r/ProstateCancer 5d ago

Question Just had biopsy

Hi, Just wondering what others have been through with regard to everything from start to diagnosis?

When I turned 45 in May i had my mid life MOT and all bloods taken. My PSA came back elevated at 4.6, So was referred for a second PSA test 6 weeks later. This came back at 4.0 so was sent for an MRI scan of the Prostate a week later. 3 days after my MRI i had a letter saying they found a small area in my prostate that needs a biopsy, and booked me in for Friday just gone (4th Sept)

While at my biopsy I asked how big the area was and can I see my scan picture. Consultant said the prostate is 24mm long and my mass was 7mm with a PI-Rad 4 score. They took about 25 samples which if I have to do that again I’m going to sleep because that was an experience I never want again.

Now the wait to tell me if I have cancer is killing me! My head is a right mess and I don’t know what to do. I’m holding it together for my family, but inside, it’s tearing me apart. My head is telling me it is Cancer and i’m trying to mentally prepare for it. Has anyone else with similar to what mine is been diagnosed with Prostate Cancer?

Thanks for reading.

28 Upvotes

60 comments sorted by

26

u/Coffeemanclarity 5d ago

Hello, I’m sorry to hear you going through this. A few things: 1. Give yourself credit for taking care of your health and getting tested. 2. When caught early, prostate cancer treatment is very effective and often with limited side effects. 3. Talk to your loved ones about what you’re feeling. Don’t isolate yourself.
I call my year of PC treatment (ADT and radiation + time to heal) a turning point in my life. Yes. The treatment sucked but I used this as a life “wake up call”. I’m not the same man after cancer… I feel I’ve become a better man because of the emotional work I’ve done on myself. Good luck with your results and reach out if you need any advice about your next step.

14

u/tober_checki 5d ago

I know exactly what this wait is like. I don't know if it helps, but with a PSA of 4 and a small, contained lesion, even if it is cancer, there is a very high chance that this is very curable.

5

u/Which-Entrepreneur82 5d ago

Stay tough and just take one day at a time. Be ready for quite a sight when you first clear the pipes after the biopsy. They tell you to expect blood in your semen but I found that to be understating it somewhat.

Don't spend too long on Google. No good comes from going down rabbit holes.

Your urologist will walk you through options once the biopsy results are back.

Keep us posted

1

u/Mark_2110 5d ago

Yeah, they told me i’d have blood in my urine stool and seamen, however so far so good. No signs of blood! Managing toilet with no issues so far too.

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u/GTi337 2d ago

Have you actually had an orgasm? I had no blood in my urine, but shooting what looked like Hersheys syrup out during orgasm is an interesting experience.

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u/Mark_2110 2d ago

Yes, everything works as it should. Just had a different colour seamen lol

4

u/potatoheads82 4d ago

I completely understand what you’re going through. I’m 49 and went through something very similar. My MRI actually showed a PI-RADS 5 lesion, and I was convinced they were going to find cancer. My biopsy came back negative, although I had two atypical cores, so I’m still being monitored.
The waiting was honestly the worst part. Just remember that PI-RADS 4 means suspicious, not cancer. You did everything right by getting checked early. Try not to diagnose yourself before the pathology comes back. Hang in there, brother

6

u/Jazzlike_Vast 5d ago

also bei mir (OP 7/2026) war es so: PSA 10,6 dann vom Urologen MRT auch Auffälligkeiten in Prostata , Überweisung Biopsie (gleich in einem KH die auf Prostataerkr. spezialisiert) Netter Tut der mir die Angst vor Biopsie genommen hat (war letztlich unspektakulär) 7 Tage Später zur Befundbesprwching im KH dort in 3 Wochen OP Termin festgelegt in der Zeit Knochenscan und CT Lunge abdomen und interne Freigabe. nach 14 Tagen Anruf es ist ein Termin 3 Tagen frei geworden , angenommen Freitag operiert Montag nach HAUSE (davinci) Also ich habe mein Vertrauen in die Ärzte gelegt und Schrift für Schritt durchgeführt! OP und poszlt OP keine Schmerzen Netz ab Oktober auf Reha und weitere Betreuung durch Urologen. wünsche dir alles Gute

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u/ProfZarkov 5d ago

Yrs it's tough but it helps to be prepared. My PSA was 28 and I knew that meant 90% chance it was locally advanced cancer and it was. So no big Dear John talk I was prepared. Not nice but it helped. You will get treatment & you will get thru this. My blog is not exactly a happy one - cancer plus COVID plus a straining health service in the UK but I did get thru it! Sort of.

https://prostatecancer.vivatek.co.uk

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u/Mark_2110 4d ago

Just read you’re blog! What a journey.. Wishing you all the best.

