Thank you for such a nice explanation. I am a loving wife who is trying to understand what my 48 year old husband will be going through next week. He has a PSA count of 10.7. It was 7.99 3 weeks prior. 3 years ago, it was 2 something. His doctor did a DRE yesterday and said that no nodules were felt, but there was a hardening on one side of his prostate. I am hoping that all is okay and he just has an infection of some sort. For now, I'm comforted that his biopsy should be easier than expected.
Excellent for the patient to understand both choices, especially how many biopsies should be taken & the reason for an antibiotic to be given before or at the very least afterwards.
My husband is having a biopsy in 2 weeks and he asked no questions. Told me it was like a colonoscopy. I am not sure what will happen as he didn't ask those questions. i am going to have him look at this very helpful video. Thank you!
Had biopsy done 8 weeks ago. Will never have it done again. Severe pain when they inserted probe for photos, not too bad after that. Blood everywhere after it was done. Came close to fainting as I left the hospital. Severe pain after I got home took Tylenol which helped a lot. Blood in urine, stool for a couple of days. Blood in semen for 6 weeks. Had no cancer which is good, but, procedure was not a piece of cake which my doctor said it would be. Never again!
Excellent video. I am going for the biopsy in two day and found your video very informative. I will be asking the physician how many samples/needles he is going to use. Everything expressed in your video is exactly what the physician's office has told me so far. Thanks!
Man, 15 years ago and it is still helping men understand this disease. You had said in your video, "It is known that many men have prostate cancer cells and will never have a problem throughout their life without diagnosis or treatment" Would this pertain to men with a psa reading of 4?
I recently had the procedure done...took an antibiotic approximately 1 hr. before the procedure...the doctor inserted the probe ...took pictures of the prostate...and then took 12 needle biopsies...must have taken 15-20 minutes....no problems...very little pain...it was like getting stung with a rubber band...doctor stated I might pass blood in my urine and feces that day and perhaps a little the next day...told me to take it easy when I got home....no problems at all....
I have gotten at least 4 prostate biopsy procedures at the Tucson VA medical center and have not found much except the 1st time. I optioned to go for a radiation theory but the DR/Ph.D. did not carry on. Then I have found they really look in the haystack as the ultrasonic method cannot find problems in the prostate. Now they use MRI to see the problem area. I am scheduling a CT scan AND back in the Salisbury, VA VA, they have the urinary robot-guided water jet to help me with my BPH. Which I have. That seems to be my everyday pain in my lower region.
I am not sure who this physician is, however, I would like to have him for my biopsy. He explained everything in a CLEAR and simple manner. Docots who are that clear and precise in EXPLAINING things are usually just as good at what they do. It seemed to be a fair assessment of what one may expect from the procedure. A cautionary note: a recent (Sept/2011) article describes an increase in complications: i.e. hospitalization rates due infections; the guess: increased resistance to antibiotics.
My biopsy experience did include some initial sharp pain after the numbing injection. Then it gradually lessened but then it felt like being shot in prostate with a pellet gun. I don’t think my urologist waited long enough for the numbing medication to take effect. Can you imagine your dentist giving you numbing injections and then immediately start drilling?
I recently underwent this procedure. I took an antibiotic called Levaquin about an hour before the biopsy. A local anesthetic was administered and 12 tissue samples were taken. The procedure was more annoying than painful. The entire visit took about an hour. I experienced a bit of discomfort over the next several hours which was greatly eased by taking Tylenol. I slept well that night and there was no pain the following day.
@PhilStellar ask your doctor about taking medication to improve your urination for a month such as flomax and then repeat in one month, if still this high a biopsy is needed but make sure the doctor give you an injection of novacaine to minimize or eliminate the discomfort
Sadly, there is a wide range of the practice of medicine. I always gave a lot of detail about how it will be done and what to expect but not everyone does that. One key question to ask is what kind of anesthesia will be used. You want a local injection to reduce the pain and you want an antibiotic given 20-30 minutes before the biopsy.
