MRI Fusion Prostate Biopsy.
Hi, my name is Michael. I'll be 70 this Oct. My last PSA score was 24, ultra high and median score of 18 over the last 2 years. I had a pelvic MRI scan in February 2021 showing 5 growths on my prostate, 2 larger than the other 3. I definitely have to have what the urologists call a MRI fusion prostate biopsy on Oct 4th, I believe they put ultra sound scans over the previous MRI scans to detect a more true picture of the growths, and then using multiple needles to perform the biopsy. The anesthesiologist recommended a local sedative like you might have for a colonoscopy, I felt painful pinches or cutting off of the poleps back then after they said you won't felt a thing, bull. I am wondering if I should demand to be put out completely. I need to decide soon. Has anyone been through this particular procedure? Thanks.
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Michael, a good urologist will deaden your prostate initially. I only felt one pinch out of the 12 or so needles. Unfortunately I developed sepsis which was worse than anything I have ever endured due to the needles going through the colon wall and dragging whatever is in there to your prostate. I suggest you request a perineal biopsy which nearly eliminates infection. You will be asleep during the procedure.
Michael, yes you should be under anesthesia for this procedure. I had one a few years ago and was put under. After coming out it was no big deal, just like an ordinary needle biopsy except your asleep for it.
Michael, I had a fusion prostate biopsy performed in my urologists office in mid-August. I was given a local anesthetic (e.g., Lidocaine) and experienced no pain, just a few "pinches". I had 18 prostate tissue cores taken. Fortunately, unlike @joenfl2017, I didn't develop sepsis from my procedure. Note that every time I've had a colonoscopy, I've always been given a general anesthesia so I wasn't conscious enough to feel a polyp being removed.
Hi Michael, I'll chime in to give you one more point of view. I had this done around May of this year. My experience was much like @gankster had. In my opinion, the device that they use to make room to work is more uncomfortable than the actual "pinches" from the device that removes the cores from the prostate. It was also somewhat uncomfortable for a couple of days later. (first couple of bowel movements) I did not experience sepsis, I was prescribed Cipro for 2 days before and 3 days after the procedure. I had 12 cores taken. If I had to make the decision again ( I won't, it's not there any longer!) , I'd probably do it the same way for sake of simplicity. Obviously these are very personal decisions, one has to do what they are comfortable with! Also for the sake of comparison, I get knocked out for colonoscopies!! Good Luck !
I always request an conscious sedation and Versed – that way if it hurts I don't remember. (it causes amnesia).