I had it done about 3 weeks ago.
Background: At a work related physical exam, the doctor noted an enlarged prostate for my age, but said his fingers were too short to feel the whole thing and urged me to see my primary doctor to have it checked throughly/referred to urology.
My doctor examined me and had the same opinion, so she ordered PSA and referred me to urology.
PSA was negative. Urologist said sometimes PSA are false negative, but his concern was not the size of prostate; he was concerned about a lump he felt, so he ordered biopsy. He also wanted to probe urethra with a camera to check my bladder, but I declined.
Biopsy day: They had me lay on my left side and curl up as much as I could into a fetal position. They lubed me up and inserted a camera on what had to be an unnecessarily large stick and then began the injections, which they described would be like you'd get for dental work...and each one stung like hell. The doctor wanted to collect 12 samples, but stopped at 6 or 7...I lost count, but they said they got enough to test. The last one was excruciatingly painful and I made it known. Either the anesthetic wore off of there wasn't enough spread out, but I felt every bit of the clipper chopping a piece off, sounding like an electric stapler. The whole procedure was very uncomfortable.
The doctor left and the nurse had me lay there for about 10 minutes, then she had me get up and sit on a towel covered chair for another 10 minutes or so, but she left me alone at that point. An attractive nurse (who wasn't involved in the procedure) then came in and asked me how I was doing, so I told her it felt like my pelvis was on fire and it felt like I was oozing some thing from my penis, so she said, "Let's have a look." I showed her and she said, "It looks good." Then she told me, "When you go home, lay down on your side or stomach as much as possible (to lessen the burning feeling and limit bleeding)." Also, when I stood up to show her my stuff, there was no blood on the towel I was sitting on, so she said that was a good sign because most have lots of bleeding when they first sit after this procedure. She was right, though, the more I was upright, the more everything hurt. Laying on my stomach evened things out pretty well.
Discharge instructions said to drink lots of water because I'd be bleeding from both ends. There were bloody scabs in the urine, one for each staple click. Slightly stinging feeling, but not too much more than you'd get if you're dehydrated and taking a leak. After urinating, there was a bit of bloody dripping.
They said this could last 1 week and that's about what it was, although the burning pelvis feeling lasted a little longer and strangely came and went a few times. Prostate pressure still comes and goes, sometimes painful.
They also said no sexual activity for 2 weeks to allow prostate to heal, and to expect blood in ejaculate for up to 6 weeks. I asked about this and if it would be painful. They told me it would be a feeling of pressure internally. Well, they said that with the anesthesia and sample taker too, but that hurt a lot more than just a little pressure. On follow up, I also asked if blood in ejaculate meant small traces here and there and the doc said, "No, it will be bloody, but it's probably a good idea for you to go ahead and take care of yourself to clean it out." He also said there'd be frequent feelings of pressure and possible burning sensation of the prostate for about 6 weeks after the biopsy.
Has anyone had any problems after going through this procedure? I haven't had any release since about a week before the biopsy. Night time erections and precum, but no blood and no pain...nervous about doing anything to completion, though.
Biopsy results were completely negative; said it's just an enlarged prostate (no more mention of the mysterious lump), but since I'm not complaining about urinary symptoms, there's no treatment necessary, just routine check-up with primary doctor.
Background: At a work related physical exam, the doctor noted an enlarged prostate for my age, but said his fingers were too short to feel the whole thing and urged me to see my primary doctor to have it checked throughly/referred to urology.
My doctor examined me and had the same opinion, so she ordered PSA and referred me to urology.
PSA was negative. Urologist said sometimes PSA are false negative, but his concern was not the size of prostate; he was concerned about a lump he felt, so he ordered biopsy. He also wanted to probe urethra with a camera to check my bladder, but I declined.
Biopsy day: They had me lay on my left side and curl up as much as I could into a fetal position. They lubed me up and inserted a camera on what had to be an unnecessarily large stick and then began the injections, which they described would be like you'd get for dental work...and each one stung like hell. The doctor wanted to collect 12 samples, but stopped at 6 or 7...I lost count, but they said they got enough to test. The last one was excruciatingly painful and I made it known. Either the anesthetic wore off of there wasn't enough spread out, but I felt every bit of the clipper chopping a piece off, sounding like an electric stapler. The whole procedure was very uncomfortable.
The doctor left and the nurse had me lay there for about 10 minutes, then she had me get up and sit on a towel covered chair for another 10 minutes or so, but she left me alone at that point. An attractive nurse (who wasn't involved in the procedure) then came in and asked me how I was doing, so I told her it felt like my pelvis was on fire and it felt like I was oozing some thing from my penis, so she said, "Let's have a look." I showed her and she said, "It looks good." Then she told me, "When you go home, lay down on your side or stomach as much as possible (to lessen the burning feeling and limit bleeding)." Also, when I stood up to show her my stuff, there was no blood on the towel I was sitting on, so she said that was a good sign because most have lots of bleeding when they first sit after this procedure. She was right, though, the more I was upright, the more everything hurt. Laying on my stomach evened things out pretty well.
Discharge instructions said to drink lots of water because I'd be bleeding from both ends. There were bloody scabs in the urine, one for each staple click. Slightly stinging feeling, but not too much more than you'd get if you're dehydrated and taking a leak. After urinating, there was a bit of bloody dripping.
They said this could last 1 week and that's about what it was, although the burning pelvis feeling lasted a little longer and strangely came and went a few times. Prostate pressure still comes and goes, sometimes painful.
They also said no sexual activity for 2 weeks to allow prostate to heal, and to expect blood in ejaculate for up to 6 weeks. I asked about this and if it would be painful. They told me it would be a feeling of pressure internally. Well, they said that with the anesthesia and sample taker too, but that hurt a lot more than just a little pressure. On follow up, I also asked if blood in ejaculate meant small traces here and there and the doc said, "No, it will be bloody, but it's probably a good idea for you to go ahead and take care of yourself to clean it out." He also said there'd be frequent feelings of pressure and possible burning sensation of the prostate for about 6 weeks after the biopsy.
Has anyone had any problems after going through this procedure? I haven't had any release since about a week before the biopsy. Night time erections and precum, but no blood and no pain...nervous about doing anything to completion, though.
Biopsy results were completely negative; said it's just an enlarged prostate (no more mention of the mysterious lump), but since I'm not complaining about urinary symptoms, there's no treatment necessary, just routine check-up with primary doctor.
