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Prostate biopsy procedure explained by urologist

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Doctor Eric

Doctor Eric

Күн бұрын

If you or a loved one has an upcoming prostate biopsy or may need one, this video will help you understand what the procedure is, why it's done, and how it's done. You'll know what to expect before, during, and after the procedure.
Dr. Eric Tygenhof is a board-certified expert urologist specializing in general urology, with a particular emphasis in stone disease and robotic surgery. He practices in Fullerton, California as a partner at Southland Urology. He is also a Fellow of the American College of Surgeons.
Website: erictygenhofmd...
Request an appointment: intakeq.com/ne...

Пікірлер: 247
@jnick303
@jnick303 2 жыл бұрын
I had a prostate biopsy in my doctors office in the mid eighties. I had no numbing as you state. It was the most painful experience I have ever endured. I pissed out blood and ejaculated blood for almost a month. I came down with a urinary infection and was given an antibiotic. After all that the test came back normal. I see now its much less barbaric than when i had mine.
@daniella8400
@daniella8400 11 ай бұрын
A lot of men now a days are bi sexual so that’s another reason it doesn’t bother them as much
@Beatleboy
@Beatleboy 11 ай бұрын
had it last week, not fun
@suriyai.4860
@suriyai.4860 10 ай бұрын
Ok why then done this , if there is non ?!
@19530ashland
@19530ashland 7 ай бұрын
Same here and I read all these comments about it being painless,how can a dildo shoved up a virginal arse be painless
@msxpert4701
@msxpert4701 4 ай бұрын
I am so glad you guys have the appropriate care around this procedure. You deserve this amount of pain reduction and I wish anyone going through this a very speedy recovery. I went for a biopsy procedure for uterine cancer last year. I was given no numbing agent, gas or injection. I had a large speculum inserted into my vagina and opened several inches wide. The doctor then proceeded to push through a cylindrical blade (roughly 3/4 of an inch long) through my cervix into my uterus. He then gave me permission to swear and told me this would hurt. Using that cylinder he removed that tissue from inside of me by dragging it blade first, taking parts of my cervix with it because how else would you be able to remove it. I was then handed a pad and told to drive myself home. I bled heavily for over a week. I’m so upset we don’t get the same care with our procedure. It was barbaric.
@rehellman
@rehellman 2 жыл бұрын
Having the procedure this week and found this clarifying and reassuring. I wish all urologists would recommend this to their patients. Thank you.
@jaymorgan.
@jaymorgan. 2 жыл бұрын
How long did this take and did you have to take off work?
@triciawallace9912
@triciawallace9912 2 жыл бұрын
Thank you Doctor! This put my mind at ease about what my husband went through today! I appreciate it very much!
@davidwhelan4803
@davidwhelan4803 2 жыл бұрын
Hi Dr Eric, I’ve watched a number of your videos and think you’re an excellent teacher. Your explanations are calmly put across in good and easy to understand detail.
@sincitysteve2009
@sincitysteve2009 2 жыл бұрын
I had this procedure done on Friday, December 17th, 2021. I was the first procedure of that day. Arrived @ hospital Same Day Surgery at 6:30am and was released at 10am. I was terrified but it went well with almost no pain. I was twilight sedated. The only after surgery issues were blood in my urine and my sperm for about 3 weeks. There was no pain.
@mikesecondo2254
@mikesecondo2254 2 жыл бұрын
Wow....sedated... you got the royal treatment.mine was at 2.30 pm...no sedation was back in my car at 3.30 on the way home...piece of cake!!
@mikesecondo2254
@mikesecondo2254 2 жыл бұрын
3+3 6 Gleason
@tomflynn2912
@tomflynn2912 2 жыл бұрын
@@mikesecondo2254 Mike, I'm not getting the option of sedation either. My doc said I'm getting a shot of lidocaine that will sting for about 10 seconds. Is that what happened with you? Does it sting bad?
@mikesecondo2254
@mikesecondo2254 2 жыл бұрын
@@tomflynn2912 the lidocaine is injected into the prostate thru the tube which is in your rectum.it only pinches for about 2 seconds.
