Prostate Biopsy Complication

Posted by handera @handera, Jan 9 3:24pm

Diagnosed in October 2023 with low volume Gleason 3+4, decipher 0.22. Post biopsy PSA’s have average 6.2, compared to 7.8 prebiopsy.

My 12 month mpMRI indicated only the largest of the original three (PIRADS 3, 4 & 5) lesions was visible and it had reduced T2 and DWI/ADC signaling so everything is looking good regarding the MRI and reduced PSA.

It took me more than 2 months to recover from my 1st biopsy (21 cores) and I’m not looking forward to getting another.

Actually, even after 15 months, I still experience a low level groin soreness where tissue scar may have formed, near a nerve, after the biopsy procedure. Nothing major, more of an annoyance and a minor aggravation.

I found out this is a recognized complication of prostate biopsies; especially for those having large numbers of cores taken.

Has anyone experienced this biopsy complication?

If so, how long did it last and did you find anything to alleviate it…or did it eventually just go away?

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

jc76 | @jc76 | Jan 15 7:51am

Is anyone else getting message about cancelling airlines?

clandeboye1 | @clandeboye1 | Jan 15 7:44pm

Sounds great . I am pre-diabetic ( diet only for a number of years ) . I met with my Urologist today -- his team feels comfortable with me continueing on AS . I indicated my three preferences for treatment should I elect to discontinue AS were : NanoKnife , TULSA-PRO and Mono SBRT . He agreed that all three were excellent options
My preference at this juncture is Mono SBRT and on my request he is refeering me to a Radiation Oncologist for me to tweek my knowledge of the total treatment and potential after effects . My final question to him , and I knew the answer , as he is currently conducting a NanoKnife Trial which I did not qualify for ( age 85 ) .
" In my situation : What treatment would you select ? Surprize , surprize _ NanoKnife , $ 25,000 dollars Canadian . Just over $ 17K USD .
Now when I ask the same qusetion to the Radiation Oncologist , we know the answer will be " RADIATE " .

sorekiwi | @sorekiwi | 3 days ago

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?

jc76 | @jc76 | 3 days ago

In reply to @sorekiwi "Hi, I had a 12 core sample done just over 5 years ago. While it didn’t..." + (show)

@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.

jc76 | @jc76 | 3 days ago

I just received my WEBMD letter via e-mail.

This one had so much information on Gleason Scores that I considered copying it to MCC but was just to much information. The information contained in this article is so informing about what Gleason Score is, how it is taken, who is doing the results, and what the results mean. I think would be informational to all. It does mention like if have read before that the score can be subjective with one pathologist reading saying this and another saying this.

The article also expalained when you see example: 3+4=7 and 4+3=7 and just what that means even though the score is 7.

WEDMD is free to sign up for. The articles and publication come from medical doctors who's names and where they are from are given on the articles. The information really helped clarify many things for me. I had done so much research and thought I knew but after reading this information found out I did not and I keep on learning.

surftohealth88 | @surftohealth88 | 2 days ago

In reply to @sorekiwi "Hi, I had a 12 core sample done just over 5 years ago. While it didn’t..." + (show)

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