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How to prep for transperineal biopsy?

Prostate Cancer | Last Active: Apr 16 3:33pm | Replies (8)

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Profile picture for Colleen Young, Connect Director @colleenyoung

@gerryp, how did the biopsy go? Now that you've been through it, what do you wish you'd known? What tips would you offer to other preparing for a transperineal biopsy?

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Replies to "@gerryp, how did the biopsy go? Now that you've been through it, what do you wish..."

Hi @colleenyoung. Had the biopsy a week ago Monday, 16 cores, and got results yesterday that all showed no indication of PCa. The pathologist did indicate that several cores show evidence of PIN (Prostatic Intraepithelial Neoplasia) which the doctor indicated can be pre-cancer. I’m researching this and waiting for direction from urology team as to next steps. Doc indicated that it’s typically follow-up PSA & MRIs to see if any change in status of these abnormal cells.
The procedure itself was painless, I was told to expect blood in my urine & semen. Turns out I have a “friable prostate” and bled like a stuck pig for about a week every time I peed. Much more than expected - which was pretty disconcerting. Since I have had BPH for years, I just wish I knew that this was a possibility. Evidently a friable prostate can be the result of BPH. Plus my ability to pee was much more difficult, I think because of the angry prostate. So I had to have some follow-up voiding tests and they wanted to give me a catheter. Managed to get them to avoid doing that to me.
The doc used general anesthesia which I appreciated. I had no discomfort after the procedure other than the urinary symptoms. The bleeding didn’t really start until about 24 hours after the procedure. The first day was minimal - so I thought I was out of the woods.