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Need to Make Decision between Trans-rectal or Transperineal Biopsy

Prostate Cancer | Last Active: Apr 6 4:31pm | Replies (21)
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@ededed

I had a transperineal with a local anesthetic only. I was awake and alert. The urologist said it would be like a trip to the dentist. (Well not really) I drove myself home (a 45 minute drive) afterwards. Not what I would do for fun but not too bad either. There was a point when I was looking at the needle about to be used, and the nurse said don't look!. I said, "I'm not able to un-see it !!!

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Replies to "I had a transperineal with a local anesthetic only. I was awake and alert. The urologist..."
drtbkr | @drtbkr | Apr 6 1:25pm

Transperineal has 2 punctures in the skin and takes 12 snips of the Prostate for cancer evaluation. It uses an overlay of the MRI and the acoustic probe in the Rectum and X- ray for positioning
Transrectal has 12 punctures through the rectum the same sort of probe and X-ray to view the needles in the Prostate.. This is a much older method and can be done in the Urologist's office
Most of Europe does not use this method. Punching holes through the Rectum can lead to infection and sepsis. I researched this extensively and although both are pretty safe, the Transperineal has less than 1/2 the serious sepsis risk. Shoving 12 things from the poop side is not a good plan and only done because it is low tech and cheaper

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