CSN Login
Members Online: 12

Biopsy

Skid Row Tom's picture
Skid Row Tom
Posts: 118
Joined: Apr 2010

I was curious about something. A contributor mentioned that he was "too drugged up" during the biopsy to remember anything. The people I talked to prior to my biopsy reported they were either "knocked out" or were given Valium or some other mind-numbing drug. At Johns Hopkins I took it like a man(joke). No sedation, no Valium or anything else. The 12 "sticks" were quite unpleasant, but the instruments they stuck up my "exit only" felt what it must be like to be raped by a broom handle. Good Lord! This was second only, however, to the dilation they performed several weeks after my prostatectomy. They squirted lidocaine up my other "exit only" and then inserted a camera and dilation tools. No sedation, Valium or anything else. Following that, they took me to a room and demonstrated how to self-cath. I got it in once (they said the urethra might be "slightly irritated"), pulled it out, and they wanted me to do it again! I told them I couldn't do it again. Well, I digress. The biopsy -- were you sedated, or not?

NM
Posts: 214
Joined: Jul 2009

I was sedated on both my biopsyes. First 1 showed no cancer. Second 1 showed 5 out of 6 lobes cancerous. Second 1 also got infected and I missed a week of work. I really dont believe you werent sedated and for the self cath, wow scarey as hell

I had my second opinion at John Hopkins (slides sent only) and I though they were one of the best hospitals in the USA. I hope you state that what you went through is unacceptable and want better treatment.

I still think you are in a number 1 hospital and I hope your biopsy shows nada as far as cancer is concerned..Nick

sylvan75
Posts: 30
Joined: Sep 2009

I have my Biopsy scheduled for next week. Did you get any anti-biotics to take prior to your biopsy to prevent infection? I was given some medication and told to start taking it a day before my Biopsy and take 1 the day of my biopsy and continue taking after to prevent infection

Kongo's picture
Kongo
Posts: 1167
Joined: Mar 2010

Sylvan, the drugs the gave you to take before and afterward are everything you need. The biopys is done by inserting the needles through the rectum and then into the prostate so the infection risk is high without the antibiotics.

sylvan75
Posts: 30
Joined: Sep 2009

Kongo, TKS. I am still apprehensive, but I guess I have to go through with it.

randy_in_indy's picture
randy_in_indy
Posts: 493
Joined: Oct 2009

Make sure you take the antibiotics to a "t" or you risk getting a very unpleasant infection. I was not sedated and probably not typical of many who complain about the biopsy procedure. I actually did not have any pain what so ever. My surgeon preforming the biopsy first did a numing gel on the inside of the rectum...that must have done the trick because when he said ok I will do this on three and counted...he pulled the trigger and I said that didn't hurt at all....his comment was "you're tough!" I said no you must be good at this. He would say "sorry dude" after each of the 8 samples he took. Then on the third one my cell phone rang....to which the Doc said..."you may here some ringing while I do this" The nurse and he and I all laughed pretty good at that...then he said hey if you can reach it you can get the message if you want, it may take your mind off it, so I did just that and listened to my message while getting the biopsy. For me the biopsey was a none event - I walked out drove myself home and had no pain or infection...Make sure you do the bowel prep - sodium solution day before and dulax pills...that will help keep the chance of infection down. I had much more discomfort with the MRI with coil up the largest "exit only" tunnel than the biopsy. I'm with Skid row Tom on the smaller "exit only" tunnel...I cannot stand anything up that orfice...I dreaded the cath from the davinci but it turned out I didn't have too much issue with it. I can remember in college once I got tested for an std with a Q~tip up there and felt like decking the doctor it was so painful....much like passing a kidney stone which I have also done while in college. Good luck with the biopsy...ask them to numb it first with numbing gel...I remember they had me wait about 7 minutes after applying prior to the biopsy...kinda mentally uncomfortable waiting for them to come back and actually doing the biopsy while the gel took effect but once they started it was a breeze...hopefully you have the same experience.

Randy In Indy

Trew
Posts: 892
Joined: Jan 2010

And I remember every single sample taken- all 750 of them!! Or was it only 12 and I miscounted?

BRONX52
Posts: 156
Joined: Apr 2010

WHEN I HAD MY BIOPSY I WASN'T DRUGGED UP EITHER. THE DOCTOR SMILED AND SAID I WOULD ONLY FEEL A SLIGHT STING WHILE HE WAS TAKING THE SAMPLES. IT WAS AN UNPLEASANT EXPERIENCE BUT TOLERABLE, BUT NOT SOMETHING I WOULD CARE TO DO AGAIN. HOW THE DOCTOR FIGURES IT WILL ONLY STING IS BEYOND ME-----UNLESS HE HAD A BIOPSY DONE WHICH I DOUBT !!

Kongo's picture
Kongo
Posts: 1167
Joined: Mar 2010

When a doctor tells you one of his procedures "may be a bit unpleasant" it's an euphenism for "this is going to hurt like hell!" My prostate was numbed up a bit before the biopsy needles went to work but that hurt like hell and each of the 12 clips were quite painful and the overall pain afterward was about 5 on a 1-10 scale and didn't subside till the following day. When it came time for the fiducial implants I needed for CyberKnife treatment I had them put me under and not do it transrectally. Didn't feel a thing either during or after.

steckley
Posts: 100
Joined: Aug 2009

Skid,

No sedation .... the doc said it wouldn't hurt .... he was right .... he didn't feel a thing.

bdhilton
Posts: 759
Joined: Jan 2010

How right you are....Funny how it does nto hurt the doctors :-)

jminnj's picture
jminnj
Posts: 129
Joined: Nov 2009

I was not sedated or given any medication for my biopsy. Every time th doc said "Breathe in and hold it" I knew what was next. It sounded like a single shot nail gun going off.

ejn's picture
ejn
Posts: 64
Joined: Jun 2010

This was my second biopsy. After the first one was negative my uro was still sure PCa was there. The second biopsy was 2 years later and when he said he wanted to take additional samples I told him that it was not happening without drugs. They knocked me out and took 36 samples and hit pay dirt. I guess my uro is happy now.

dav5942
Posts: 16
Joined: Feb 2010

Not much to it(no meds)! Watched each sample on a monitor next to me.

