Prostate Biopsy Complication

Hey my heavy friend, ain’t seen nothing from Ole Phil except likes and hugs. You alright? I mean no shit, are you ok? I’d really like to know. Bob

You da man Phil I don’t mind saying that I’m still worried about you. I need some of that magic usage of the English language. ( lord knows it’s been bastardized for far too long!) come on Phil call me a dick head or something in that unique style of collaboration . You know- like Cheech & Chong said, “Get down so funky it makes my lawn die” I shouldn’t press you though, it’s just my way of saying I miss ya man and you’ll be the first to know what happens in Cleveland- good or bad. Stay Phil. Your friend, Bob

I’m still here, Bob, no worries…I try to comment only on my own experiences or any new research out there…I try to keep it light, but nothing more than that.
Good luck on your Cleveland Clinic consult!! Best,
Phil

Thanks Phil, I feel better already and am relieved that you just didn’t feel you had anything to offer that was new or different- this I understand. Guess I was being a little greedy trying to get you to talk. I’m just glad you’re okay, okay? I’ll give you a holler when I’m done with Cleveland. Going up a day early. I mean while I’m there can’t hurt to find out what “they” mean by “Cleveland rocks!” Later, Bob

Personally I would only recommend one Dr. to do a guided biopsy and that's Dr. Jon Hudson in Winston-Salem. My Urologist wanted me to go to Charlotte, NC to have it done but after numerous phone calls to the practice that was supposed to do it and getting different info each call I lost faith in them and started doing my own research and found Dr. Hudson. During my first biopsy before he came in the assistants told me I had picked the absolute best person to do this. I had a little bleeding for about a week after the biopsy but only a light tinge at the beginning of urination. The second one was done using new equipment that had just been installed in Dec. 2024, he had two assistants and one med student with him. I got my Gentamicin shot, I believe it was, a head of time like the first one. I know the thought of them going through your rectum and into the Prostate sounds terrible and it's no fun that's for sure. With my second I had a bit more pain on the way home but only had one bloody tinge urination.

Off Topic here: My Prostatectomy was done May 5th, 2025 by a local surgeon that came highly recommended and also serves as the medical director of robotic steering committee, and assistant professor with Campbell University School of Osteopathic Medicine..

These are my two biopsy results:

Prostate Biopsy 09/21/22

1. Prostate, "Les 1 Rt posterior lateral peripheral zone", needle core biopsy:
-Prostatic adenocarcinoma, Gleason score 3+3 = 6, grade group 1, involving 10% of 1 core

2. Prostate, right base, needle core biopsy:
-Prostatic adenocarcinoma, Gleason score 3+3 = 6, grade group 1, involving 5% of 1 core

3-7. Prostate, right mid, needle core biopsy:
-Benign prostate tissue with atrophy

Prostate Biopsy 01/30/25

Prostate, lesion 1 right posterior lateral mid, needle core biopsy:

- Prostatic adenocarcinoma, Gleason score 4 + 3 = 7 (Grade group 3), involving 70% of one core.
- Prostatic adenocarcinoma, Gleason score 4 + 3 = 7 (Grade group 3), involving 40% of the second core.
- Gleason score 4 pattern accounts for approximately 90 % of the tumor.

2. Prostate, right base, needle core biopsy:

- Prostatic adenocarcinoma, Gleason score 4+4=8/10, (Grade group 4), involving 1 of 1 core, accounting for approximately 10% of total volume of biopsy tissue.

3-7. Prostate, right mid, needle core biopsy:

- Benign prostatic tissue.

Just want to comment that here at my local university center of excellence, a few days before my biopsy they had me come into the doctor's office for a quick "butt swab" (my technical term) for a bio analysis.
I suspect that's just to make sure i didn't have any antibiotic-resistant infection there, which might have affected their choice of antibiotics ( or something...)
The procedure itself, also trans rectal, really wasn't a big deal in my case, really just more some discomfort a opposed to actual pain. I suppose I might have preferred having had fewer that ten or so people in the room, but I guess that's part of it's being at a university hospital.
I just found it a little em-bare-assing.

Yeah…at least I was unconscious when I was mooning a bunch of strangers 😂