Medical Forum / Diseases and Disorders / Prostate Cancer / October 2005
Am I The Only One ...
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moto - 13 Oct 2005 14:20 GMT who has had their biopsy done through the penis?
Now that I'm 'informed', under just what particlar circumstances would the procedure as mine was be called for?
The more I see/read, the more I wanna go 'pop' this uro in his snot locker. The fat bastard ... grrrrrrrrr
moto
Leonard Evens - 13 Oct 2005 15:08 GMT > who has had their biopsy done through the penis? > [quoted text clipped - 6 lines] > > moto Sometimes when a man is treated for BPH through the urethra, samples are taken and examined for cancer. Most prostate cancer starts in the peripheral zones of the prostate, and would not be detected this way. So usually urologists make probes through the rectal wall when they are trying to determine if prostate cancer is present.
ron - 13 Oct 2005 16:43 GMT Moto asked... who has had their biopsy done through the penis? ------------------------------------------------------------------------------------------------------------------------- Moto...Were you having difficulty urinating, that is urinating frequently, small amounts, difficulty starting the stream, etc? Perhaps you were being treated for BPH. A TURP (Transurethral resection of the prostate) is one way of doing this and it involves use of a cystoscope through the penis. Typically when they perform a TURP, recovered tissue is examined for PCa. The TURP probes the central zone of the prostate, tumors found in this region are generally leass aggressive than those found via traditional trans-rectal biopsy which probes the peripheral zone. Maybe the uro wasn't a "fat bastard" who deserves a "pop in his snot locker"; perhaps you've forgotten what you were being treated for...Ron
moto - 13 Oct 2005 17:15 GMT Ron ... Long story short. Never have, and still don't have trouble with urination. Just lately I'm finding when the 'urge' to urinate comes, it means I gotta 'go' right now. But again, that's just lately. I am drinking more water and tea than before, but that's cuz my doc said I should intake more. Probly cuz of the chemo.
moto
Glassman - 13 Oct 2005 21:59 GMT > who has had their biopsy done through the penis? > [quoted text clipped - 6 lines] > > moto Your Uro has some 'splainin' to do Moto.... we're all grasping at straws trying to figure your story out here? Have you ever asked him why any of this? Was this a Vets hospital? They're kinda known for backwards stuff sometimes.
 Signature JK Sinrod Sinrod Stained Glass Studios www.sinrodstudios.com Coney Island Memories www.sinrodstudios.com/coneymemories
ross lazarus - 13 Oct 2005 23:27 GMT > who has had their biopsy done through the penis? > [quoted text clipped - 4 lines] > locker. > The fat bastard ... grrrrrrrrr (Disclaimer: I'm 10 weeks post LRP and a physician - but not a urologist. The following is not expert medical advice - just my opinion for what it's worth - and I'm not trying to defend anyone)
One reason to choose a transurethral route for biopsy is if you also happen to need a transurethral resection of the prostate (TURP) because of symptoms of urinary obstruction from a whopping great prostatomegally. TURP tissue can be checked for cancer so effectively it's a biopsy. TURP is the usual way to deal with (for example) benign prostatomegally causing bad symptoms of stranguary, when there's no advantage from the added dangers of removing the whole prostate (and ureter and seminal vesicles and so on).
However, if there was no need for a TURP, transrectal biopsy is arguably safer and less unpleasant for the patient.
Bottom line is that you might ask for an explanation - then feel free to clout him/her if the answer isn't satisfactory :-)
I. P. Freely - 14 Oct 2005 07:40 GMT Many of us have read 10-12 PC books and scores of PC websites and studies without ever even hearing of the idea of a PC biopsy through the penis until now.
I.P.
> who has had their biopsy done through the penis? moto - 14 Oct 2005 15:27 GMT no quote ...
Okay, here's the deal ...
I did not then, nor do now have urination probs.
As for asking 'that' uro anything, I'm thinking about the time I'll serve in the cooler if/when I happen upon his silly a.s cuz I'm sure to 'pop' the a.shole one (as said before) for what he put me thru for NO apparent reason.
That's the way I was told that procedure was/is done. I had (but should have) had no reason to question it. I pissed blood for three days.
moto
DonC - 14 Oct 2005 15:59 GMT > no quote ... > [quoted text clipped - 12 lines] > > moto I'm amused and confused why you don't even consider having a rational talk with your uro to find out what he did and why.