@fluentcashflow2234
@fluentcashflow2234 Жыл бұрын
How did it go???
@lincolnsamuels9322
@lincolnsamuels9322 2 жыл бұрын
Very well explained, I'm having mine done this week, after watching this I'm not worried anymore and is more relaxed. Thanks Doc.
@ebayerr
@ebayerr Жыл бұрын
Lincoln Samuels: Was your biopsy performed much like he stated in the video? And how did you feel afterwards? What were your results?
@pyagmai
@pyagmai Жыл бұрын
Thank you for answering so many of my questions without me asking them. I feel better now.
@tobyihli9470
@tobyihli9470 3 жыл бұрын
Thank you. I thought it was supposed to be relatively painless, but I just lived through a nightmare and I knew the doctor had screwed up. I had a biopsy done, and it was the worst pain I’ve ever felt. I told the doctor that he had done something wrong, and he argued with me and tried to convince me that it was supposed to be painful. I couldn’t bring myself to look at him or to speak to him.
@gmoney9068
@gmoney9068 2 жыл бұрын
It sounds like you got hosed. When mine was done there was minimal pain, if any at all.
@tobyihli9470
@tobyihli9470 2 жыл бұрын
@@gmoney9068 yeah, he probably didn’t hit the nerve with the blocking anesthetic. For all I know, the preparing nurse filled the syringe with sterilized water instead of pain killer.
@catfish24
@catfish24 2 жыл бұрын
I would have done a dam biopsy on that dam so called doctor. They should have put you to sleep in the hospital and done this procedure you would have not felt a thing that way. What's wrong with these stupid doctors.
@deansdogs30
@deansdogs30 Жыл бұрын
My pain today was that bad I passed out after shouting a lot of swear words and lots of screams I waiting now for an appointment to be put to sleep for this procedure im covered in tattoos boxed all my life and ive never in my life felt pain like this 🙃
@mattthomson1689
@mattthomson1689 3 жыл бұрын
A crystal clear explanation, staying focused on the procedure used for obtaining material for confirming or ruling out PCa. Apparently the biopsy precedes MRI, useful for comprehensive focusing of radiation treatment when indicated, rather than trying to use MRI for early detection. Glad to have medical team involvement instead of only one or two physicians.
@RaxOldies
@RaxOldies 6 ай бұрын
I had the MRI recently...better for me to let oncologist or urologist to see where there might be a problem rather than random "grid" biopsy...just my opinion, and cost effective also.
@b.vonschnauser207
@b.vonschnauser207 6 ай бұрын
Now that I've watched this video I'm dreading this procedure next week even more.... All the same, it's an informative video.
@theoriginalDaveC
@theoriginalDaveC 3 жыл бұрын
Excellent. Very nice presentation. Certainly helped me relax a little ahead of my procedure, particularly the part around hearing from an expert how a biopsy does not cause cancer (I'd read something somewhere about how pulling samples from the prostate could 'release' cancerous cells into the body)... Thank you!
@firebearva
@firebearva 6 ай бұрын
My first urologist performed two biopsies taking 12 core samples on the first and 16 core samples on the second biopsy both were done without benefit of nitrous oxide or numbing. After the second biopsy, I developed an infection and went septic spent over a week in the hospital. Needless to say I found a new urologist.
@GregSr
@GregSr Жыл бұрын
This doctor explains EXACTLY how my biopsy went. I had this procedure done yesterday at the VA Loma Linda. I was very nervous about it to say the least - causing high anxiety. I was so nervous (afraid), I took an unauthorized Xanax one hour before just to keep my blood pressure from going too high. The doctor was very good and explained every step as she was doing it. My conclusions: Not nearly as bad as I imagined. Uncomfortable? Yes. Painful? No. The whole procedure took less than 10 minutes. She took 16 very targeted samples from my prostate. Lab results are pending.
@infledermaus
@infledermaus 11 ай бұрын
I'm picking up some resin and getting baked before mine in October. I've seen some horror stories on here. Laying on a table with my ass hanging out and getting butt fucked with an ultrasound probe is bad enough, but having a big needle jammed repeatedly into my prostate just sounds so unpleasant! Ahhhhh!