@ZAPDUNGAA Several questions- First do you know for sure you have a scar because if the symptoms are from a large prostate medication may help you and also lower your PSA. If you do have a scar, that can be treated with a minor procedure and it also could be causing your PSA to rise. Otherwise I think every 3-6 months to check the PSA. Gerald Chodak, MD - Show quoted t
I must have been having mine done about the same time as Scott and I had all of the same ...so I can just say "ditto" to Scotts comment. Hey guys, don't sweat this it is not as bad as it sounds or that you are imagining.
I had a ultrasound biopsy of prostate today - basically my 'fear' of unknown was much worse than actual procedure, not a big deal, like a finger that stays in there a while and pinches occasionally. NOT a big deal, a little burning when peeing day of and after but no big deal .....and I do not have high pain threshold...
@gchodak1 I'll be 32 in a few months. My urine has been visibly red for the past 3 years.Nothing was found with even a cystoscopy.Not even signs of infection but I was given antibiotics anyway (cipro) twice before to no avail.I was told I have prostititis because Im always urinating and perhaps had a busted blood vessle down there that was to risky to repair. The problem is now because of this regular blood loss, I have bad anemia and have to take iron regularly but still always tired.
Dr. Chodak, before one is subjected to a Prostate Biopsy, does the Urologist discuss with the patient how the procedure is expected to go. Is it normal to have no discussion with the pt but a few instructions on 2 sheets of paper telling the pt to read the instructions with a schedule date. Would U have that Urologist do a Biopsy? The Dr. was asked what were his findings after the ultrasound & he says its 'big & hard.' No explanation; would U recommend for another Dr. to do the Biopsy?
I have a relative about to go through the same procedure. What was your experience with this procedure. Can you shed some light on the procedure. I specifically want to know if you were able to walk normally after the procedure. I don't know if my relative would need an escort after the procedure. Doctors say one thing, but I don't know what to expect. Thanking you in advance.
@cpereyra11 I agree completely. It is a crap-shoot. And the doc's know it. They'll just insist you do another and another until they find something. Go figure - you wonder why health care is so expensive?
my father psa is 6.9 and prostate enlargement is 5x4x3.3....is there chance of cancer? and what really need to done? i appreaciate if you give some suggestions...
This video is very informative, i recently had this procedure and it was pretty much as they desribe. I wouldn't say it was painless but i have had worse pain at the dentist. My procedure once they inserted the probe and took the first sample lasted maybe 4 minutes. Just before they start i suggest you ask to go the bathroom on last time just in case. And my test came back negative about 10 days later. Be prepared the first time you ejaculate after the procedure will be a bloody mess.
my father going to have a biopsy perform by tuesday this be the second time he had this did because not being patience the first time I hope make threw this time. My father do not like needle.
@gchodak1 I've seen a total of 7 doctors for this including 3 Urologist and 2 primary care physicians and 2 ER doctors and I have never received any solid answers for this. Most have simply said that I was "to young" to have prostate cancer. So biopsy was never mentioned. I do believe I have prostititis though because I have the symptoms except I have NO PAIN or burning during urination.And its red constantly throughout the whole stream.The blood loss is what really concerns me.
Had a biopsy 12 core about 2.5 days ago. Blood in pee now first thing in the morning but that's it. Had my first ejaculate at 2.5 days and it looked like pure red blood. Not going to worry as I think this will pass. Just didn't expect it to be so bright red as I was told rusty color.
I am just shy of 52 years old and have a 5.1 PSA. I have been having some slow streaming in urination with a slight burning. My doctor wants to take 12 samples from my prostate. I am chicken and have a VERY low threshold for pain. If I call YOU in your office can you do the biopsy over the phone if I hold my cell phone near my rectum? (OK, that last part was a joke but the rest is for real - HELP !)
..what this video does not say is that you'll have blood in your semen for about two months,I had the biopsy done and let me tell you it's like having a menstrual cycle when you ejaculate.
This is a joke. They don't tell you that this procedure is teh procedure from HELL. They don't tell you how your body will be positio0ned in the most ridiculous way, etc. They don't tell you about the enormous pain and to say that it is mostly painless is a huge lie !!!