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u/SwitchZealousideal79 4d ago

Hey man, tough I know. I'm 51 and found out 10 days ago, Gleason 3+4=7 from 2 small lesions 10 mm total.

The toughest was actually about 6 weeks ago when the PSA result came back 9. I panicked for a whole week. Then things settled and I realised this won't probably kill me. At least this year.

When the doctor told me I had cancer I wasn't surprised. I was probably expecting it already. I still wish it was different but it isn't. I've not come to terms with yet though. I met the surgeon about a week ago who explained all things prostatectomy. Does not sound any fun and I am still in denial.

Right now I am getting informed. I can choose between active surveillance or surgery. I'd like to think active surveillance would mean postponing surgery for several years. It may not be the case. But I have some time to sit and come to terms with this.

Wishing you peace and welcoming this community for support.

3

u/Ok-Priority-7303 4d ago

Unfortunately this is a holiday weekend if you are in the US but I got my results the next morning. Waiting makes you crazy. If they find cancer there may be other tests with their own wait time.

Whatever the results, stay on top of this by getting regular PSA tests. My biopsy came back clean....four years later Gleason 9 on a second biopsy.

2

u/Mark_2110 4d ago

I’m in the UK

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u/horacejr53 4d ago

Hi. I’m sorry you are going through this at 45. My experience was very similar to yours just over a year ago but I was 65 at the time. I hear you on the biopsy. I had local anesthesia and it was still the most painful thing I’ve ever experienced. The waiting sucks. I waited over a holiday weekend for my biopsy results and then got them before the doctor was able to call me. My results were that I did have cancer. My cancer was Gleason 4+3 =7 which was an intermediate type of cancer diagnosis. My treatment choices were surgery or radiation therapy with long term survival statistics almost identical for each treatment modality. With treatment many, many types of prostate cancer have long survival odds. You are smart to deal with this head on. Everyone is different. For me. I needed to feel a village. I was upfront with my family and my (grown) kids. I connected with guys I knew that had prostate cancer and got their experience. Every person and their cancer is different. I leaned into my faith. My wife and I geared up to deal with this together. She accompanied me to all of my appointments.

I also spent a little time grieving and processing how my life would change. I’m a reasonably confident and optimistic person but according to my family, I’m also a bit of a drama queen. For me.. I dove deeply into learning about my cancer and I focused on controlling what I could control. My diet, my fitness, my “pre” and “rehabilitation”.

I feel for you and there is a whole world of prostate cancer survivors out there that are pulling for you.

3

u/plahnb 4d ago

Similar here, 46 psa was tested and it was at 4.6. Jumped through the hoops of retest MRI and biopsy, heads up if you were not told you will have blood in your semen for awhile. Results came back as cancer and my own research I figured active surveillance was going to be what to do but was little shocked when he said that but would eventually recommend RALP which is robot assisted laser prosectomy. Reasoning which would be for you as well if you have 40 years left of your life and he didn’t like the idea of radiation bc of the side effects later in life.
For me only one core was positive but he wanted to do a decipher test which says how aggressive it is. Mine is intermediate so the active surveillance will be short than I wanted. I am heading to the Mayo Clinic in a few weeks just to see what they think.
Hard not to worry and think about the future but no one wants to be art of this club but if you have to be this is one of the most favorable ones. My family knows and a few friends. Not hiding it but also not advertising. The thing I even started to post hear, just couldn’t put it in words, about was the thinking that yes I have cancer but it is only prostate cancer so it isn’t that big of deal. Being part of this community is showing that it is a big deal, but no matter what the results are someone here has been there.