@BMT-by5ve
@BMT-by5ve 7 ай бұрын
Did the VA offer laughing gas before the biopsy?
@24hourgmtchannel64
@24hourgmtchannel64 3 жыл бұрын
Age 55 with a 3.97 PSA which is up about 1.5 from three years ago and just got my 3T MP MRI results today. The report shows enlargement which was felt on the DRE and "1. no lesion of at least mild suspicion" but the Doc still wants to do a biopsy which is a bit perplexing. After doing some further research, it seems even radiologist are split on the need for follow up biopsy due to the small percentage that may be missed by the reading doctor. I looked up who did mine and he is 8 years out of med school. This is all a bit disappointing as I payed for the MRI to be done first in hopes that if negative findings were produced, it would avoid the 12 point ultrasound guided biopsy but I now get why a biopsy should still be performed.
@robertmonroe3678
@robertmonroe3678 2 жыл бұрын
My doc seems to believe the standard action with an elevated PSA is now an MRI and then a fusion biopsy (basically aiming some of the needles at any suspicious areas identified by MRI). In my doc’s estimation, the MRI does not preclude the biopsy but might help guide it (if anything suspicious is noted). Since an MRI does precisely measure the prostate (useful in PSA density calculations) and pretty good at spotting suspicious areas the hope is it’ll replace certain biopsies on certain occasions.
@davidmccall4776
@davidmccall4776 2 ай бұрын
I wish you were practicing on the east coast! I'd call immediately for an appointment if you were. Thanks for this very informative and reassuring video; your patience are blessed to have you!
@alfredobaysa5122
@alfredobaysa5122 3 жыл бұрын
Thanks for the Info. Very enlightening. I’d replay it several times .
@billybob23232389
@billybob23232389 Ай бұрын
Just had one yesterday after trying to avoid it for a year or so. Was nervous in anticipation but charged ahead like a trooper. It’s really not that bad at all. Don’t avoid it. You’ll be fine.
@richard69024
@richard69024 3 жыл бұрын
Great video I wasn't sure what to expect. I've been through alot of pain and surgery s. The doctor tells you and explains it just the way you described it. Thank you
@Pete970
@Pete970 2 жыл бұрын
Very calming during an over anxious time. Thank you
@rostamr4096
@rostamr4096 2 жыл бұрын
I am going to do the biopsy next week, and this video helped me a lot. Thank you
@purrungas2012
@purrungas2012 2 жыл бұрын
Any updates friend? Thanks
@rostamr4096
@rostamr4096 2 жыл бұрын
@@purrungas2012 Yes, The biopsy went well. The doctor took 12 samples and the results came in a few days ago, all are benign. I had some blood in my semen for a few days and no infection. All is good
@barney42goldie48
@barney42goldie48 3 жыл бұрын
Thank you for the video. Need to have the procedure following mri scan. Your detailed explanation has been very reassuring.
@ltmapua13
@ltmapua13 2 жыл бұрын
Very well explained, thank you Doctor Eric. My biopsy is in a few days, hoping for the best.
@femiromiluyi5690
@femiromiluyi5690 Жыл бұрын
Excellent overview of the procedure. Thanks for sharing.
@nonsoifeadigo8785
@nonsoifeadigo8785 3 жыл бұрын
I appreciate your sincere awareness. It is very helpful since I'll be having this procedure next week.
@robertheinkel6225
@robertheinkel6225 11 ай бұрын
My biopsy was also done transrectal. The nurse did all the prep, along with giving the numbing agent. The first thing that told me the biopsy was in progress, was the sound of the gun. 12 samples taken with zero pain. Unfortunately, the biopsy came back positive, Gleason score of seven, and I had my prostrate removed. Like most procedures, the person who does the numbing injection, makes all the difference
@laquetaharper531
@laquetaharper531 Жыл бұрын
Great video to help calm and understand some of what will take place...thank you!!!