I went through the biopsy procedure and the FUCKING Dr NEVER gave me anything to numb me down even though he swore he would. I was SCREAMING in pain on the table after 20 pieces of my prostate were ripped out. HORRIBLE. My Gleason score was a 9 tho' so out came the prostate gland. I went the Robotic route for surgery. My doctor left his practice right after my surgery and moved to California. I'm only 48 yrs old too. And nerve sparing? Ha. NO feeling, erection, NOTHING. At least I'm alive.
American Cancer Society's position regarding early detection is "Research has not yet proven that the potential benefits of testing outweigh the harms of testing and treatment. The American Cancer Society believes that men should not be tested without learning about what we know and don’t know about the risks and possible benefits of testing and treatment.
Thank you for such a nice explanation. I am a loving wife who is trying to understand what my 48 year old husband will be going through next week. He has a PSA count of 10.7. It was 7.99 3 weeks prior. 3 years ago, it was 2 something. His doctor did a DRE yesterday and said that no nodules were felt, but there was a hardening on one side of his prostate. I am hoping that all is okay and he just has an infection of some sort. For now, I'm comforted that his biopsy should be easier than expected.
Excellent for the patient to understand both choices, especially how many biopsies should be taken & the reason for an antibiotic to be given before or at the very least afterwards.
My husband is having a biopsy in 2 weeks and he asked no questions. Told me it was like a colonoscopy. I am not sure what will happen as he didn't ask those questions. i am going to have him look at this very helpful video. Thank you!
Had biopsy done 8 weeks ago. Will never have it done again. Severe pain when they inserted probe for photos, not too bad after that. Blood everywhere after it was done. Came close to fainting as I left the hospital. Severe pain after I got home took Tylenol which helped a lot. Blood in urine, stool for a couple of days. Blood in semen for 6 weeks. Had no cancer which is good, but, procedure was not a piece of cake which my doctor said it would be. Never again!
You hope !!
I had the same experience as John.
Excellent video. I am going for the biopsy in two day and found your video very informative. I will be asking the physician how many samples/needles he is going to use. Everything expressed in your video is exactly what the physician's office has told me so far. Thanks!
Man, 15 years ago and it is still helping men understand this disease. You had said in your video, "It is known that many men have prostate cancer cells and will never have a problem throughout their life without diagnosis or treatment"
Would this pertain to men with a psa reading of 4?
I recently had the procedure done...took an antibiotic approximately 1 hr. before the procedure...the doctor inserted the probe ...took pictures of the prostate...and then took 12 needle biopsies...must have taken 15-20 minutes....no problems...very little pain...it was like getting stung with a rubber band...doctor stated I might pass blood in my urine and feces that day and perhaps a little the next day...told me to take it easy when I got home....no problems at all....
Thank you for posting this video. I am expecting this procedure in the next few weeks and it is always helpful to know what will be happening.
I have gotten at least 4 prostate biopsy procedures at the Tucson VA medical center and have not found much except the 1st time. I optioned to go for a radiation theory but the DR/Ph.D. did not carry on. Then I have found they really look in the haystack as the ultrasonic method cannot find problems in the prostate. Now they use MRI to see the problem area. I am scheduling a CT scan AND back in the Salisbury, VA VA, they have the urinary robot-guided water jet to help me with my BPH. Which I have. That seems to be my everyday pain in my lower region.
I am not sure who this physician is, however, I would like to have him for my biopsy. He explained everything in a CLEAR and simple manner. Docots who are that clear and precise in EXPLAINING things are usually just as good at what they do. It seemed to be a fair assessment of what one may expect from the procedure. A cautionary note: a recent (Sept/2011) article describes an increase in complications: i.e. hospitalization rates due infections; the guess: increased resistance to antibiotics.
Very good advise, will follow you again.
My biopsy experience did include some initial sharp pain after the numbing injection. Then it gradually lessened but then it felt like being shot in prostate with a pellet gun. I don’t think my urologist waited long enough for the numbing medication to take effect. Can you imagine your dentist giving you numbing injections and then immediately start drilling?
Very informative, thank you very much!!!