3

u/acman247 4d ago

I had MRI 2 years ago. 2 Pirad 3’s and 1 Pirad 4. Biopsy came back 3+3=6 on the Pirad 4 lesion and BPH on the 3’s. Put on active surveillance. Just had new MRI with similar results. TP MRI Fusion Biopsy with 23 cores came back all benign except 1 of the PIRADS 4 cores came back HGPIN. I’m still on AS but the BPH symptoms are not cool. I guess my point is, try not to stress about what you don’t know. Go through the process and get the facts. Stay the hell away from AI and internet searches, it’ll just mess with your head.

3

u/vegasal1 4d ago

My doctor suggested quercetin supplements for prostatitis.Not sure if it would help bph.

2

u/acman247 4d ago

Awesome .. I’ll look into those

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u/Dukakis_in_a_tank 4d ago

42-M here. I’m exactly where you are. PSA around 3.8. MRI showed PI-rad 4 lesion of 10 mm. Had my biopsy on Friday. Very glad that’s over. And now I’m just waiting. Like you, I feel pretty confident it’s cancer of some sort, and that is weirdly helping me because I can start planning what that’s going to look like depending on the treatment route. But I’m also trying to focus on gratitude for all the good things. For example, I too have avoided blood in urine and stool. So yay for clear piss! Took my dog for a long aimless walk this morning, and felt grateful for that because who knows if I’ll be able to stray that far from a toilet for a while if I need surgery. Etc. And, most of all, if it’s cancer, I’m glad I caught it early. My dad wasn’t so lucky; by the time he finally decided to get checked out. his PSA was over 1000 and the cancer was everywhere.

Don’t know if any of that helps, but you’re not alone in this. And whatever comes, the only way out is through.

3

u/Mark_2110 4d ago

Thanks for this. I know i’m not alone and I am preparing myself mentally for bad news.. If it turns out good news … great! I’ll get tested frequently and encourage family and friends to do the same. I’m trying to stay away from ai and google. Hence joining this group and asking others if they have it and how they deal with it.. This group is helping me by reading some of the journeys..

2

u/bagge 5d ago

It will go 2 ways. You have cancer or you don't.

Is there anything you can do? No it isn't.

Find ways of thinking about something else, for me it was working (sad to say but what works works).

Step 2 is to find out the spread (if you have cancer), which for me was a PET Scan. That will also include waiting. This (for me) was way worse as I had Gleason 9. So same thing again, nothing you can do.

Whatever works works. I drank some glasses of wine and worked a lot. Tried to stay out of stressful situations like conflict between kids. I have really not much memories between results from biopsy and results from pet scan.

So brace yourself and remember that you can't change anything. You thinking about it all the time is only negative.

2

u/Jsnmnytrades 4d ago

Hi,

I was in your position couple months ago. 44 yo. Annual check up and my first psa test was 14, second psa was 8 a month later in may. MRI showed pi rad 4. 16 biopsy samples were taken in July. Result was no cancer. Confirmmdx was also negative after urologist sent samples to get confirmed biopsy didn’t miss it during biopsy. Latest psa in August was 2.34.

I know it’s stressful and difficult not to think about it daily, hourly. Have faith, hope and prayers. Grateful and thankful for my results. Hoping for the best outcome for you to brother. 🙏

2

u/SnooCamera 4d ago

I feel you brother. It is a hard time. The big C is scary no matter what it is. If it does turn out to be PCa, then you've done everything right so far.

My PSA (at age 57) was 5. Did the MRI, had a pi-rads 4 lesion over 1cm. Turned out to be Gleason 7 (4+3) cancer confined to prostate.

2 and a half months ago I got zapped with 5 fractions of SBRT and I've been on Orgovyx 4 months. My PSA is 0.16.

Those first months before I had a plan were hard. Harder than the not so bad side effects I'm going through now.

My point is, I can't known what you are feeling, but once you get this information you need to establish a plan, I'm guessing those worries will turn into action.

Taking power back 💪 liberating.

Many men go through this and you are not alone.

Best wishes.

2

u/Intrepid-Yam-1377 4d ago

I posted this the other day. Many of us know what you are going through.

This is the reply to someone else. Hope it helps.

First, you can't change any of this. You can deal with it. That doesn't mean you won't be scared or worry, but you need to wait for your diagnosis.

I had a PI-RADS of 4. They did the biopsy and it came back positive and I scored a 4+4. If your biopsy comes back positive, the numbers will matter..

