Connect
← Return to What is a Quick Rise in PSA?
Discussion
Comment receiving replies
@spaceguy
I have to say when first reading your post I thought you were promoting transrectal.
I have read some who have had it done that way not have a problem and most like you stating things like you mentioned. I was original told I would have mine done transrectal but I insisted on transperinial. I did not want the increased chance of infection even though 1-2%
Also we have to look at mental affect of having something done rectally and awake. Stress and anxiety are already high with prostate cancer threat only to have such a procedure done where transperinial is usually done with anesthesia with no anxiety or stress and no pain.
Those on MCC that did have done transrectal and then got infections will tell you bad mistake. Some had horrible experiences with the infection. My urolgoist was so pompous about it saying, "oh if you do get the infection you would only have to spend a couple of days in hospital." WOW I thought "Just a couple of days!" How callous!!
The types of transperenial biopsies are far superior to those of transrectal. I had mine done with a MRI/Fusion technique. When I woke up someone would have had to tell me I had biopsies done as no pain no discomfort and even more important the stress an axiety of having it done transrectal and fear of having a serious infection after procedure.
Replies to "@spaceguy I have to say when first reading your post I thought you were promoting transrectal...."
Connect
No, definitely didn't mean to promote transrectal - but to be fair, they are both transrectal, one just puts the needle into the rectum as well as the probe, the other only puts the probe in the rectum. That being said, it seems like the prevailing thought is that transperineal does not require anesthesia. I even read that on the Mayo page. So, although I slightly wish I had looked for someone who did transperineal (and actually the doctor who did mine has done them before, but the facility doesn't have the equipment for it and it is a very large medical group with campuses all over a very very large city). However, even with transperineal I would still request the procedure without anesthesia since most of what I read says it isnot required. Anesthesia is not without risk (although lower risk than sepsis) but I don't always react well to it. I have had huge blood pressure drops after multiple procedures that used anesthesia. Twice it involved me blacking out, falling and getting injured. (Talking bp's around 70/38)
But yeah, if my doctor has said "you would only be in the hospital for a few days" - I would probably have gone home and started calling other offices to find a different doctor and caneclled the procedure with him. I agree that is callous and also adding unnecessary stress,
Although it was very painful during the procedure, I would like to follow up and say within a few hours it became a very dull ache type pain, not bad at all. Also, after that initial blood clot-ish ejection the first time I urinated briefly after the procedure, I have not seen anything else like that (in maybe 5 more trips to the bathroom). One time did see the slightest hint of pink at the beginning. So I'm glad about that. Also, havent seen much blood coming out the other side.