Anyone have an Ultrasound-Guided Transperineal Prostate Biopsy?

Posted by dandl48 Dave @dandl48, May 15 8:11pm

Will be in Rochester the week of Memorial Day to have my Esophagus scoped, have Barrett's Esophagus and to also have the above mentioned biopsy. I have a lesion on the prostate and a PSA of 12.75 with a free PSA of 6. My last biopsy was a transrectal Ultrasound Guided one that came back with no cancer. Three months ago I sent my last biopsy done here in Oregon to Mayo for review and they were very surprised that it seems that the needle didn't get the lesion. Since I was scheduled to return in May for the scoping I decided to have Mayo do my next Biopsy. Never did have a Transperineal one and was wondering if anyone here has had one? If yes, was it done with you out or just with a local? How were you after the procedure? Thanks in advance,
Dave

Dave…I had one done at Mayo in Rochester last December. I was put out, which was great. Everything went very well. Best of luck to you!

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I had one in September last year. I was asleep for it. I had no problems with the biopsy either. I just couldn’t go bicycling for two weeks.

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I'm now scheduled for an MRI Scan of Pelvis after two-needle exams, is this a good better type to see if cancer has spread? My PSA has been ranging for 5 to 7+!

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@army

I'm now scheduled for an MRI Scan of Pelvis after two-needle exams, is this a good better type to see if cancer has spread? My PSA has been ranging for 5 to 7+!

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I had a MRI on my prostrate to determine if I needed a biopsy, which it did. Was told with a MRI, if a tumor was detected, the MRI would be helpful indicating the location. When the biopsy was performed, the doc would make sure to take a sample form that location. After the MRI, I was told the cancer had not spread from the prostrate, so obviously it was a good indicator of the extent of the cancer. My understanding is that the use of a MRI will be a standard procedure in the future. It’s all positive, in my opinion. Wishing you the best, going forward!

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@bodeygolfer

Dave…I had one done at Mayo in Rochester last December. I was put out, which was great. Everything went very well. Best of luck to you!

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@roger15 @bodeygolfer Thank you both for the response. Would you think I would be able to drive 10 hours on Sunday, 2 days after the procedure? I live 2000+ miles from Rochester. Didn't want to fly with the virus around in such a contained area so decided on a 4 day roadtrip. Thanks again!

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I’d be very cautious about that. It would be a great question for your urologist. The activities instructions received after the procedure said “you may travel by airplane or ground transportation after discharge”. No driving within 24 hours of anesthesia or while on narcotic pain medication. My concern would be what if an unforeseen emergency arose, high temp, excessive bleeding, urination problems, shortness of breath etc. while traveling for a few days. Stay safe.

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Waiting two days after procedure is an excellent idea. As Mr. Bodey says I would surely check with urologist. Is it mostly Interstate driving?

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@mrbill

Waiting two days after procedure is an excellent idea. As Mr. Bodey says I would surely check with urologist. Is it mostly Interstate driving?

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@mrbill Thanks for the response. Almost all driving on Interstates. We will head west and once we hit the Pacific ocean we will head for the northern Californian border/southern Oregon border.

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@dandl48

@roger15 @bodeygolfer Thank you both for the response. Would you think I would be able to drive 10 hours on Sunday, 2 days after the procedure? I live 2000+ miles from Rochester. Didn't want to fly with the virus around in such a contained area so decided on a 4 day roadtrip. Thanks again!

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I drove home two days after my biopsy, but it was only 200 miles. I had planned on driving home the next day, but after I fainted the urologist advised my wife and I to stay one more night locally.
Will you have a support person with you to share the driving? I agree with bodygolfer about seeing what the urologist has to say.

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@roger15 My wife and I will be sharing the driving but as of right now we will probably leave the Sunday after the procedure. Thanks for sharing.

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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.

Liked by dandl48 Dave

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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.

Liked by dandl48 Dave

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@mrbill

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.

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

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@dandl48

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

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@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/

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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

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