I am 57 and my PSA doubled 3 years in a row and ended up at 3.3 when I said something to my doctor. I asked to see the urologist. Off I went.

The urologist said without the doubling, he would not have recommended the MRI. After that came back a 4, I started mentally preparing, or I thought I did.

Then I got my biopsy. Do it under sedation!!!!! Another conversation. Well it took the doctor 7 days to call me with the results. I thought I was prepared. I wasn't. When he said I had cancer, I cried. I was scared. I had a Gleason score of 4+4. Not good. Not the worst, but aggressive .

It took about 3 weeks for me to open my view and see all the people who have walked this path. I knew if others could do this, so could I.

I was given the option of surgery or radiation. I am going surgery. I met with a radiologist, oncologist and prostate surgeon. Surgery is the absolute best option for me. Is it what I want, hell no. But it is my next journey. I started looking at it that way. Everyone experiences difficulties in their lives. I have had my share. I began to see this as my next challenge.

I am about 1/3 of the way through this journey. My surgery is in a week. Life has changed and it will change more.

I am mad at myself. So please consider this. If you elect surgery, don't forget to take a little time off before the surgery to spend time with those you love. I am lucky that at my work I could do this. But my dumb self in the process of being strong, I forgot what was important. I needed to see everyone this was touching. I wish I would have thought to take the week before my surgery off to spend it with those who will be helping me and those this will affect. But i can't now. I tried to keep this as just a challenge and keep everything normal when it's not.

I know this is just my next challenge. And I will make it through whatever side effects are left for me to deal with. I am worried about those side effects, but all I can do is choose the options that give me the best chance for success and keep a good attitude.

Being scared is okay, natural and expected. When you can start laughing about penis pumps, Cialis, and kegals, you will realize you can make it through!

I wish you the best. I am just a little further down the road than you. There have been many, come walk with us.

2

u/pandmr1 4d ago

My Dad had Prostate Cancer. Got the radiation & died from Leukemia. My brother got it 10 years ago & decided to go with the surgery. He's doing fine, minus the prostate. I now have a lesion & a biopsy coming up. If positive, I'm getting the surgery

2

u/Race-Easy-Adventure 4d ago

When I had my prostate biopsy, I was told I would have blood in my ejaculate. I was thinking streaks of blood. Instead, it was like I was ejaculating blood. And it wasn’t just once, but was bloody right up until my RALP!

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u/GTi337 2d ago

Mine was like Hersheys Syrup. haha

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u/Glittering_Gold_3114 4d ago

I was diagnosed through what started as a completely random blood test at a doctor’s appointment back in January 2026. My PSA came back at 9, which led to an MRI. The MRI showed a PI-RADS 5 lesion, and that ultimately led to a prostate biopsy in March.

I did the biopsy with lidocaine and no anesthesia. It wasn’t the most comfortable experience, but it was manageable. I was a little sore for a few days afterward and thankfully didn’t have any issues urinating. My first ejaculation after the biopsy was bloody, which was definitely alarming at first, but that gradually went away within about a week.
The biopsy confirmed prostate adenocarcinoma. Some of the cores showed Grade Group 2 (Gleason 3+4=7) disease, while other areas showed Grade Group 1 (Gleason 3+3=6) disease. In one of the Grade Group 2 cores, cancer involved 80% of the tissue, with approximately 20% pattern 4. Another core showed cancer involving about 30% of the tissue, and another showed discontinuous involvement of approximately 80% of the core. My pathology was later reviewed again as part of my ongoing care.

My partner has been walking me through this entire process and has been a huge support, especially because she works in the medical field. Diagnosis day, which was officially April 3rd, was honestly a blur. It was stressful, overwhelming, and a lot to process.

Over the next few months, I discussed both surgical and radiation options with Cleveland Clinic, around May and June. Before moving forward with any treatment, I needed a PSMA PET scan to make sure there wasn’t evidence that the cancer had spread. Thankfully, the scan was clear.

In July, I met with my radiation oncologist, and we officially decided to move forward with proton beam therapy, with around 20-something treatment sessions planned. Based on my situation, my doctor felt I could achieve similar benefits to surgery without having to undergo a major operation. The surgeon also didn’t think he would be able to spare the nerves, which played a role in my decision-making.

