← Return to Anesthesia for a Prostate Biopsy

Discussion

Anesthesia for a Prostate Biopsy

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

Comment receiving replies
@jbonsoe

At 77 I also had my biopsy in Urologist's office. My PSA 4.6 I had been told by GP not to worry about it. However, my Uroligist was and asked me to agree to biopsy. Doctor administered lidocaine which kept me as comfortable as possible.
I decided to go to Mayo, Rochester for a second opinion. Mayo's recommended Proton 5 treatments. To prepare for that I had Space OAR injection. They told me I could do without anesthesia if I wanted. However, the tech who got me ready strongly recommended that I agree to mild anesthesia which would put me in a semi awake state and not remember anything of the procedure. I am happy I did that. I could hear voices, faintly, but not remember anything that was done or said. The 5 Proton treatments were a piece of cake with none of the side effects other people I know who had Photon treatments.

Jump to this post


Replies to "At 77 I also had my biopsy in Urologist's office. My PSA 4.6 I had been..."

jbonsoe,
I agree with you 100%. I think what should be stressed is some can deal with anxiety better than others and thus not having anesthesia or just a local. I have PTSD with anxiety/panic disorder so I wanted anesthesia. You are right it is NOT deep it is light.

When I mentioned Mayo Rochester it was coming from urologist at Mayo Jacksonville. He is the one who told me a urologist had developed a procedure there to just use local anethesia which appears the procedure is no more wide spread that when I was told which was over a year ago.

When I had my markers and Space/Oar done it was done with local anesthesia not general. I was nerve racking and I was using laughing gas and tranquilizer. If had been given option would have chosen anesthesia. The anesthesia used now with these types on non deep surgery is usually propronol. It really brings you down but not out. What it does do is eliminate your memory of the procedure and nothing done during it.

I would have liked to have the 5 dose high dose but my UFPTI radiologist/oncologist wanted to do the 30 rounds. They do a lot of research on both high dose and low dose. My PCP at Mayo also does research on treatments so can recommend to his patients. His research showed some increase in side affects for high dose. But I would expect this as it high does and probably side affects are sooner that with low dose done over 5-6-8 weeks of treatments.

Again for me the mental anxiety is big and would have like to have got it over more quickly but I listen to my radiologist/oncologist and my PCP which help guide me as well as a lot of research I did on my own.

If I had to do it over choosing 5 dose or 30 dose quite frankly don't know. Heard so much different opinions and outcomes it comes down to making a decision for yourself and what is best for you mentally and physically.