@PAHighlander24
@PAHighlander24 3 ай бұрын
I had one 11 years ago. No enema, no antibiotics, no local anesthesia, no instructions to stop taking my blood thinners. Yeast there was some pain each time there was a snip, but it wasn’t all that severe. No regrets
@mackmize8046
@mackmize8046 3 жыл бұрын
Very well spoken and direct thank you very much I appreciate the information. I will be going to the VA and a lot calmer.
@gr8ride411
@gr8ride411 2 жыл бұрын
Thank you for your informative video, it has eased my anxiety for this procedure which I’ll undergo next week. 👍🏽
@td149ers
@td149ers 2 жыл бұрын
Thanks Dr Eric, You explained it well and put me a little more at ease for my upcoming appt
@vernonbell9125
@vernonbell9125 3 жыл бұрын
This information was very useful as I prepare for the procedure.
@ungmd21
@ungmd21 2 ай бұрын
I am a family physician and I cannot see why anesthesia is not administered routinely during prostate biopsy. It is one of the most painful and invasive procedures ever devised by doctors. Colonoscopies are almost always under anesthesia, why not prostate biopsy?
@jackmeyhoffer5107
@jackmeyhoffer5107 2 жыл бұрын
I had a prostate biopsy a couple of years ago. The doctor gave me a couple of shots to numb the area and there was no pain. Don’t stress out about this. It’s not that big a deal.
@jfinchPC12
@jfinchPC12 2 жыл бұрын
Thanks Jack
@19530ashland
@19530ashland Жыл бұрын
How can you possibly say that they have to cut through tube to get to prostate it was agony.Also high number of infections with this procedure and 3% of hospital admissions with this infection die.
@jackmeyhoffer5107
@jackmeyhoffer5107 Жыл бұрын
@@19530ashland What are you babbling about?
@robertheinkel6225
@robertheinkel6225 Жыл бұрын
The transrectal procedure is very painless, since there are no external punctures. I was expecting the worst, and was surprised at the lack of pain. Some pressure and tingling, but nothing more. Proper placement of the local is important.
@cristina2073
@cristina2073 Жыл бұрын
My husband had one yesterday. He was knocked out. He was sore though
@danielfosu2183
@danielfosu2183 7 ай бұрын
I done it yesterday 16/01/24 it takes me about 25 minutes thanks Dr
@janetw9430
@janetw9430 Жыл бұрын
All doctors should have this procedure done on themselves first before telling how 'easy' it is.
@davidt1460
@davidt1460 2 жыл бұрын
Very calming, thank you for such a great presentation.
@RDEMASI25
@RDEMASI25 2 жыл бұрын
Hello Dr Eric as you explained the Prostate Biopsy procedure it was very similar to my biopsy I had two days ago 5/25/22 however I was on my back with my legs spread apart and my feet resting on stirrups. Still seeing blood in my urine and I’m taking an antibiotic.Feel tired and the doctor said no exercise for three days.Also this targeted prostate biopsy is 35% accurate. I’m assuming We will continue to check my PSA which has moved from 4-7. My big question is what is the best drug that will allow me to pee better.I was getting up 4-6 times a night.Had tried Flowmax and I did like the side affects I was tired and my head was not all there as if in a daze. Thank You Ralph Demasi
@thenpeterthen
@thenpeterthen 3 жыл бұрын
Excellent explanation and easy to follow. Thanks so much!
@Ted783
@Ted783 2 жыл бұрын
Excellent explanation. Thanks, Doctor!