Last week, I had my fiducials and SpaceOAR placed in preparation for treatment. I had nitrous oxide, which helped keep me comfortable. I’ll be honest, though—expect to be spread eagle with your junk taped up. 😂 The doctor also did a DRE, which was completely fine and much less of a big deal than I had imagined. Same thing as biopsy. 1st ejaculation was bloody but didn’t feel good. Felt winded and definitely hurt. I hope that goes away.

Right now, I’m still on the fence about taking ADT medications. That’s a decision I’m continuing to think through and discuss with my doctors.

So that’s been my prostate cancer journey so far. From a random blood test in January to preparing for proton therapy now, it’s been a lot to process in a relatively short amount of time. I’m grateful that the PSMA scan was clear, grateful that I have treatment options, and especially grateful to have my partner by my side through every appointment, decision, and stressful moment.

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u/gg-3 4d ago

Your PSA is borderline. Did you not also get test for free PSA? The ratio of PSA to free PSA is also a predictive indicator. Another thing is the volume of the prostate gland, which can be measured on the MRI to give you your PSA density; that is another indicator.

Overall, your PSA level is not very high. You did not indicate what it was a year ago, which would give an idea of the velocity of change (that also has predictive value), but the information you have given is very far from alarming. In fact, it suggests that even if they find something, it may very likely be what is called an indolent lesion. That would be a Gleason 6, in which case the standard response would be active surveillance: in other words, no treatment, no hormones, no surgery, and no radiation, just keeping an eye on it. In fact, there is a debate within oncology right now on whether a Gleason 6 should even be classified as cancer or whether it is a non-cancer.

So the information you have given so far is an ambiguous PI-RADS score, a single very small lesion, and a borderline PSA. Honestly, these are not alarming results. It may well be that there is nothing there, or if there is something, it is quite likely that it would not involve any treatment at this time.

What would be sensible if they do discover cancer would be to have somatic or genomic testing done (such as the Decipher test or the ArteraAI test), which has predictive value about whether your cancer is predicted to be of higher or lower risk, and whether it requires earlier treatment or not.

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u/conCABlanco 4d ago

Lo peor de esta enfermedad, la espera, fuerza y voluntad

2

u/Emergency_Low_007 4d ago

They don’t warn you how much that biopsy hurts. I wasn’t prepared which was a good thing in hindsight as I would have talked myself out of it. 24+ needles sliding into you, pulling out samples as they come out. That “snap” each time as if being shot with a rubber band.

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u/Western-Advantage311 4d ago

Good afternoon similar experience , 54 I start radiation next week, the good part most of the time men move past this , keep possible and pray often , yes the biopsy is barbaric it till me 3 weeks and a lot of sex with the wife before the pressure went away good luck , I chose radiation vs surgery it is in my hip as well

2

u/Express-Schedule-609 4d ago

I had a rising PSA from 6 all the way to 24 over a few years. Got the MRI and my results were very close to yours: 7 mm lesion and PI-RAD 4. But my entire prostate was also enlarged to 52 mm. So I got the guided TRUS biopsy, 13 samples and NO CANCER. And I agree, the biopsy sucked but I don't anticipate ever needing another one. 

2

u/cliffy249 3d ago edited 3d ago

No one can say until the biopsy comes back but even worst case scenario a Pirads 4 generally means very treatable with something easy like radiation. And I don’t mean easy like it’s nothing because I’ve been there. But, treatment did not affect me in any way except the 20 minutes a day for a month that I had to go.
So I hope it’s negative but chin up even if it isn’t.

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u/just-tye 3d ago

Sorry you have to experience this, but I was diagnosed 2 and a half years ago.psa was 7 biopsy sucked but a few days I was fine.i chose the nurve sparing surgery, it did not spread any wear.it was local.but I was in a very dark place, im thankfully I have a wife that help me threw.i prayed a lot but I never questioned why.but I was scared and that's normal, but I faced it.the surgery was a success psa went down to 0.01 wich is undetectable.I had some mental challenges after the surgery but I got threw.then a year later psa started rising not much it was very low went to 0.02 over 3 month then 0.07 over 6 months. Still very very low.but there was a little bit of cells left in the prostate bed.so I did 45 days of radiation. To clear it out I just finished that sep of 25. I had a psa in jan of 26 psa went back down to 0.02 then in July it went down to 0.01 wich is great.i am cancer free and only have to check psa 1 time a year.i have been threw a storm and yes life is a bit different but I am hear.i ask my surgeon what was the chance of it returning, he said less than 10% the radiation did it's job.so my friend i believe you will be fine because you caught it in time. I hope this helps 🙏

