Transperineal Prostate Biopsies Under Local Anesthesia

Comments · 25

• VI

  @virgiljones4808 · 2 years ago

  55 year old black american who's dad had prostate cancer. Had a 12.7 PSA and just completed this procedure.  Results are negative but I want everyone to know that this procedure freekin hurts - I almost started to cry on the drive home but I was able to check myself.  Make sure to allow a day or two for recovery!

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• WI

  @williamparry1738 · 2 years ago

  Had this last week injecting local into the prostrate was very painful but after this took effect no problem

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• JO

  @josephschmeggins6311 · 1 year ago

  Had one this morning. I was sedated and didn’t feel a thing. About 9 hours ago at this point and no discomfort, peeing freely. Remember making a joke and asking if the anesthesiologist had started the good stuff. Woke up in my recovery booth feeling ok.

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• PT

  @pta8734 · 2 years ago

  I was just informed by my doctor that he detected some nodules on my prostrate.  This was very helpful as I research possible next steps.   Thank you very much.

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• JO

  @johngranato2673 · 1 year ago

  I have had two transrectal biopsies  I had one a day ago and one 6 years ago. In both cases, I had the procedures at a surgical center and while under twilight anesthesia (same intravenous anesthesia as given during a colonoscopy).  In both cases, I had no pain during or after the procedure. I did have a small amount of blood in the first few seconds of my first post-biopsy urination and a bit more blood on the first stool that I passed. For a few hours after the biopsy, I felt as though I had to poop--but only a mild sensation, at that. For about three days before the procedure, I had a soft diet, not too much fiber, which kept me regular and my stool firm. A few hours after my regular morning poop, I performed my enema procedure. I did so about two hours before arriving at the surgical center. I pooped easily 10 minutes after the enema--a normal and easily passed stool. The diet also meant that I did not need to strain to poop after the procedure, which you really want to avoid. I continue my antibiotics as prescribed and await the results. If all is well, in a few months, I will undergo a PAE procedure at the University of Miami Medical Facilities. My PSA has hovered around 4.25 for many years--with a low of 3.80 and a high of 5.20. All DREs have been negative. I have a large prostate of about 130 grams. The PAE is intended to improve urination and avoid having to use a catheter (which I have never needed) as the prostate continues to grow. I am nearly 65, very good health. Let's see what happens. Don't be afraid. I do recommend twilight anesthesia, though.  Oh, by the way, I did have a Multi-parametric MRI of the prostate about 4-1/2 years ago. That, too, was negative. Good luck and improve your health while you are at it--you want to see your kids and grandkids grow up. Bye!

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• LA

  @LarryJohnson-rz2nu · 2 years ago

  I need this done

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• BU

  @burnieplace · 2 years ago (edited)

  I had a transperineal prostrate biopsy last month after a PSA = 7.9 and a PIRADS 3 MRI. It wasn&apos;t the most comfortable afternoon I&apos;d spent, and the application of the local anesthetic was the most uncomfortable, but lasted only a second or two. Everything was over fairly quickly (I&apos;m not sure how long, it was difficult to judge). I was soon on the bus home, and I was riding a bike two days later. <br><br>And, BTW, everything was benign.

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• BI

  @billramos2846 · 1 year ago

  My PAA is 7.9 and went through a MRI. They found a pin head in my prosthetic. Next step is the needle insert. I am 69 hoping this procedure doesn’t give me a pain in the ass.

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• SE

  @seascape35 · 2 years ago

  Husband speaking here. It is amazing to me that so many urologists are resistant to making the transition from trans rectal to trans perineum.

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• EN

  @encouragesolutions2595 · 1 year ago

  I&apos;m doing the trans perineum method next week. I&apos;m not looking forward to the local anesthetic as I had that in both testicles years ago for a vaasectomy and the pain is still etched in my brain.

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• DE

  @delk873 · 1 year ago

  This procedure is extremely painful. I would not recommend this under local anesthesia. They should be performed under general anesthesia only I actually can’t believe they put men through this under local anesthesia. You can request to be put under for this and that’s the only way I would do it again. Maybe the local anesthesia just didn’t work for me, but it was not something I would attempt if I knew what I know now.

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• TA

  @tanertavlan1769 · 2 years ago (edited)

  Biopsie process unnessary 90 percent of the time Detailed &nbsp;Blood work is enough to explain everything in there. That is why I left the states. I had my resume surgery in Europe. It was better then almost perfect.

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