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Prostate Biopsy Complication

Prostate Cancer | Last Active: Aug 9 6:33am | Replies (77)

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Profile picture for sorekiwi @sorekiwi

Hi,

I had a 12 core sample done just over 5 years ago. While it didn’t hurt while the procedure was happening I have had severe internal pain ever since and no one here in NZ seems to know what happened.
Have tried everything. No painkillers work. I have had it for so long now that it has worn me down and I fell like it has finally broken me.
They think that maybe some nerves were damaged but no one will put it done on paper.
Is there anybody else out there with this or that can help?

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Replies to "Hi, I had a 12 core sample done just over 5 years ago. While it didn’t..."

@sorekiwi
Did you have it done transrectally or transperineally?

Transrectal goes up through rectum where transperineally goes in via transperina.

Transrectal carries a higher risk of infection (1-2%) and can be profoundly serious requiring hospitalization. Did you have any signs of infection after your procedure?

If you do not get the answers you need, consider asking for a second opinion from a major experienced medical facility. Most of the time they can do a second opinion by submitting your medical records to them.

I am not a doctor but I dealt with different "pains" in my life, either personally or helping others. My first thought was "it must be nerve damage" even before I came to the part where you mentioned it.

The fact that regular pain medications were not helping is good indicator that it is a nerve pain. Now, since you are in NZ I really hope that in NZ the law about prescribing anti-anxiety medications and/or anti-depressants is not as strict and crazy as it is in Australia :(.
The class of medications that helps with nerve pain is one that slows nerve impulses and those are anti-anxiety meds and anti-convulsion meds like Valium and Klonazepam (or other "zepams" ) and some anti-depressants like Cymbalta or Effexor and many more. There is also group of meds named gabapentins that help with nerve pain.

Please go to neurologist ASAP since that kind of doctor knows what to do ! Chronic pain is horrible, horrible thing and it is shame that you had to suffer for so long. My heart brakes for you ... Please know that there is help for you out there. Just change doctors until you find the one that knows what he/she is doing !

If none of doctors help you you can also try cannabis < 3. There is no shame in that ! If medical community does not ease your suffering you have a right to help yourself any way you can. Just please don't give up < 3

Sorry to hear of your chronic post-biopsy pain.

I experienced severe pain for about 3 months after my initial biopsy, but it faded over time. Read my previous comments, in this thread, for details.

It’s now been 21 months since I’ve had my biopsy and my pain is now more of a minor annoyance. Like you, I have just learned to live with it.

I’m almost sure the pain is the result of nerve damage done by the biopsy needles, during the biopsy.

As you indicate, it’s difficult to find much information admitting to this potentiality; but if you dig deep enough you will find that it does happen.

It goes against the narrative and dogma the industry portrays (in its silence) regarding this possible outcome of prostate biopsy; using the excuse that PCa can’t be diagnosed without a biopsy.

In any case, I will never again submit to another biopsy…there is no need, in my case.

The best urologist I have ever found, willing to confront what you and I have experienced, is Dr. Stephen Petteruti.

I hope you find a solution to your chronic post biopsy pain. And, for what it’s worth, know that others have experienced a similar side effect.