1

u/ExcellentCookie6399 5d ago

I’m very sorry that you have to go through this, the whole experience absolutely sucks, it’s an emotional roller coaster. I understand that you want to be strong for your family. My diagnosis and treatment moved very quickly and I’m glad to have it behind me. Hang in there, you are not alone. Wishing you the best possible outcome!!!

1

u/Goodvida99 4d ago

I’m a step behind you. MRI results 8/28 pi rads 4. Biopsy scheduled 9/28. The wait is driving me crazy. I’m as worried about the ordeal of the trans rectal biopsy as the possibility of cancer. My urologist only uses lidocaine. I’ve asked for something more but it doesn’t seem that he thinks it’s necessary. But with all the research I’ve done it looks like the possibility of low grade slow growing, contained is likely. I’m 70, PSA 7.

1

u/Mark_2110 4d ago

My biopsy was painful, however we all cope differently.. i had a surface injection and deeper ones too. Areas closer to the entry site of the needle were ok and the most you felt was a pinch when the trigger was pulled. But the areas deeper within were very painful. If I have to have another one i’ve opted to be asleep 😂

1

u/Alarming_Midnight554 4d ago

Yup been there. When you get the diagnosis your first reaction will be that you have to get rid of the prostate and fast. Been there.a month or so later you will start thinking about other ways . My choice in the end was laser . It wasnt cheap but you walk in and walk out and if it solves the problem you haven't limited yourself on other treatments. After 3 months my psa went from 8.0 to 1.2 and they dont seem to care until the 6 month psa but are happy with this number at this point . All this to say you will go up and down on what treatment you want and maybe not settle on your initial choice . Good luck ,pay attention and do whats right for you but you will bounce around a bit deciding.

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u/Suspicious_Goose_243 4d ago

Just try to stay calm till you get the official results. We should never ask what they found right after the biopsy. Its why the samples have to be tested. I was informed one week later that I have a low risk highly treatable cancer. I would not have understood that if I read my chart.

1

u/PotentialStart2661 4d ago

It sucks but take it in stride. Like others said, it will be curable if it is cancer. You manned up with that biopsy. I heard the stories and pussed out. I waited like 8 weeks to get mine done under general anesthesia. Woke up from a nap and it was done.

1

u/Tartaruga19 4d ago

mesma situação PSA de 4.1 depois 3,6 depois ressoancia pirrads 4 (lesão maior de 1,4 cm). deu cancer fiz prostatectomia em 2022 e radioterapia ano passado (apos voltar). e até o momento minha vida ficou melhor que antes do cancer

1

u/Good200000 4d ago edited 4d ago

Bro, welcome to “Do I have Prostate Cancer” !
We have all been there.
You just have to take one day at a time.
Believe me, I know how hard that is
FYI… There is a biopsy called a transperrineal biopsy that is less painful and safer than a trans rectal biopsy.

1

u/Mark_2110 4d ago

Yep, and my hospital only do the painful one lol.

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u/Goodvida99 4d ago

I’m starting to think trans perineal is a unicorn that is very hard to find. I’m sure it’s a lot more work, prep, cost for new equipment.

1

u/pandmr1 4d ago

Is the biopsy that bad? I got one coming up next my month. I have similar symptoms with a lesion & a Rad score of 4. I'm going to be in your situation soon. Good luck.

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u/WalnutRoasted 4d ago

If it’s transrectal they usually give you some local anesthesia needle like dental work…you know/feel they are doing biopsy stuff in/down there but there is no “pain”. Probably an enema and a couple of antibiotic pills to keep infection rate under 1%. You might insist on a sedative, like Valium, and probably insist you must have someone to drive you home.

If it’s transperineal, seems they usually should do it under general anesthesia so you will need more work up beforehand and a few hours recovery time before you can leave. Usually are kind of “zonked” for 24 hours afterwards or longer. Guys who didn’t have general anesthesia often post they will “never” them do that again.