@soilmanted
@soilmanted Жыл бұрын
I had a prostate biopsy. The urologist did 2 injections of anesthetic, one on each one side of my prostate, he said, but in my case it did not feel at all similar to the injections that I get when a dentist needs to do a painful procedure. It hurt much much more. Cutting deep into a tooth to cut out a large and deep carious lesion, which involves is cutting close to the tooth's pulp, or is doing endodontia, root canal treatment, both would be very painful without a local anesthetic. Worse than the worst toothache. But I've never had severe pain from a dentist's injection of anesthetic. Some particularly skillful dentists manage to get that needle in without causing any pain at all. However I can't say the same thing for the urologist who did my biopsy. Those 2 injection were each very very painful. Fortunately the pain lasted for only a few seconds. Maybe about 10 seconds. However the 12 biopsy cores that he took were absolutely painless. I felt them, and heard a loud noise from tool that shoved the needle into my prostate. but there was no pain. I've had hernia surgery with just a local anesthetic. Only mild pain from the needles. Just a slight sting from about 6 needles. I don't know why the pain from being anesthesised for a prostate biopsy much worse, but it was. It was on a whole other level. Also, I quit taking aspirin more than a week before the procedure, but I lost a lot of blood. There was blood all over the table, and the pad under me was not sufficient to absorb it all. It was dripping onto the floor. The gave me pull-on adult diapers to absorb the blood. One diaper did not hold all the blood. I had to change it after about 1.5 hours, and then change the second diaper too. They said the blood loss was not enough to require a transfusion. But I had to sign an agreement before the procedure, saying I agreed to a transfusion should it become necessary so that gave me the idea that sometimes the blood loss is more than what I had, and requires a transfusion.
@thomasstewart655
@thomasstewart655 4 ай бұрын
That's scary
@soilmanted
@soilmanted 4 ай бұрын
@@thomasstewart655 I didn't find it scary, just painful. If I was able to go back in time and do a _do-over,_ I would skip having a biopsy. I knew I had prostate cancer. It was a waste of time. After doing his finger-in-the-rectum exam my primary care physician said he felt a "nodule" in my prostate. Like 4 mm in diameter if I recall correctly. Went to a urologist, he felt the same thing. Does anything else but prostate cancer cause a nodule? I don't think so. Prostatitis does not cause a nodule. Prostatic hypertrophy does not cause a nodule. Only cancer causes a nodule.
@whatsgoingon8020
@whatsgoingon8020 Жыл бұрын
Just had this done today. You have explained it excellently. I am experiencing a lot of pain still and hope it passes by tomorrow as it’s not bearable without Tylenol and even then can still feel it.
@catfish24
@catfish24 Жыл бұрын
All you got was Tylenol they should have given you something stronger.
@whatsgoingon8020
@whatsgoingon8020 Жыл бұрын
@@catfish24 thank you . They didn’t give me anything I went to the store right after to get Tylenol. Feel better now but still some lingering pain and trouble with bowel movements. But all in all better. Now just waiting for results. Again you did a great job explaining it and with such professionalism.
@BigPigPeaches3
@BigPigPeaches3 Жыл бұрын
Very helpful. Clear, concise and reassuring.
@terencesaw2923
@terencesaw2923 2 жыл бұрын
Doctor, your explanation was excellently done and was well received with clarity. I need further clarifications if you could help me. I had my prostate biopsy done about 8 months ago. I had blood in my urine, stools and semen just like you have explained very clearly. Blood in my stool stopped within few days and blood in my urine lasted more than 10 days and stopped. However, blood in my semen lasted more than 6 months and finally stopped and being advised in one of your group chats. That's all done and forgotten. My other problem started as quite unnoticeable but has now become unbearable. It's pains and itchiness at my anis and its surrounding area. After my biopsy where it was done under "local" that almost took my life, I had pains at my anus and thought it would go away in a few days. The pains and itchiness became more intense over time and now after 8 months and after seeing few doctors and taking various medications and applying more than 7 different type of creams my anus hurts more and the itchiness continues. The pains are sharp and painful. I would be grateful if doctor could advise me what to do or which specialist that I should consult? thank you
@billmarks3077
@billmarks3077 Жыл бұрын
Great video to ease my anxiety of the procedure.
@donpreston3796
@donpreston3796 Жыл бұрын
Thank you, I feel better now. I've got to have one this coming Friday. My prostate is enlarged, my sex drive is down. I can't get an erection. I don't know what it could be. I hope it's not cancer. Thank You for the video
@chnalvr
@chnalvr 3 жыл бұрын
I wish my urologist had offered me nitrous oxide. I clearly remember the surprising and sudden internal injection of local anesthetic. Then, no more pain. What surprised me was when the nurse handed me a bag of menstrual pads which I did indeed need to use for a few days. The first few red, bloody ejaculations are really something to mentally prepare for too!
