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Prostate Cancer | Last Active: 4 days ago | Replies (32)
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Handera, I’m not a urologist, but man, why so many cores? 21 seems like a lot!
And the trans rectal approach has been proven to miss certain cancers because some parts of the gland are simply not accessible via this approach. Perhaps they did have to get to one of these areas based on your MRI and could only reach it by going thru the gland completely multiple times (skewered). THAT would definitely cause damage.
As others have said and I will repeat: have a trans perineal MRI/sonogram guided biopsy next time. They will be able to access the ENTIRE gland with fewer punctures.
Replies to "Handera, I’m not a urologist, but man, why so many cores? 21 seems like a lot!..."
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An MRI Transperineal Fusion Biopsy is the modern way to go . Some countries have banned Transrectal , plus certain Urologists refuse to perform this outdated method . The major concern in the past was the infection factor ( potential Sepsis ) however with todays newer antibiotics , this risk is about the same as the Transperineal . As you note however ,the transperineal gives you a better shot at reaching difficult to get at liasons .