Doctor insights on:
Prostate Biopsy Side Effects
Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more
I had a prostate biopsy 5 days ago, last night I got realy bad pains in the left side of my stomack shuold I be worried about thi age 66?
Get evaluated.: What you are describing is not a common side effect of a prostate needle biopsy. Adverse events usually include blood in the urine & ejaculate, fever, rectal bleeding, and infection. Abdominal pain is not a commonly reported, but should be evaluated if the symptoms are significant. ...Read more
Recently I had a prostate biopsy. It was negative. However, I've noticed that when I have sex with my wife I'm not able to ejaculate. Side effect?
Not usually: C u r urologist again, especially if this is a new problem since the biopsy. ...Read more
Follow Doc's...: Modern prostate biopsy is done under trans-rectal ultrasound guidance after cleansing the bowel and giving antibiotics. But the regimen for bowel prep and antibiotic use has changed and evolved drastically over the past 15 yrs due to emerging bacterial resistance, and still highly vary among doc although general consensus has arrived. So, ask and follow your doc's. ...Read more
Depend...: High concern for prostate cancer leads to do prostate biopsy and is based on the changing pattern of PSA iver time and the finding on digital rectal exam (DRE). How often? The combined info from assessing risk factors, DRE findings, PSA moving attern, prior biopsy finding will help decide how often to go prostate biopsy. If highly concerned, repeat in 6 months, but rarely need that. Ask Doc timely ...Read more
Office procedure: Usually done in the office, it is a probe inserted in the rectum to ultrasound your prostate. A nerve block is used to help with the pain. In about 5 minutes, your urologist will sample 10 -12 areas in a systematic fashion. Tissue is then sent to the pathologist for analysis. ...Read more
Here are some... Yes: The pace of healing after prostate biopsy widely varies to reflect the degree and kind of biopsy-related tissue injury-though intended-and personal healing ability with or without its related infection, though rare. Besides, personal pain tolerance plays an important role in sensing the lingering discomfort. Technically, prostate biopsy is blind to visualiiize nerve & vessel so rare damage to them ...Read more
See answer: Prostate cancer (pca) is 2nd leading cause cancer death. Prostate bx is essential procedure for detecting pca and coupled with appropriate screening and informed consent, prostate biopsy and early detection saves lives. Though generally safe and well-tolerated, there are associated risks: severe infection requiring hospitalization (1-4%); significant bleeding (1-4%); and urinary retention (1%). ...Read more
Small discomfort: Done in drs office small amt of pain need to do it! ...Read more
See answer: It is not unusual to have some discomfort or pain in prostate/pelvic region along with some minor bleeding from rectum, penis, and/or in urine for 1-2 days and blood in semen for at least several weeks. Any persistent or worsening pain, pain or swelling of the testicles, fever (>100.5)/chills, difficulty voiding should prompt a call to your md or a visit to the er. ...Read more
Here are...: Bowel prep to keep rectum empty so to avoid sound transmission; take antibiotics timely; do urinalysis to make sure of no active UTI; insert ultrasound probe through anus into rectum while hip in full flexsion (usually in lateral position); Doc will visualize the shape and texture of prostate tissue to selectively or randomly obtain small piece of tissue (1 x 20 mm) with special needle under aneth ...Read more
Challenging cases: Some biopsy findings are clear-cut. Some are challenging. There are biopsy findings which sometimes are difficult to classify, so pathologists will do additional testing, apply different chemical stains to the tissues in question, to try and discover the correct interpretation of the tissue. This can take time. It tries one's patience to wait, but the accuracy is worth the wait time. ...Read more
See below: After cleaning the lower colon, an ultrasound probe is inserted into the rectum to visualize the gland and lesions, if detectable. A modified large bore needle is used to take cores, usually multiple, from the gland. The tissue is examined by a pathologist for diagnosis for cancer. See this site for more info. Http://www. Mayoclinic. Com/health/prostate-biopsy/my00182. ...Read more
Usually after 48 hrs most of the symptoms will be gone. The most common are pain with urination, pain with bowel movements and sometimes bllod in the urine. If you have a high fever or prolonged bleeding call your urologist immediately.
Patricio gargollo, md
pediatric urology, dallas texas. ...Read more
Prostate biopsy: The turnaround time to get results from a biopsy depends on where your doctor is sending the tissue to be reviewed. Most biopsies take 2-3 days to be processed and reviewed, but a slightly complicated case may take 5-6 days and a very complicated case might take longer. Also, after the biopsy report is available, it might take a few days for your doctor to actually view it. ...Read more
Biopsy: Most prostate biopsies are done with you lying on your side, an ultrasound probe placed in the rectum through which numbing medicine can be administered around the prostate prior to taking small needle samples of the prostate, again through the ultrasound probe. Patients give themselves an enema at home prior to the biopsy, and take antibiotics before and after the biopsy for safety. ...Read more
Why are they still doing prostate biopsy's when they are not 100% accurate and there are complications?
Good: Question for an urologist, but my guess is that many will have benign prostate hypertrophy and when prostate on palpating is not smooth and irregular, with an equivocal psa level, the biopsy of a suspicious area may pick up malignant cells before they may spread. ...Read more
Maybe: If you haven't already had one, you definitely need a good exam of your prostate, called a "digital rectal exam". This means your doctor feels the surface of your prostate gland with his or her finger inserted into your rectum. Any enlargement or nodules on your prostate gland would favor biopsy. This simple exam is often skipped due to embarrassment of the doctor or the patient. Ask for it! ...Read more
Prostatitis: A prostate biopsy is performed with an ultrasound probe in the rectum and a thin needle that goes through the wall of the rectum into the prostate gland. The most common non-cancer diagnosis is prostatitis. There are other pathologic findings like cellular atypia, prostate intraepithelial neoplasia (pin). Rarely, a rectal cancer can be found as well. ...Read more
Very rare: Prostate biopsies are the only way to initially diagnose prostate cancer. Although a false positive result may occur, it is very unlikely and unlikely to occur. The grading of prostate cancer is fairly uniform known as the gleason grade and can be readily identified by a qualified pathologist. ...Read more
The presence of fecal material inside the rectum will not just interfere sound transmission so to impair the imaging quality of the prostate. But also make the rectum be more bacteria-rich environment so to increase chance of infecting the prostate.
So, an enema accomplishes these two goals; our body can defend and life can live on without a hitch. ...Read more
The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more
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