@paulsdrc
@paulsdrc 2 жыл бұрын
I’ve had two, the shots did nothing. Extremely painful, two friends also had them and said the same thing, sedation is highly recommended.
@fluentcashflow2234
@fluentcashflow2234 Жыл бұрын
1-10 pain scale?!!
@paulsdrc
@paulsdrc Жыл бұрын
@@fluentcashflow2234 Probably a 6, 19 times…
@roberthernandez7538
@roberthernandez7538 3 жыл бұрын
Very informative and not so stressed out any more. Thank you...
@q95oldies57
@q95oldies57 Жыл бұрын
Good video Doc. Thanks. Age here 68, I have a biopsy this week. A bit nervous. Never really had anything medical to undergo.
@stevewassall7627
@stevewassall7627 6 ай бұрын
I've just been booked for a prostate biospy and although I know the proceedure will be fine this video has put my mind more at ease. Thank you.
@blakeposter7496
@blakeposter7496 2 жыл бұрын
I had mri which showed an area of concern and they want to do a biopsy sched in 2 weeks. I asked how many cores they said 14 and I asked well will they focus on the suspicious area and was told only 1 core will be taken in the suspicious area does that sound right. I had this done 12 years ago without mri and was told back then there was nothing found
@docM1
@docM1 Ай бұрын
Hi Dr Eric, I am a retired family doctor from UK. I found your video very informative and helpful. I had ultrasound guided trans perineal under local anaesthetic at our local hospital. I have a question, while taking biopsies, it made a clicking noise. Do they cauterise the area through the biopsy needle. The sound was very similar to cauterisation of bleeders during surgery which I attended during our training days. Thanks for the good work. Best wishes. Dr Mishra.
@billbuffington3037
@billbuffington3037 2 жыл бұрын
I'm not worried about the procedure, but I do have concern about self-administering the enema. Doing that myself, how will I know if I did it completely and properly?
@dougg1075
@dougg1075 2 жыл бұрын
Man I’m nervous about having this done.
@thomasstewart655
@thomasstewart655 4 ай бұрын
Yeah me to
@Wunderpus-photogenicus
@Wunderpus-photogenicus Жыл бұрын
Can the patient demand general anesthesia for the biopsy procedure?
@anthonycook4297
@anthonycook4297 2 ай бұрын
Very informative. Thank you 🙌🏽
@cavbusiness4
@cavbusiness4 2 жыл бұрын
Thank you!!! I go in for my procedure in a week. 😬
@mrofnocnon
@mrofnocnon Ай бұрын
Thank you.
@mansuetobadionurbangardene1748
@mansuetobadionurbangardene1748 2 жыл бұрын
Thanks Doc for enlightening us, to be biopsied. Love and kisses from the Philippines ❤️🇵🇭.
@MarkSmith-js2pu
@MarkSmith-js2pu 2 жыл бұрын
Thanks Doc., you just described my upcoming Monday morning 😀
@FredQuann-vs1qh
@FredQuann-vs1qh Ай бұрын
Does your procedure involve going thru rectal wall? My last bio used this method and it almost killed me. I was in the hospital for 3 weeks. Thanks for your info.
@philzeredwards4842
@philzeredwards4842 2 жыл бұрын
Thank you, Dr. Eric!
@DavidHalChester
@DavidHalChester 2 жыл бұрын
Thank you for this!
@cybermuff
@cybermuff 2 ай бұрын
Had a 14 core stab. No real pain. The doctor said I had a very large prostate. Bleeding was nearly nonexistent. For a week i did have an infection odor in the perine area. Suspect a minor infection. All cores were nothing but benign tissue. Will follow up annually with test. Do not pass up this procedure ...... it's the best first step in isolating a problem and is not painful.
@brianwhitaker5288
@brianwhitaker5288 Күн бұрын
I’m petrified . My exam is in two days
@jeffreywaldman8032
@jeffreywaldman8032 2 жыл бұрын
My PSA is 1.32. Was 1.20 in mid 2020. Doctor found "lump" on prostate..how likely is a cancer diagnosis?
@louisindelicato9544
@louisindelicato9544 3 жыл бұрын
Thank you for the information, it was very helpful.
