It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Cancer: Prostate Message Board
Post New Thread   Reply Reply
LinkBack Thread Tools
Old 04-04-2013, 03:07 PM   #16
Newbie
(male)
 
Join Date: Mar 2013
Posts: 9
nyca HB User
Re: prostate biopsy blues

Can you explain why your urologist doesn't want you to go ahead with it.

 
Reply With Quote
Old 04-04-2013, 03:24 PM   #17
Inactive
(male)
 
Join Date: Aug 2010
Posts: 689
Tall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB User
Re: prostate biopsy blues

It's considered unnecessary on a first biopsy -- it's overkill. It's use is reserved for cases of rising PSA when the first or first few biopsies are negative. It increases health care costs for us all, while providing little useful extra data for a first biopsy.

- Allen

 
Reply With Quote
Sponsors Lightbulb
   
Old 04-04-2013, 04:28 PM   #18
Newbie
(male)
 
Join Date: Mar 2013
Posts: 9
nyca HB User
Re: prostate biopsy blues

Allan
Maybe we are talking about two different things. I thought komatta was saying that his urologist doesn't want him going the route of MRI guided biopsy, not a saturation biopsy with many more cores (he quoted 32). He's looking for a regular MRI guided 12-14 core biopsy. Are we talking about two different things?

 
Reply With Quote
Old 04-04-2013, 04:29 PM   #19
Newbie
(male)
 
Join Date: Mar 2013
Posts: 9
nyca HB User
Re: prostate biopsy blues

Allan
Maybe we are talking about two different things. I thought komatta was saying that his urologist doesn't want him going the route of MRI guided biopsy, not a saturation biopsy with many more cores (he quoted 32). He's looking for a regular MRI guided 12-14 core biopsy. Are we talking about two different things?

 
Reply With Quote
Old 04-04-2013, 06:08 PM   #20
Junior Member
(male)
 
Join Date: Apr 2013
Location: West Palm Beach
Posts: 17
komatta HB User
Re: prostate biopsy blues

Basically my urologist said I was undergoing a proven standard (TRUS) for an unproven method (MRI assisted). I undergo an MRI first, than the radiologist will decide how to procede, I believe. I was unsure what to do, but I had to make a decision, and so I opted for the MRI assisted.

 
Reply With Quote
Old 04-04-2013, 08:19 PM   #21
Inactive
(male)
 
Join Date: Aug 2010
Posts: 689
Tall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB UserTall Allen HB User
Re: prostate biopsy blues

Nyca,
Neither an MRI-guided or a saturation biopsy is a standard of care anywhere that I'm aware of on a first biopsy. They are reserved for repeat biopsies when the first comes up with nothing. It's hard for me to see the cost-effectiveness, especially when less than a third of biopsies are positive. I'm sure they're done, just as bone scans on low risk men are done. I personally see them as ways for doctors to pad their bills, and they raise health care costs for us all.

- Allen

 
Reply With Quote
Old 04-06-2013, 02:52 PM   #22
Newbie
(male)
 
Join Date: Mar 2013
Posts: 9
nyca HB User
Re: prostate biopsy blues

Allan
You are correct about this not being the normal first choice for a biopsy in most cases, and that it definitely ups the cost ante. In my case, the mapping biopsy was used because the first biopsy found nothing, and the psa was escalating up quickly. Some of us (maybe all of us) pc folks get sent down many strange paths during our treatment journeys, some of which make no sense to others, but that's the kind of game we're are all playing; the rules are constantly changing on us.

 
Reply With Quote
Old 04-11-2013, 02:29 AM   #23
Junior Member
(male)
 
Join Date: Apr 2013
Location: West Palm Beach
Posts: 17
komatta HB User
Re: prostate biopsy blues

mri should 2 suspicious lesions. Will have an MRI guided biopsy of these areas in 2 hours. Dr. says if negative should continue cipro for another 5 or 6 weeks and then retest. If positive, well, will go from there. Dr. was very personable. Dr. said that one of those lesions would have likely been missed by a standard trus biopsy, but who knows. I asked for a uro recommendation in my area, West palm beach, and he gave me one in ft. lauderdale who he says is very open to new therapies, but when I googled him, the reviews were terrible. So, in the event of a positive reading, I am not sure what urologist to go to. At any rate, one step at a time.

