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How to prep for transperineal biopsy

Posted by gap @gerryp, 6 days ago

good morning gents. I am scheduled for a transperineal prostate biopsy on Monday at Mayo Jax. Wondering what if anything I need to do to prepare. I’ve stopped my daily baby aspirin routine per doctors orders, but have not received any other instructions. I’m 66, 4 years post-liver transplant and am immunocompromised. Rising PSA levels gave rise to prostate MRI which identified a small lesion that they want to biopsy. I ride my exercise bike most mornings, and I understand that saddle pressure on the prostate can result in elevated PSA levels. Wondering if I should refrain from that exercise prior to the biopsy. I also have BPH 80g prostate and take daily tadalafil and tamsulosin every other day to manage those symptoms. Since I am immunosuppressed, I am at higher risk of all kinds of cancers, so Mayo is being proactive - which I appreciate. Thanks

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heavyphil | @heavyphil | 5 days ago

I was instructed to take an enema before the procedure. They will use a rectal probe for the sonogram part of the festivities.
Phil

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TommyG | @tdgillett | 5 days ago

@gerryp Assume your urologist and the folks at Mayo Jax are fully aware of your medical history, getting off the baby aspirin may be all you need to prepare. I've had 2 transpireneal biopsies in the last couple years with no issues. Local anesthesia (lidocaine), fully awake and chatting with urologist during, minimal discomfort during, took 10-15 minutes both times. Drove myself to both procedures. Good luck!

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gap | @gerryp | 5 days ago
In reply to @heavyphil "I was instructed to take an enema before the procedure. They will use a rectal probe..." + (show)
Profile picture for heavyphil @heavyphil

I was instructed to take an enema before the procedure. They will use a rectal probe for the sonogram part of the festivities.
Phil

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@heavyphil

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gap | @gerryp | 5 days ago

Thanks Phil. Yes an enema for breakfast. Just learned it will be general anesthesia- so hopefully I won’t see the probe!

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gap | @gerryp | 5 days ago
In reply to @tdgillett "@gerryp Assume your urologist and the folks at Mayo Jax are fully aware of your medical..." + (show)
Profile picture for TommyG @tdgillett

@gerryp Assume your urologist and the folks at Mayo Jax are fully aware of your medical history, getting off the baby aspirin may be all you need to prepare. I've had 2 transpireneal biopsies in the last couple years with no issues. Local anesthesia (lidocaine), fully awake and chatting with urologist during, minimal discomfort during, took 10-15 minutes both times. Drove myself to both procedures. Good luck!

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@tdgillett yes thanks. they are very familiar with my history as I was transplanted here. Mine will be general anesthesia which I think I will prefer. Hopefully results will be negative 🤞

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