@mtrott1
@mtrott1 2 жыл бұрын
Excellent... thank you.... oi get mine in a couple of days
@lalboihangsing1187
@lalboihangsing1187 2 жыл бұрын
Can a scortum ultrasound also detect the perinial area??? Please reply me
@packersprik
@packersprik 2 жыл бұрын
Thank you for posting this video
@jeffreywaldman8032
@jeffreywaldman8032 2 жыл бұрын
Hi doctor. Do I have to use an enema before the biopsy? Is it required? Can the biopsy be done if it don't take an enema?
@PFDish
@PFDish 2 жыл бұрын
Best info on KZbin
@abulietadie7937
@abulietadie7937 2 жыл бұрын
Thank you for the information. Very helpful!!
@gmoney9068
@gmoney9068 2 жыл бұрын
Very well explained, Doc. I had this procedure done the exact same way you described around 8 years ago. Thank you.
@purrungas2012
@purrungas2012 2 жыл бұрын
Pain scale please...thanks
@JamesWilliams-ne7vr
@JamesWilliams-ne7vr 2 жыл бұрын
Thanks you I have been praying a about take one
@catfish24
@catfish24 2 жыл бұрын
No way in hell would I let this be done unless they knock me completely out. My doctor said if I have to have a prostate biopsy done they would do it in the hospital put me to sleep and I would wake up in the recovery room ready to go eat breakfast. That's the way it should be done.
@robertmonroe3678
@robertmonroe3678 2 жыл бұрын
My urologist also does this under general anesthesia.
@sitdowndogbreath
@sitdowndogbreath Жыл бұрын
Make sure your insurance will cover it
@mightyjoe3849
@mightyjoe3849 2 ай бұрын
Curious as to why the Docs don't use Propofol as they do during a colonoscopy???
@JG-mp5nb
@JG-mp5nb 3 жыл бұрын
Appreciate the straight forward explanation. The background in the video is somewhat distracting , it looks rather like something in a funeral parlor-not something I want to see before a medical procedure.
@sitdowndogbreath
@sitdowndogbreath Жыл бұрын
Good eye on that
@freddyechevarria7753
@freddyechevarria7753 3 жыл бұрын
I'm having my third biopsy this week, it will be a fusion prostate due to lesion found with mri, my question is: I don't remember if on previous biopsies if any sedation was given, is it mandatory to use lidocaine for every biopsy?
@timoherron657
@timoherron657 2 жыл бұрын
Dr. Eric I am having a prostate biopsy Monday morning and already had a MRI with a suspicious area grade 5. I have people telling me not to get the biopsy until I get a 4K blood test. What do you think, I am already worried about the biopsy and would like to avoid it if possible.
@DoctorEric
@DoctorEric 2 жыл бұрын
A PIRADS 5 lesion warrants a biopsy regardless of the results of a 4K score.
@RodinThink28
@RodinThink28 Жыл бұрын
I hear that transperineal biopsies are safer than transrectal. What's you opinion on this ? Thanks,
@sitdowndogbreath
@sitdowndogbreath Жыл бұрын
Not many doctors practice it but check out Cleveland clinic locations what part of the country are you in
@rakeshgrover7435
@rakeshgrover7435 3 жыл бұрын
Got a high PSA number in March 2021. Got an ultrasound and later, a 3 Tesla MRI on the advice of a urologist, which have turned out quite okay. I am 68, and on anti hypertensive meds for a very long time. There are no typical symptoms as experienced by people with enlarged prostate. However, the concern is that my PSA score continues to be around 21. This has prompted my doc to suggest a biopsy. What is your opinion sir?
@DoctorEric
@DoctorEric 3 жыл бұрын
It would really depend on the PSA value and the measured size of the prostate on the MRI. You can calculate a PSA density that gives a good indication of whether a biopsy would be recommended or not.
@markharkey3279
@markharkey3279 2 жыл бұрын
Thank you this was very helpful.
@lajoyslittle
@lajoyslittle 3 жыл бұрын
Thank you for this information!