I recently underwent this procedure. I took an antibiotic called Levaquin about an hour before the biopsy. A local anesthetic was administered and 12 tissue samples were taken. The procedure was more annoying than painful. The entire visit took about an hour. I experienced a bit of discomfort over the next several hours which was greatly eased by taking Tylenol. I slept well that night and there was no pain the following day.
@PhilStellar ask your doctor about taking medication to improve your urination for a month such as flomax and then repeat in one month, if still this high a biopsy is needed but make sure the doctor give you an injection of novacaine to minimize or eliminate the discomfort
Highly informative and commendable work Dr Chodak
I just want had one done yesterday in the took 12 biopsies and I got my medication in its been over 24 hours now and a little sore
Sadly, there is a wide range of the practice of medicine. I always gave a lot of detail about how it will be done and what to expect but not everyone does that. One key question to ask is what kind of anesthesia will be used. You want a local injection to reduce the pain and you want an antibiotic given 20-30 minutes before the biopsy.
@ZAPDUNGAA Several questions- First do you know for sure you have a scar because if the symptoms are from a large prostate medication may help you and also lower your PSA. If you do have a scar, that can be treated with a minor procedure and it also could be causing your PSA to rise. Otherwise I think every 3-6 months to check the PSA.
Gerald Chodak, MD
- Show quoted t
this is good must see
I must have been having mine done about the same time as Scott and I had all of the same ...so I can just say "ditto" to Scotts comment. Hey guys, don't sweat this it is not as bad as it sounds or that you are imagining.
I had a ultrasound biopsy of prostate today - basically my 'fear' of unknown was much worse than actual procedure, not a big deal, like a finger that stays in there a while and pinches occasionally. NOT a big deal, a little burning when peeing day of and after but no big deal .....and I do not have high pain threshold...
Discomfort for 10 or more minutes the numbing shots are worse
@@charlesblumenstock9160 what numbing shots? I didnt get any.
@gchodak1 I'll be 32 in a few months. My urine has been visibly red for the past 3 years.Nothing was found with even a cystoscopy.Not even signs of infection but I was given antibiotics anyway (cipro) twice before to no avail.I was told I have prostititis because Im always urinating and perhaps had a busted blood vessle down there that was to risky to repair. The problem is now because of this regular blood loss, I have bad anemia and have to take iron regularly but still always tired.
Maybe if you do an MRI first which you’re probably gonna do afterwards, you will know where to put the needle
Dr. Chodak, before one is subjected to a Prostate Biopsy, does the Urologist discuss with the patient how the procedure is expected to go. Is it normal to have no discussion with the pt but a few instructions on 2 sheets of paper telling the pt to read the instructions with a schedule date. Would U have that Urologist do a Biopsy? The Dr. was asked what were his findings after the ultrasound & he says its 'big & hard.' No explanation; would U recommend for another Dr. to do the Biopsy?
Did you have a good anesthetic??
Dr., after a Biopsy procedure, would the patient be able to walk normally or would the patient need an escort. Thanks.
@yabangulum the odds of having cancer are about 25% unless he has urinary complaints so a biopsy might be needed
I have a relative about to go through the same procedure. What was your experience with this procedure. Can you shed some light on the procedure. I specifically want to know if you were able to walk normally after the procedure. I don't know if my relative would need an escort after the procedure. Doctors say one thing, but I don't know what to expect. Thanking you in advance.
Thank you for replying. I like your deportment already. Where are you based.
@cpereyra11 I agree completely. It is a crap-shoot. And the doc's know it. They'll just insist you do another and another until they find something. Go figure - you wonder why health care is so expensive?
I had the biopsy last Monday and didn't run across the videos until this morning. Nevertheless, they were interesting.
my father psa is 6.9 and prostate enlargement is 5x4x3.3....is there chance of cancer? and what really need to done? i appreaciate if you give some suggestions...
Im allergic to most antbiotics and cipro and levaquen make me insane. I have blood in my urines, all bladder and kidney test negative.What do I do?
@RealityHurts923 Are there no antibiotics that can be taken? Is the urine visible or just seen under the microscope. HOw old are you?