 
Reply With Quote
Old 04-12-2013, 05:03 AM   #24
Junior Member
(male)
 
Join Date: Apr 2013
Location: West Palm Beach
Posts: 17
komatta HB User
Re: prostate biopsy blues

The dr. wound up taking 5 cores, not 2, from the areas that the MRI indicated as suspicious. It wasn't that bad, but not something I would recommend for fun. It was more like being punched in a sensitive area than being stabbed. I didn't have a nerve block, but I took a xanax before, and they rubbed some anesthetic ointment on the area. A tiny bit of bleeding from the backside for a few minutes after. So far, no bloody urine. Now waiting for the results. If they come in tomorrow and are negative, I am on a plane back to Japan. If not, I will postpone my trip again and wait.
Thanks for the info about the cleveland clinic. I will look into that, Jeep Doctor. And the info about the various tests, Jakehannam. I am now trying to find a urologist near me. I actually have 2 names of Docs affiliated with the Cleveland clinic. If tests come back positive, I will probably call one. I need a urologist that will work with the results of the MRI guided biopsy. My previous Urologist was down on it.

 
Reply With Quote
Old 04-12-2013, 08:19 AM   #25
Junior Member
(male)
 
Join Date: Apr 2013
Location: West Palm Beach
Posts: 17
komatta HB User
Re: prostate biopsy blues

Just got a call from the nurse. All results negative. Unbelievable relief. I still have to deal with the issue of quickly rising PSA and low free PSA, but will finish the cipro in 6 weeks (the radiologist who did the mri recommended an 8 week course) and retest. My Mri did indicate both prostatitis, and bph, so one or both might be cause of high psa, prostatitis could cause low free PSA. I am glad that I did the MRI and the targeted biopsy, but I do have a little nagging worry that possibly something might have been missed that would have showed up on a standard 12 core. I think it is my mind playing tricks though. If I had had the standard TRUS, I probably would have had the same misgivings and pondered what the results on an MRI would have been. Anyway, I am able to make my flight tomrrow morning back to Japan where I work, and that is a great relief too. Thanks so much to all of you for your help and support, and best of luck to those who are dealing with Pca.

 
Reply With Quote
Old 04-12-2013, 09:11 AM   #26
Junior Member
(male)
 
Join Date: Mar 2013
Location: Hot Springs, AR
Posts: 21
Speedster356 HB UserSpeedster356 HB User
Re: prostate biopsy blues

Congratulations, Komatta---I know that must be a huge relief. Best of luck clearing up the prostatitis ---should be a simpler deal than handling PC!

I'll be at the Cleveland clinic after about 2 weeks for Brachytherapy. I can't wait for the flight back home!

 
Reply With Quote
Old 04-12-2013, 10:12 AM   #27
Junior Member
(male)
 
Join Date: Apr 2013
Location: West Palm Beach
Posts: 17
komatta HB User
Re: prostate biopsy blues

Thanks so much, Speedster. Best of luck with your procedure, let me know how it goes. You will be in my thoughts. I am packing now to get back home, finally...

 
Reply With Quote
Old 04-12-2013, 10:14 AM   #28
Newbie
(male)
 
Join Date: Mar 2013
Posts: 9
nyca HB User
Re: prostate biopsy blues

I'm very glad that it worked out for you and the negative cores at least will give you some peace of mind. Just keep getting psa read and follow ups. Take care.

 
Reply With Quote
Old 04-12-2013, 12:05 PM   #29
Junior Member
(male)
 
Join Date: Apr 2013
Location: West Palm Beach
Posts: 17
komatta HB User
Re: prostate biopsy blues

Thanks, Nyca. I will follow up PSA and free PSA after the course of cipro. I already have 3 recs for urologists near my home in Japan, and will follow up there. Best of luck.

 
Reply With Quote
Old 04-17-2013, 07:26 PM   #30
Junior Member
(male)
 
Join Date: Aug 2012
Posts: 15
User483 HB User
Re: prostate biopsy blues

Congrats.
I suspect that in men with one previous negative biopsy and an increasing PSA, a prostate MRI and then a a TRUS biopsy will become the standard of care. And US/MRI fusion will likely be used to guide the biopsy. The biopsy scheme will likely involve a combination of sextant and MRI identified areas.

Last edited by User483; 04-17-2013 at 07:28 PM.

 
Reply With Quote
Reply Reply

Tags
prostate, prostate biopsy, prostate biopsy infection



Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Casodex
Cialis
Cipro
Flomax
Levaquin
  Levitra
Morphine
Proscar
Tylenol
Viagra




TOP THANKED CONTRIBUTORS



Tall Allen (174), IADT3since2000 (148), Baptista (97), Gleason9 (28), harpman (27), Johnt1 (22), honda50 (9), tumbleweed (6), flyfisher37 (6), GUAMJOHN (5)

Site Wide Totals

teteri66 (1162), MSJayhawk (992), Apollo123 (890), Titchou (827), janewhite1 (823), Gabriel (757), ladybud (744), sammy64 (666), midwest1 (665), BlueSkies14 (610)



All times are GMT -7. The time now is 04:52 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!