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Anesthesia for a Prostate Biopsy

Prostate Cancer | Last Active: Mar 15 6:30pm | Replies (40)

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@trusam1

Regarding prostate biopsy under local anesthesia, I have only my experience to go on, but I found it less bothersome than most dental work. Urologist used an ultrasound probe thru the rectum. That insertion was no worse than a digital rectal exam. The local shot was less uncomfortable than the locals I've received for, say, dental crowns. The biopsy itself was 12 shots of an injector. The only thing I noticed was the sound of the mechanical device and a nom-painful "vibration". I think staying relaxed - even breathing, not tensing the anus - may have helped.

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Replies to "Regarding prostate biopsy under local anesthesia, I have only my experience to go on, but I..."

@trusam1
You are one of the fortunate ones to be able to do this without anxiety and worry. I like many others would not relax and the stress and anxiety over the procedure while awake was not somthing I wanted to do.

There can be serious infections when doing this procedure via rectal. The incidence of infection is much higher than doing it transperinial where the risk of infection is almost zero. My urologist warn me of the infection rate (I think it was 2%) but said was serious and hospitalization would be necessary.

They do use a pre antibiotic to lower the risk of infection but I wanted the method with lowest infection risk and the least anxiety and worry I could do. I would not even know I had the biopsies if had not woke up after procedure as had no pain, no discomfort, prior to, during , and nothing at all after.