill called Rapaflo which he says should help the stream.I hope the stream improves soon and the burning stops.I'm also on Levofloxin and I got a shot of another antibiotic today too because I had a low grade fever last night..
I have a pennicillin and sulphur allergy.
I had a catheter issue this morning that I didn't have yesterday.Feeling like I had to go bad a few times while the catheter was in.I think he called that a bladder spasm.

Having had 21 different catheters, i never had one that hurt coming out. now getting them in.......another story. the catheters are pre-lubed, and unless there is any obstruction in the urethra, they typically slide out like a slippery snake/worm. had some that felt creepy coming out, but never hurt. also, some nurses rush after releasing the balloon that holds it in place, it pays to let everything drain well, then start the removal. that was a tip i learned first hand.

sounds like you had a saturation biopsy, if there were many, many cores, and you were put under for it. it took 3 biopsies for my PC to be detected, in hind sight, i wish the first one had been a saturation type, as it might have caught my cancer a year earlier, and may have led to a better prognosis.

good luck, and to your results

david in sc

David,21 catheters and 1.5 years.Just wow!
You have had a hell of journey and just want to wish you the best for your upcoming surgery.
You are one strong guy.

Joe

The bleeding and clots can be scary. I found it got worse if I lifted too much but it eventually cleared up. Drink the water and flush that stuff out.

It is a bit odd that he'd give a early report but I'd take it as him just trying to be helpful and keeping you informed. He likely thought it would help ease your concerns. I'd take it as him trying to offer you some comfort.

InTheShop said...
The bleeding and clots can be scary. I found it got worse if I lifted too much but it eventually cleared up. Drink the water and flush that stuff out.

It is a bit odd that he'd give a early report but I'd take it as him just trying to be helpful and keeping you informed. He likely thought it would help ease your concerns. I'd take it as him trying to offer you some comfort.

Scary as hell.Especially when the last two day had clear urine.
about the doctor...
I guess I appreciate his telling me of the good early report.I do feel relieved somewhat.
However,I just feel I'd rather of had the final report because it would be more devastating to have bad news now with the final report.
I do have a general anxiety disorder which I guess is showing.

I just received a call and the final report results which came in negative.
I have a appt Thurs with my urologist and have some questions.This is my second urologist over the 2 years or so.
He thinks considering the negative trans rectal biopsies (2),PC3a tests (2),,the MRI two suspicious spots scan that the MRI needle biopsy came up with inconclusive.the 33 samples taken 6/25 being negative,it just may be my PSA is rising because my prostate has been enlarging and inflammation.
The biopsy took 33 samples mapped all over and feels he covered the area well including the suspicious spot from the MRI.

I just may have dodged a bullet right now.
You guys and gals are great here.Very knowledgeable,supportive and understanding.
I wish only the best for you guys.

Hopefully,I won't be back but this is the first place I'll run to if need be down the road.

Thanks again!

Joe