Doctor insights on:
Prostate Biopsy Thur The Scrotum
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
Prostate Biopsy: The duration of the procedure depends on a number of factors: 1) how many samples are taken (6, 12, 24?); 2) what kind of sedation is provided (local, conscious, monitored anesthesia); 3) operator skill; 4) patient factors; 5) complications or not; 6) pre-procedure prep time; 7) post-procedure recovery (particularly how quickly you pass urine); 8) setting where performed (hospital or outpatient). ...Read more
Prostate biopsy: Blood in the urine is very common after prostate biopsy. It ususally clears up in a few days (3-5), but it may be sporadically present 1-2 weeks after the biopsy. If there are multiple blood clots and or difficulty urinating/retnetion of urine you should see you physician immedialtely or go to the emergency room. ...Read more
Theoretically, this combination is possible, but in practice, it is not advisable because the need for prostate biopsy is judged by changing psa with the finding of digital rectal exam (dre) on prostate, and concern for urination from prostate is usually and sufficiently enough by history, checking residual urine, etc. But, you can ask urologist for priority and sequence of care...
Best wish... ...Read more
Probably: A blood test with a psa of 6.7 is hi. But other factors need to be taken into account such as your age, overall health, and your 10 year life expectancy. If you are young anf healthy, then a biopsy is usually recommended. As an alternative, active monitoring of the blood in 3 months is also an option but you must closely monitor the psa as it may signify prostate cancer. ...Read more
Spread: While this is a very common question I know of no cases where this has occurred. ...Read more
My PSA is a 5, I'm going for a ultrasound guidance prostate biopsy. Is this procedure painful. Is it necessary?
I m 55 yrs. Old my PSA has been a 5. It a been like this for awhile. Doc says a prostate biopsy neces. Test safe?
Discuss w Urologist: This is the very reason many organizations no longer recommend PSA test (see USPSTF), because it often leads to unnecessary prostate biopsies. Prostate biopsy is a relatively safe procedure, but does carry some risks and side effects. I suggest discussing your result with a Urologist, as it is above normal, but stable. They may recommend additional lab tests vs biopsy. ...Read more
Prostate biopsy correlation) focal area of altered signal inensity in the left femoral head, what does this mean?
Here are some. ..: This Q is not quite clear & specific so it's hard to offer right answer. But I would guess it as follows: Did you have bone scan which showed hot spot in left femoral head leading to concern for possible metastatic lesion; so prostate biopsy is advised to correlate with it. But bony metastasis tends to be multi-focal in ribs, spine, pelvis, hips... Very rarely being solitary. Hence, ask Doc for... ...Read more
If my prostate biopsy comes back negative for cancer, what would be the next step in finding out why my PSA level was so high?
Send us PSA results: Without knowing how high is the actual value, we can not help. Send us the PSA result. ...Read more
Had prostate biopsy 12 days ago and even though my urologist told me that I would see blood in my urine, its been a while now. I still see blood/pain.
Let me explain: After a prostate biopsy, you'll probably need to take an antibiotic for a few days. You may feel slight soreness and have some light bleeding from your rectum. You may have blood in your urine or stools for a few days. You may also notice that your semen has a red or rust-colored tint caused by a small amount of blood in your semen. This can last for several weeks. ...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
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
Contact MD: High fevers 1-3 days following biopsy may need urgent attention, with concern for blood infection. You can get sick very fast, so better be safe and call md. Beyond that, if a low grade prostate infection has occured, that could be assoc with fevers. Many urologists now give 2 antibiotics in preparation for biopsy, to reduce the risk of blood infection, especially from resistant bacteria. ...Read more
1 or 2 days: There should not be excessive bleeding after a prostate biopsy. Should clear up after a couple of days. Call the urologist it bleeding is severe or persists. ...Read more
Get examined: Your doctor will let you know. .. ...Read more
30-50%: With proper "screening, " most reports suggest a 30-50% positive biopsy result (currently with 10-12 cores obtained). Newer technology/approaches such as MRI mapping/guidance, confirmdx, "saturation" biopsies (26-32 cores) are increasing the "+" bx rate. With all of these comes increased cost and risk, however. ...Read more
3-7 days: The vast majority of urologists will advise their patients to refrain from having sexual intercourse from 3-7 days post-biopsy. To minimize excessive bleeding and concern, I tell my patients to resume sex when there has been no further visible bleeding in the urine or from the penis for 48-72 hrs and that they can normally expect some blood in their ejaculation fluid for as long as 2-3 months. ...Read more
12 is enough: 12 cores are usually sufficient to sample the prostate gland. There is no particular significance to fewer than 12 or more than 12. ...Read more
Yes: Biopsy means taking a small sample of tissue to be examined under a microscope. This is often done using a special needle. ...Read more
If my friend was told by the doctor to do a bone test afyrr a prostate biopsy does that mean its srrious?
Sometimes: Bone scans should only be recommended to patient with high-risk prostate cancer. Proper use of bone scan in asymptomatic patients should be limited to very high psa (usually >10, always >20), gleason 8 or higher biopsy result and clinically advanced disease. For the vast majority of patients diagnosed with prostate cancer today (i.e. 85%), they should not be recommended to undergo a bone scan. ...Read more
I had a prostate biopsy three days ago and I am showing blood in my semen. Is it dangerous for my wife if we have intercourse?
No, not at all: It is expected after a biopsy. But it is harmless to your wife. ...Read more
Are there any less traumatic and invasive alternatives to prostate biopsy in response to a high psa, such as MRI of the prostate?
No: You would not want to be treated for prostate cancer unless there was conclusive tissue confirmation of the diagnosis. This is only obtained by a biopsy. All other tests whether they be a blood test, an x-ray or MRI study or other technology can be helpful in staging and evaluating the prostate. But a biopsy is crucial in the process. ...Read more
Boyfriend had a prostate biopsy lst wk, we had intercourse last night and his semen was mixed with blood and he came inside me should I panic?
Bloody semen can occur for a number of reasons. The medical term is hematospermia and is more common than many realize.
Contact the surgeon who performed the biopsy and discuss further.
Here is a good resource of information: http://emedicine. Medscape. Com/article/457632-overview ...Read more
In april 03, 2013 I had a prostate biopsy because of a high psa 9.0. The biopsy result was negative for cancer but the prostate is 2 times larger than?
PSA density: Can describe whether the size of your gland explains the psa. The negative biopsy says they did not find the cancer, but it can also mean they missed it. I would repeat the psa and establish a pattern. You should refrain from sex a week or 2 before repeating the psa. If the psa continues to rise, repeat the biopsies. ...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
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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