Prostate Biopsy Complication

Is anyone else getting message about cancelling airlines?

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 " .

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?

@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 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.

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.

After watching the video the problem I see with Dr. Petteruti is that he doesn’t give any solution for people who have serious cases of prostate cancer.

Somebody who has cancer on both sides of the prostate and an extensive number of tumors elsewhere should not have the prostate treated, Just let it spread to nearby tissue?. What should they do? No solution.

Many people, these days, have come in with multiple metastasis which includes a prostate with cancer that has spread. What do you do in this case? How do you not treat people in their 50’s and 60’s so they can live into their 90s? This large surge of younger people having advanced prostate cancer is due to the fact that the medical community decided to recommend not doing PSA tests for a long time and the results are showing up now With advanced cases.

What do you do with someone who has BRCA2. If you don’t treat the cancer, it’s going to explode at some point. When somebody has BRCA2 They get cancer younger. I got it at 62 while my brother got it at 75 because he didn’t have BRCA2. He just had a father who died from it.

If the plan was to give people ADT and ARSI for life, that has a major problems since people become resistant to those drugs over time and they stop working. What do we do then, There is no magic bullet for those cases, yet.

Does Dr. Stephen Petteruti have a solution in these type of cases.

The statements about the danger of doing biopsies was very interesting. If only biopsies were not effective in huge percentage of cases. I had three of them, no side effects after the fact. MRI may be good enough to replace the biopsy as well as as tests like the PSE test. He didn’t point out concrete ways to detect prostate cancer and it’s aggressiveness. That sure would be helpful. Somebody with a Gleeson 9 or 10 sure would like to know that fact and The danger it foresees. Yes, they only get one percent but they seem to get the right one percent in a lot of cases.

I think this guy has to be in front of a group of doctors in a debate, More people than ever have been getting prostate cancer in their 50s and early 60s, And in many cases, it’s been advanced. What is the solution for these people? How are you going to get somebody to live 30 to 40 more years by not doing anything to their prostate?. We do not have the medical or scientific capability today to do any more than we’re doing now.

Dr. Stephen Petteruti is associated with integrative and functional medicine approaches to prostate cancer.

I have heard Dr. Petteruti mention the use of advanced treatments for metastatic prostate cancer in some of his other videos and he’s definitely not against advanced treatment in these cases. However, that is not the focus of his work.

Dr. Petteruti does go into a lot of what you mention in his other videos….this thread and this particular video are about Prostate biopsy complications.

As an example, I am unaware of any detailed information from Dr. Eugene Kwon, regarding active surveillance and the positive results of the ERASE randomized clinical trial and similar studies demonstrating the efficacy of aerobic exercise and heart health diets to slow the progression of low risk prostate cancer.

Dr. Kwon simply doesn’t focus his attention on low risk prostate cancer; which includes 55-70% of ALL men initially diagnosed with PCa.

I don’t fault Dr. Kwon for his lack of expertise and knowledge of the best recommendations for low risk prostate cancer men; I simply go to someone else who has more knowledge about this particular condition, because that is my particular diagnosis.

I also read and watch a whole host of other physicians whose life work is with low risk PCa. Dr. Petteruti is just one of many.

Every man diagnosed with PCa should research and study PRIMARILY those whose expertise is focused on the PCa risk group in which they have been diagnosed; if they want to know the latest information regarding their particular diagnosis.

Of course, it’s perfectly fine to go with your own medical team’s recommendations.

My only caveat would be to ensure your team’s PRIMARY focus is with PCa patients in YOUR PARTICULAR risk category.

Yes, but how do you know aggressiveness of your cancer without biopsy and decipher ? According to my husband's PSA and MRI nobody would guess that he actually has very aggressive cells in his prostate - cribriform and probable IDC.

Also - a comment about melanoma is bogus ! One has to have a skin biopsy to make diagnosis and what is a biopsy but cutting into that particular mole or spot and looking it under the microscope. According to him that would spread melanoma and be malpractice !!! Just insane statement and he lost any credibility for me after that sentence - period.

The only sentence that he uttered that was of importance was that this video is more so about his philosophy about living - well, I prefer to rely more on studies and results than on his philosophy , but that is just me.