Anyone have an Ultrasound-Guided Transperineal Prostate Biopsy?

Good luck to you and your wife. I am thankful to know you will have someone with you to share the driving. Hoping for a good outcome for you.

In reality the biopsy is not all that bad. Couple of pinches. First two I had in my hometown. Doctor was a jerk. Didn't give me anything. Even nurse remarked "nothing for pain?" He answered that it was not that bad. Who was he kidding? Long story behind this doctor - patient relationship.
Next biopsy was at Urology at Cleveland Clinic. He gave me some meds for pain, calm me down, etc. It was no problem. Left there and drove 2 hours home with wife. Only issue was a few spots of blood in jockey shorts. Staying over for a few days with 10 hour drive ahead is really a good idea.
Wishing you the very best.

@mrbill thanks for the response. Will be staying thru Sunday

@dandl48, I think you'll very much appreciate the tips and resources that fellow members share in this discussion about traveling and Mayo Clinic

– Tips: Traveling to Mayo to get medical care safely during COVID-19 https://connect.mayoclinic.org/discussion/your-tips-traveling-and-getting-medical-care-safely-during-covid-19/

Hi there I had a biopsy last August and I did have cancer the doctor gave me something for the pain I was awake the whole time just a few pinches I wish you the best

The topic was recently reviewed on the Mayo website. Article suggested more accurate diagnosis using targeted biopsy samples guided from key areas of the prostate with the aid of a either a Real-time MRI, or a “Fusion” process which overlies a map of the prostate to guide sampling. A side benefit was no risk of infection from colon perforation caused by biopsy needle.

My questions are:
1) Has anyone used this procedure?
2) Is it a valid choice for one’s initial biopsy?
3) Does insurance cover this procedure?

Thank you.

@kingsnake, I think this might be the recent article and video you are referring to:
- Mayo Clinic Minute: Prostate biopsy technique reduces infection risk https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-minute-new-prostate-biopsy-technique-reduces-infection-risk/

You'll notice that I moved your questions to this existing discussion that @dandl48 started:
- Anyone have an Ultrasound-Guided Transperineal Prostate Biopsy?: https://connect.mayoclinic.org/discussion/anyone-have-an-ultrasound-guided-transperineal-prostate-biopsy/

I did this so you can read the previous posts and hopefully get your questions about the procedure and insurance coverage by fellow members like @dandl48 @bodeygolfer @roger15 @mrbill @john57.

Kingsnake, will you be having the biopsy at Mayo?

I have had this procedure. In my opinion, it’s probably the best and safest procedure for one’s initial biopsy. The procedure was covered by my insurance. Check with your insurance company regarding coverage. My experience with Mayo regarding prostrate cancer has been excellent. Fortunately, my cancer had not spread outside the prostrate and it was detected and successfully treated with radiation. Wishing you all the best! Mayo is a great place to treat prostrate issues.

I have used this procedure with no pain and just a little discomfort. Was not put out for the biopsy. I would choose this again since I had had 3 transrectal biopsy' 's previous to this one all proving no cancer while PSA was increasing. I am on Medicare with BCBS and they covered the procedure. If you are going to Mayo I highly recommend them, they are the best. Good luck and would love to hear your decision.
Dave

I also had the procedure at Mayo and the discomfort was minimal. I would recommend it without reservation. No sedation was needed, it as it was performed as an outpatient in the clinic with a local anesthetic. It provided accurate diagnostic information for deciding on the treatment options. And, proton therapy is an option at Mayo when appropriate.