ProfWagstaff's picture
ProfWagstaff
Posts: 98
Joined: Jun 2010

Doctor told me that if I were very agitated, he'd "give me someting like a valium" but his usual procedure is not to do that. All I had were antibiotics and of course the visit the previous day of my "friend, Mr. Fleet. They said that "the pain from biopsy is not unbearable or we'd be doing this in the hospital instead of in my office." I was told that it feels like someone snapping a rubber band, but that is not a location where anyone ever snaps rubber bands on me so it did hurt. It was the only "invasive" procedure I went through where I was fully conscious and aware. My doctor told me that some urologists are downplaying PSA because it causes so many unncessary biopsies. I guess they figure "unnecessary" because something like 12 out of 13 come back negative. As unpleasant as the biopsy procedure was, I'd have gladly taken 11 more of 'em if they were all to come back negative.

Skid Row Tom's picture
Skid Row Tom
Posts: 118
Joined: Apr 2010

Thanks for the comments. Yes, Mr. Fleet and I are well-acquainted, and I did have antibiotics before all procedures. The "sticks" were unpleasant (maybe it was the nail gun sound it made), but it felt more like he was inserting his forearm rather than micro-instruments. I remember thinking, "Hey, could you put a little lube on that thing?"

Swingshiftworker
Posts: 655
Joined: Mar 2010

Was not "knocked out" for my biopsy. Only received a local anesthetic. The samples taken were uncomfortable but not painful. Took a cipro tablet afterwards to ward off infection.

142
Posts: 169
Joined: Dec 2009

I was not sedated - it was nothing compared to my last crown.

Same antibiotic routine plus Mr. Fleet. Getting my 3 Calypso markers implanted was worse than the 12 core biopsy.

Cleaned up and went back to the office for the rest of the day.

bdhilton
Posts: 759
Joined: Jan 2010

Like you I had “one of the best” places do my “stuff”…The biopsy was the most underrated pain and aftereffects I went through even compared to my surgery…My urology wipe my rectum and colon with a little numbing jelly and within 30 seconds was taking his samples…I was literally shaking with pain for about an hours plus ejaculating blood for a couple of weeks...I am glad the prostate is out as I would never do it again unless they put me out…

ejn's picture
ejn
Posts: 64
Joined: Jun 2010

That is exactly why I had him put me out for the 2nd biopsy. He told me he was going to take 36 cores and there was no way I was going to lay there for that. The after was still ugly but at least I didnt have to feel him up in me for that length of time. I think I was out for 1-1/2 hours during the procedure. I am also glad to be done with those, but my surgery is not for another week.

142
Posts: 169
Joined: Dec 2009

I think it is accepted that a saturation biopsy deserves some sort of sedative. 12 cores was tolerable for me, but 36? Not so sure.

Trew
Posts: 892
Joined: Jan 2010

36!!!

I always confess as quickly as I can before these kind of procedures get started, I hand over all credit card and banking accounts and names and addesses of everyone I know at the start of the procedure- just makes things go easier.

Wow! 36. Would you even need surgery after that many samples?

Skid Row Tom's picture
Skid Row Tom
Posts: 118
Joined: Apr 2010

36! I agree with Trew -- it seems like "36" would shred the prostate and you could just poop it out.

Prior to entering the examination room, I called work and asked if I could get a surrogate. There were no takers, so in I went. If there was a "next time", I'd take my own AstroLube.

ejn's picture
ejn
Posts: 64
Joined: Jun 2010

It really did take weeks for the bleeding to stop and the pain was nasty. I did end up with an infection after and was on antibiotics for awhile. The blood in the semen was another issue, it seemed to be there forever. I would never do this again and I was almost relieved when he called and said they found something.

hopeful and opt...
Posts: 1357
Joined: Apr 2009

A few institutions have a three dimensional guided biopsy machine, so one can go back to the same spot in the future , and target suspicious spots....in my case, I had an MRI before the biopsy where suspicious spots where identified, the biopsy machine with ultrasound capability was able to target these sites......so there were 3 targeted sites and 12 non targeted cores..........this makes the biopsy that one gets more effecient, thus reducing the amount of cores needed.

Ira

ProfWagstaff's picture
ProfWagstaff
Posts: 98
Joined: Jun 2010

It is possible to find some humor - even in this procedure. I may have mentioned before that my brother was diagnosed with PCa 7 months before I was. We compared notes every time I passed another milepost in the road to treatment and recovery. Our biopsies were done by differernt doctors in different cities so we were comparing notes after mine was done. I told him about the restrictions that were placed on me afterward - no riding motorocycles or bicycles for a week, no riding lawnmowers, no heavy lifting, no strenuous exercise, etc." My brother said that he wasn't told any of that so after leaving his urologist's office, he resumed his daily routine of 4-mile runs. Three days later, he was at a sporting event and using the urinal trough in the mens room when, of course, he produced a red stream. Men on both sides of him slowly moved away from him in fear. Without missing a beat, my brother said, "What? That's not normal?" I still get a chuckle out of that.

Subscribe with RSS
About Cancer Society

The content on this site is for informational purposes only. It is not a substitute for professional medical advice. Do not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. Use of this online service is subject to the disclaimer and the terms and conditions.

Copyright 2000-2014 © Cancer Survivors Network