This video is very informative, i recently had this procedure and it was pretty much as they desribe. I wouldn't say it was painless but i have had worse pain at the dentist. My procedure once they inserted the probe and took the first sample lasted maybe 4 minutes. Just before they start i suggest you ask to go the bathroom on last time just in case. And my test came back negative about 10 days later. Be prepared the first time you ejaculate after the procedure will be a bloody mess.
Now about the antibiotic. Why is 500mg recommended to patients. That dosage is a bit high.
my father going to have a biopsy perform by tuesday this be the second time he had this did because not being patience the first time I hope make threw this time. My father do not like needle.
Notice how few videos of the actual process are posted. It's pretty gruesome and pt's are given amnesiacs so they can't tell anyone how what happened.
@gchodak1 I've seen a total of 7 doctors for this including 3 Urologist and 2 primary care physicians and 2 ER doctors and I have never received any solid answers for this. Most have simply said that I was "to young" to have prostate cancer. So biopsy was never mentioned. I do believe I have prostititis though because I have the symptoms except I have NO PAIN or burning during urination.And its red constantly throughout the whole stream.The blood loss is what really concerns me.
I was not ready for the amount of blood that would be released immediately after the procedure. No pain but Something to be prepared for.
You did not get the anesthesia recommended in my video!!
Did you see the video before or after having the biopsy and did you find the information helpful?
Thanks for your feedback, if you want to see other videos please let me know. I will be adding videos on a regular basis
There should be no problem getting up and walking after the procedure is over
I just got the bad news! It's a good life if ya don't weaken!
I'm demanding the biopsy!
Had a biopsy 12 core about 2.5 days ago. Blood in pee now first thing in the morning but that's it. Had my first ejaculate at 2.5 days and it looked like pure red blood. Not going to worry as I think this will pass. Just didn't expect it to be so bright red as I was told rusty color.
Agonizing pain don’t let them kid you on be prepared to cry
I am just shy of 52 years old and have a 5.1 PSA. I have been having some slow streaming in urination with a slight burning. My doctor wants to take 12 samples from my prostate. I am chicken and have a VERY low threshold for pain. If I call YOU in your office can you do the biopsy over the phone if I hold my cell phone near my rectum? (OK, that last part was a joke but the rest is for real - HELP !)
..what this video does not say is that you'll have blood in your semen for about two months,I had the biopsy done and let me tell you it's like having a menstrual cycle when you ejaculate.
YOu can reach me for consultations through my website which you can find by searching on prostate videos.
you are welcome, yes it is like finding a needle in a haystack but it is still pretty good, hopefully yours will be negative
Don't even think about going through with this without sedation. The pain is excruciating
if you dont get a good result, let me know and i can direct you to the right videos and maybe the right place to get a treatment
They should have a slimmer version of those probes for us virgins.
This is a joke. They don't tell you that this procedure is teh procedure from HELL. They don't tell you how your body will be positio0ned in the most ridiculous way, etc. They don't tell you about the enormous pain and to say that it is mostly painless is a huge lie !!!
I went through the biopsy procedure and the FUCKING Dr NEVER gave me anything to numb me down even though he swore he would. I was SCREAMING in pain on the table after 20 pieces of my prostate were ripped out. HORRIBLE. My Gleason score was a 9 tho' so out came the prostate gland. I went the Robotic route for surgery. My doctor left his practice right after my surgery and moved to California. I'm only 48 yrs old too. And nerve sparing? Ha. NO feeling, erection, NOTHING. At least I'm alive.
My husband had this biopsy 5 days ago and I was totally freaked out when I saw all of the blood the first time we made love. Has anyone else had this?
@RealityHurts923 Your problem is certainly unusual but have you seen a nephrologist/urologist. Clearly a more comprehensive evaluation is needed
I know what to expect nothing. Became Id never have any of these
American Cancer Society's position regarding early detection is "Research has not yet proven that the potential benefits of testing outweigh the harms of testing and treatment. The American Cancer Society believes that men should not be tested without learning about what we know and don’t know about the risks and possible benefits of testing and treatment.
I do not think a biopsy is appropriate