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Replies to "I admit it I'm a whimp! If there was a medical reason to not give me..."
I understand your concern . Each to his own . Personally I have a high treshold for pain - during my 2 Transperineal MRI Fusion Biopsies , they were a walk in the park . I requested the 2nd biopsy given the the negative 1st biopsy results were in conflict with a PI-RADS 5 MRI . The 2nd biopsy results were all Gleason 6 in the target area . I subsequentlly had a 2nd and 3rd opinion on these results whic were revised upwards .
In Canada I have yet to hear of a patient getting an anesthetic for any biopsy .
I have an associate , like you , worried to death and months of sleepless nights before his biopsy-
eventually everything went fine . Now he is worrying about any pain during his upcoming NanoKnife treatment .
After a Gleason 3 = 4 lesion was revealed on an MRI and my urologist scheduled a transperineal biopsy with only local anesthesia and nitrous oxide but no general anesthesia, I worried and fretted for weeks. Even considered having the biopsy performed by a different urologist who offered general anesthesia. So glad that I did not as the worry and fretting were much worse than the procedure with the pain being less than having a cavity filled. From what I've learned, the level of pain depends in large part upon the level of experience of the doctor performing the procedure and his/her ability to sufficiently numb the the affected areas.
@hoover58 @clandeboye1
If you go to Mayo Jacksonville (which @hoover58 is talking about)they will not do a Fusion Biopsy transperineally without anesthesia. They will do it transrectal if you do not want or cannot have anesthesia.
The Mayo Jacksonville transrectal is done in an special procedure room. The Transperinial is done in a surgical room with anestheist there. Both are considered outpatient as do not require hospitalization and you are not admitted. Transrectal also comes with an increase in infection rate although not high.
Some have no problems with transrectal without anesthesia and others at facilities that offer transperinal without anesthesia but for me it is a very stressfull and anxiety procedure that the individual should decide what they want. I too feel the anxiety and stress over having it done without anesthesia is not something I want to endure, not the stress and anxiety over it. I had my fusion/biosies done transperinal with anesthesia.