Anesthesia for a Prostate Biopsy

@handera My information came from Urologist at Mayo Clinic. I did research myself and same information was found on web sites from major medical providers.

The information given to me was an increase in 2% greater risk of infection and I can see why. I think the new pre-antibiotics attuned to specific type of infection causes has helped keep this low. .

A bigger benefit is the removal of anxiety and worry for many many of us which does not help dealing with a cancer testing. Everyone is different and everyone should decide what is best for them and their anxiety and worry level is.

I have heard several people on MCC really having anxiety over the transrectal procedure and what it entails. The ongoing research and medical reporst do show that there is a 2% increase in infection rates with transrectal but for me the biggest benefit is reducing anxiety, discomfort, and worry before procedure and during procedure.

Understand how you could be anxious about what you were told and read about TRUS biopsy.

The reason I posted the results of this February 2024 randomized clinical trial is to help alleviate that anxiety.

In fact, the study found that infectious complications with TRUS were 2.6%, while the infectious complications of a transperineal biopsy were 2.7%. Neither procedure led to any of the 700+ participants experiencing sepsis and no participant required follow up hospitalization for their “infectious event”.

I’ve been told that the transperineal biopsy is more painful than the TRUS biopsy; based on someone who underwent both types. Therefore, full anesthesia for the transperineal biopsy may be a good idea for some.

IMO the takeaway is that both procedures have the exact same level of a risk of a minor level of infection (about 2.6% for both).

I was 72 1/2 yrs when I had my TRUS biopsy for my prostate in the evening. They gave me an epidural and a catheter that was removed the next morning and I was discharged in the afternoon.

I was 59 when I had my biopsy under anesthesia at the hospital. No after affects and zero pain. Highly recommend.

Gentlemen:
Many thanks for the good intel. I will add my observations on an MRI Transperineal Prostate Fusion Biopsy after April 01. A most propitious date. I have no anxiety about the op. My anxiety was in getting an appointment for the op.

I agree with JC76, I had the anesthesia during the biopsy, with no issues. Now, several weeks later they
went in the same way for the "markers". Different outcome there, later that day ended up with high
fever! No idea where that infection came from. A run of antibiotics took care of it, but still no fun.

I had a transperineal biopsy at the Mayo with only a local numbing agent. There was zero pain. I was anxious about it prior, but surprised that I didn't feel any pain whatsoever.

I had a transperineal biopsy wide awake with 2 absolutely painless nerve blocks.
I felt nothing during the procedure and nothing after. No blood in the urine or stool as is common with rectal biopsy.
As with all things, the skill of the practitioner is of utmost importance! An uncaring clod will certainly cause pain no matter what.

Rick I suggest using any pain relief they offer if they don’t I would ask for some. I had none and would never do that again. I had trouble how I sat in chairs for @ 2 weeks. Was unable to get on tractor for @ 3 weeks. Reading other’s experiences I am the very small minority. So hopefully you are going to breeze right through with little notice of trouble. I had no infection and at the time I did have a fib. At minimum take some acetaminophen. My best to you.

I had biopsy cores taken in the doctor’s office . It was the worst paint that I have ever experienced. And I had several kidney stones passed before . And the pain was worse than the stones ! Maybe he should of used more anesthesia 🤷‍♂️