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Transperineal vs. transrectal: Which is worse?
In preparation for proton therapy I am having a spacer and fiducial markers placed on Monday. I just learned that it will be done trasnperineal under local anesthesia. My biopsy was transrectal under local, so I would know what to expect if this procedure was also transrectal.
So, my question is how much worse will this upcoming procedure be, both during and afterward, than the biopsy was? Anyone out there experienced both? Just having a bit of anxiety about what I don't know.
Thanks!
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In the past 9 months, I have had two biopsies. 1 transperineal and 1 transrectal.
I was put under for both. After waking up, pain was very minimal for both. Transperineal was a little more soreness and blood, but pain level was still low.
Have never had spacers inserted.
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2 Reactions@charlesprestridge Thanks. I will not be under general anesthesia for this. Local, as I was for the biopsy.
@tjnoffy I had a perineal biopsy a few months ago , local numbing. It wasnt real pleasant but not much pain as they numb ahead of anywhere they insert needle. Just some discomfort and dull jabbing felt. Drove myself home 15 minutes after procedure. No real pain after. No enema required, almost zero chance of infection, so that was a plus
I had a perineal biopsy under local anesthetic. There was some pain just prior to each numbing application, but I found it all very tolerable. The main thing I remember is what seemed like a loud click when each core was taken. This didn't cause pain, except my vivid imagination was a bit disturbed.
Afterward, my main thought was why was I dreading this so much?
My markers and spacer were placed while I was still under general anesthetic from HDR brachytherapy.