@bassbytes
@bassbytes 2 жыл бұрын
Very informative thanks. Is there any risk or evidence of seeding of cancer tissue happening during the biopsy procedure - that is, some of the cancer cells being deposited on the surrounding tissue outside of the of the prostate by the needle ?
@DoctorEric
@DoctorEric 2 жыл бұрын
Decades of data show no risk of seeding via biopsy.
@bassbytes
@bassbytes 2 жыл бұрын
@@DoctorEric that’s good, thanks for your reply.
@sitdowndogbreath
@sitdowndogbreath Жыл бұрын
Not for nothing that could be lying
@Gary65437
@Gary65437 9 ай бұрын
Just come back in a yr to get a 3T MRI. That will show where the cancer has spread and get further treatments as needed.
@JM-uk2ci
@JM-uk2ci 3 жыл бұрын
Verry informative.thanks
@tcn7790
@tcn7790 2 жыл бұрын
Very good information.
@cybermuff
@cybermuff 8 ай бұрын
Had mine done. No big deal. Did have some swelling of prostate for two weeks. No pain. What is your opinion about a Transperinral biopsy vrs trans rectal.
@israelortiz4188
@israelortiz4188 Жыл бұрын
Dr.eric very good video
@disillusionedidealist3446
@disillusionedidealist3446 2 жыл бұрын
Thank you, well described
@rexlex1736
@rexlex1736 5 ай бұрын
I have had two prostate biopsies in the last two years. No numbing. Some stinging during the procedure. After the procedures, I went to a Mexican restaurant. I peed and pooped blood for one and a half days. The whole experience was no big deal.
@raduadelinamaria9133
@raduadelinamaria9133 2 жыл бұрын
Hello doc, i ve been watching all your videos about prostate with great interest, my father is 57 year, with PSA 7,6 level result went to Urologist sent him to MRI and his result it s next can you please see it and give an onest opinion , the next step it s biopsie that will make next week with local anest. Thank you for your videos,i will continue to hear you, hope to read it. In your country we have cm not inch to measure. 2 Prostate nodules at the level of both lobes in the transitional zone of size 2.8 cm on the right and 2.4 on the left well delimited without expression in the adenomatous diffusion sequence, with peripheral gadolinophilia. And another small node at the level of the right prostatic apex in hyposignal t 2, with discrete expression in the diffusion sequence, ADC, with late wash out, with a diameter of 1.1 cm. Rectum, hairy and pararectal spaces, seminal vesicles without changes with pathological significance. No tumor subdiaphragmatic lymphadenopathy. No ascites fluid. No MRI circumscribed bone lesions
@DoctorEric
@DoctorEric 2 жыл бұрын
The report should indicate the PIRADS score of each lesion. A PIRADS 1-2 is benign, 3 is mildly suspicious, 4 is moderately suspicious, and 5 is highly suspicious for cancer.
@raduadelinamaria9133
@raduadelinamaria9133 2 жыл бұрын
@@DoctorEric doesn t reveal in the MRI this pirads scale, but now reading online about it, it means that for this dimensions and in transitional area it s the higher risc 4, i m reading corectly? The biopsie it will be more elocvent answear?
@thespiritualtruthspodcast2941
@thespiritualtruthspodcast2941 2 жыл бұрын
Very good video! Very helpful!!
@eherstad
@eherstad 6 ай бұрын
Thank You for info
@user-kr6ld6kg7d
@user-kr6ld6kg7d 8 ай бұрын
I do not understand the biopsy 'mechanics'. The prostate surrounds the ureter but you are working within the intestine/bowel. Does this actually penetrate the bowel wall?? Or are you within the ureter. Same concept, do you have to penetrate the urinary canal? Gerry
@danielfosu2183
@danielfosu2183 7 ай бұрын
I had my boispy and I experienced blood from my nub what should I do please
@benjaMax
@benjaMax Жыл бұрын
Very good information video, is prostate biopsy always done from the back? or can be done from the urethra as well ?
@williesanders2344
@williesanders2344 Жыл бұрын
Very informative
@stefniedzielski5707
@stefniedzielski5707 Жыл бұрын
Hello dr eric just a quick question can you still do a biopsy with a catheta fitted kind regards.
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