Doctor insights on:
Prostate Biopsy Thur The Scrotum
Left testicular removed due to testicular tumor in 2007 & now diagnsed hydrocele in right testicular by scrotm ultrasound .Will it develop into tumor?
Excess fluid: Testicular cancer is in the testicle itself. Almost all things found outside of the testicle are benign. A hydrocoele is just increased fluid surrounding the testicle, sometimes for o apparent reason. Obviously, it's a good idea to continue your routine follow up with urology. ...Read more
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
Did K.U.B US and prostat-ocystitis was the findings. Bladder wall thickness, coarse echo pattern prostate and small calcification. It s it curable?
Here are some...: For your best interest, it would be most logical to ask and review the specific findings after KUB x-ray, and ultrasound. All your reported findings are not specific but suggesting: bladder hard work leading to its wall thickening; coarse pattern in prostate maybe equating tissue heterogeneity to suggest some change in tissue texture but still nonspecific; stones- same, nonspecific & insignificant ...Read more
Had testicular cancer in left testicular. & testicular removed. Yesterday diagnosed hydrocele in right testicular. Will it become a testicular cancer?
Different entities: I'm glad the original testicular cancer is history. If you've had a good imaging study and there's no testicular cancer on the right, i would not worry about the hydrocele -- these are extremely common. You're correct to believe that a second primary in the opposite testis is somewhat more common than random chance. Ask your physician about banking sperms. Good luck. ...Read more
Does chlamydia cause the same symptoms wether its located in urethra, bladder or prostate? (i.e. Urethra tip discomfort, testicular pain)
Had left testicular removal in 2007 due to testicular tumar. Yestrday diagnosed hydrocele in right testicular. Will it develop into testicular cancer?
Ultrasound minimal generalized thickness bladder wall, prostate size normal.Difficulty in ejaculation and prostate burning and incomplete emptying?
Slow growing and painless lymph nodes in groin area had a cythscope it was normal besides bright red patches on bladder wall no biopsy sever pelvic pn?
Urologist: The best and perhaps the only person who can answer this is the urologist who performed the procedure. If you have difficulty communicating with them you can request a second opinion and the new doctor can communicate with the first. Good luck. ...Read more
My father-in-law had a recent ultrasound of prostate and psa test. His ultrasound showed enlarged prostate 104grams and psa 6.7. Is biopsy needed?
Much debate keeps on: Before diving into prostate biopsy, the specific info on age, medical background, family history, finding of digital rectal exam (DRE) on prostate, urinalysis, etc. over time would be helpful. To gain a glimpse on much conflicting studies, confusion, and debate on how to use PSA and decide when to biopsy, take time & patience to review articles listed in http://formefirst.com/FreeInfoProstate.html ...Read moreSee 2 more doctor answers
Previous ultrasound of testes clear, found lump in groin doctor sent me for another ultrasound but of groin and testes, why do another testes scan ?
Because you: Are there. The scrotal sac is in the same neighborhood as the groin so might as well look again. Note that hernias are a common cause of groin pain/lumps (sometimes extending to the scrotum) but a hernia may not be seen unless maneuvers such as scanning you standing up and/or exhaling against closed lips (valsalva maneuver) are performed. Ask the person doing the exam about these maneuvers. ...Read moreSee 1 more doctor answer
I had a biopsy half the prostate is benign cyst the other half is cancer gleason 9 can I have a pvp to open the urethra up ?
Prostate cancer: You could have a pvp or TURP but what treatment are you considering to definitively treat your cancer. High grade aggressive cancer needs aggressive treatment if it is confined to the prostate. Radiation or radical prostatectomy is indicated if your staging workup is negative(ct/bone scan) if this has already spread, hormonal therapy should be started soon good luck. ...Read moreSee 3 more doctor answers
Left testicular remvd due to testicular tumor in 2007 nw diagnosed hydrocele by scrotm ultrasoun in right testicular.Hydrocele is treatd by medicines?
Scrotal pain: This question can't be answered properly on this forum. I recommend that you seek immediate medical attention to ensure that you don't have torsion. Torsion is time-sensitive and can only be diagnosed by physical exam and either a scrotal ultrasound or testicular scan. Seek immediate medical attention is my best advice to you. www.peedoc.com @drhtay. ...Read more
Frequent urination, cloudy urine, pain in testis, enlarged testis veins, pain at the base of penis after urination. No varicoceles or STD confirmed...
On pelvic exam doc felt small nodule in cervix. He said it is outside of uterus. He said have enlarged lymph nodes in pelvic region. Cause?
Infection/neoplasm: Depends on other exam findings. Can be simple infection or malignancy. ...Read more
enlarged prostate/ luts, started flomax (tamsulosin) and proscar. 4 episododes of dark stained underwear. urine test done. is catscan and cystoscopy needed? .6p
Possible prostatitis: An enlarged prostate with staining of underwear could be due to prostatitis. Is there discomfort on urination? What did the urine test show? Be sure to get a urinalysis with microscopic exam and a urine culture. Get a PSA test to rule out prostate cancer. If these don't give the answer, get a cystoscopy and possibly catscan. Feel free to consult me on HealthTap if you want to discuss further. ...Read more
PLEASE RESPOND!!!! I've had testicular pain the BACK of my right testicle. NOT the epidymis. Neg for stds. Urine analysis and all clean. Testicle hard?
See urologist: A painful testicle and if you are feeling a mass warrant an evaluation and likely ultrasound. ...Read more
Would ulcer or cancer in the antral region be visible during the endoscopy/fibroscopy (doctor’s conclusion until the biopsy results come back was only?
Husband 60 diag w/sm cell bladder cancer in May. 6 rounds of chemo then radical cystectomy last month. It spread to prostate + lymphnodes. Prognosis?
Bladder CA: Husband 60 diag w/sm cell bladder CA May. 6 rounds chemo then radical cystectomy last month. Spread to prostate/lymphnodes. Prognosis? ANS: This is a nasty cancer & everyone is different. Only his team can give reasonable prognosis & as in most of the real world prediction of the future is tricky esp medicine. There r teams n ur area specializing n this & suspect you are seeing them. Good Luck. ...Read more
18 years of age
Recently discover a firm lump on the scrotum on top of the testicle
Hurts if squeezed and maybe the groin
Is this epididymal cyst?
Lump on the scrotum: You are probably right. Please see a Urologist for peace of mind. ...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
Possible, but...: 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 moreSee 3 more doctor answers
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?
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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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