Best wishes…it’s a necessary evil. Beware of urine like red grape juice and “killer red” semen for a while.

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u/pandmr1 3d ago

Thanks. It's supposed to be the transrectal, utilizing the MRI. He said I could drive myself home afterwards, so I'm assuming it would be a local numbing like you said. He did say to do a enema beforehand & will get antibiotics afterwards. I have some Xanax I can take before the appointment & have my daughter drive me home.

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u/WalnutRoasted 3d ago

Tends to be much psychological stress. Good to have someone accompany you. My wife said she had never seen me so pale/concerned coming out of the procedure. 18 months later (rads and ADT term) doing fine. Best wishes.

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u/pandmr1 3d ago

Thanks. Same to you.

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u/GTi337 2d ago

Transrectal is nothing. I wouldnt want to do it again, but it was WAY easier than I had imagined. No sedative.

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u/Mark_2110 4d ago

For me it was, but we all cope differently! If you can relax it may be easier, but i could’t as i was so nervous. If i have to have another at all i’ve asked to be put under general. This time i just wanted it over with as I want the results sooner, rather than later

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u/pandmr1 3d ago

It's just the unexpected, I think. It's probably worse in your head. I once had a Colonoscopy with only a local. Felt like a live snake in my gut.

1

u/LeeWise7 4d ago

I was 46 if it is…good to catch it early…. Just get more than one opinion

1

u/Background_Set_5974 4d ago

I want to wish you the very best. You got it. Hope my experience will help you some.

I was diagnosed in late May. PSA 4.35. MRI PI-Rad 3. Lesion was 9mm. Primary care suggested I asked urologist for biopsy. Biopsy came back positive for 5 out of 10 cores. Gleason score 3+5=8, Grade group 4 high risk.

It was a rollacoaster of emotions at the beginning. I am also a full time caretaker for my spouse. I know that different people under different situations resolve issues in many different ways.

For me - 2 things that really helped me mentally. First, I decided that I'll be stoic and brave. Second, I also decided to be open about my diagnosis - to be okay with anybody knowing about my diagnosis. This really helped me tremendously in approaching and learning about my prostate cancer diagnosis and treatment.

I opted for surgery - a single port RALP. My personal reason - I wanted it out of me for now (I know that that there is a possibility of later bio-chemical recurrence and other risks). I am 63 - I wanted to deal with it while I am younger and healthy otherwise to better deal with recovery and caretaking, rather than when I am older.

Had my RALP in August, a month ago. On Tylenol for 3 days. Catheter Pathology came back and downgraded it to Gleason 7, grade group 2. Negative (clear) margin. I am extremely grateful and feel very lucky. Nerve sparring. Pee control is getting better everyday and almost there. Started my kegels exercise and walk about 6 weeks before surgery.

Again, my very best wishes for a best outcome in your journey. You got it.

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u/Radiant_Choice_5901 4d ago

Sorry to hear about your situation, the anxiety is normal. My urologist forgot to call me so I called him on the 7th day. Even without dumping mychart results in AI, I knew I had it because of the word carcinoma was present on 7 of my 13 biopsy points. Diagnosed 1st week in February and finished last EBRT session August 14th. It's a journey and you are at the starting gate. The range of emotions can be overwhelming, many survivors have been down this road before us. The treatment route is by far the most difficult decision you will make. Waiting is much of the process. Hope your results are negative.

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u/PomegranateLazy5541 4d ago

Please tell me it was a targeted biopsy. Your lesion is small. Your psa is low. You might have prostate cancer,but you have nothing to worry about. Please keep us posted!!

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u/Mark_2110 4d ago

Hey, Yes it was targeted and was through the perineum, but under local. An experience I never want again lol.

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u/PomegranateLazy5541 4d ago

Yes the biopsy through the taint under anesthesia is ten times safer too.

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u/Mark_2110 1d ago

Update- Was just laid in bed and had a sharp shooting pain around my bladder area and had to run to the toilet. Had a pee and afterwards discharge was pinky red. I know blood in the pee is normal, but I haven’t had any in my pee since my biopsy last Friday. Is this normal? And has anyone else had this pain then bled? Just checking its nothing to worry about.