After all, you did advise: "Folks should get ALL the facts BEFORE they have a damn thing done."
IOW, get the facts before YOU do anything. In this case, it's obvious you're missing at least some of the facts.
moto - 14 Oct 2005 20:50 GMT DonC ... My 'problem' was I trusted this uro based on the high praise of him from my family doc. I had questions, of course, but NOT how this biopsy was to be done. I asked after, and found it was (kinda) the standard way, around here, this kinda thing was done.
moto
I. P. Freely - 14 Oct 2005 18:11 GMT > I pissed blood for three days. We pee and ejaculate blood, ranging from red to dark brown for days to weeks after a rectal PC biopsy. The cure? Don't look.
I.P.
judamd@aol.com - 14 Oct 2005 20:13 GMT Never did pee blood but ejaculate looked like rootbeer for about a week and gradually lightened up over the next six weeks until surgery. Even the last ejaculate was slightly discolored. Dave Perry
moto - 14 Oct 2005 20:56 GMT Dave ... Uh yeah, the discolored ejaculate scared the devil outta my child bride.
She had a docs appointment right after that, and she asked him about it. He assured her it was not harmful, so she could rest easy on that score.
moto
MrP - 14 Oct 2005 15:42 GMT >Many of us have read 10-12 PC books and scores of PC websites and studies >without ever even hearing of the idea of a PC biopsy through the penis until [quoted text clipped - 3 lines] > >> who has had their biopsy done through the penis? Would it be possible that the uro suspected urethral carcinoma? But urethral biopsies are normally done under anesthetic, at least mine were. Still in all, urethral cancer is quite rare (although I seem to have it), so routine biopsies may be unlikely.
moto - 14 Oct 2005 20:44 GMT Mr P. ... My PSA at the time was only 4.2 or 4.4 depending on which test(s) were correct. Two years before it was (like) 3.1 or so. That's a jump in two years yes, but hardly called for a ** procedure like that to be done. I was experiencing no problems, that I knew of.
**Would anyone following this thread disagree?
moto
Bob - 14 Oct 2005 22:54 GMT > Mr P. ... > My PSA at the time was only 4.2 or 4.4 depending on which test(s) were [quoted text clipped - 7 lines] > > moto I had an exam of my bladder through the penis, though it was not my primary biopsy. There were minute traces of blood in my urine, and the urologist wanted to find if there was anything other than cancer that could be causing it. He put a little scope in and looked around; he then added a saline solution and took a sample to send to the lab. I guess you would call this a biopsy, but when the results came back negative (for bladder problem) he then did a standard rectal biopsy. Neither procedure was particularly painful; not nearly as bad as the anticipation!
Bob
I. P. Freely - 14 Oct 2005 23:27 GMT Wow! I had exactly the opposite experience with my bladder cystoscopy. Inserting the crowbar to the bladder wasn't extremely uncomfortable, but when he raised it what felt like 90 degrees and tried to pry my butt up off the table with it, I was wishing I had some systemic drugs in me. My "clean'n'sober" root canal hurt less, and that's not an exaggeration.
I.P.
> I had an exam of my bladder through the penis. [It] was [not] particularly > painful; not nearly as bad as the anticipation! Bob Anthony - 15 Oct 2005 17:44 GMT > Wow! I had exactly the opposite experience with my bladder cystoscopy. > Inserting the crowbar to the bladder wasn't extremely uncomfortable, but [quoted text clipped - 3 lines] > > I.P. There is a major difference in the rigid scope and the flexible scope. Had them both. The (recent) flexible scope procedure was a breeze. The rigid scope hurt like hell. Had that one about 12 years ago to look for kidney stones in the bladder. I still remember it! I had to take pyridium to stop the pain that lasted for days. I thought that the uro skewered my prostate getting it in there. (I think it hurt more than the kidney stones).
B.A.
I. P. Freely - 15 Oct 2005 17:55 GMT "Bob Anthony"
> There is a major difference in the rigid scope and the flexible scope. Had > them both. The (recent) flexible scope procedure was a breeze. The rigid > scope hurt like hell. Had that one about 12 years ago to look for kidney > stones in the bladder. I still remember it! I had to take pyridium to stop > the pain that lasted for days. I thought that the uro skewered my prostate > getting it in there. (I think it hurt more than the kidney stones). Ahhhhhh . . . a flexible crowbar. What a concept!
I.P.
Tom Cular - 15 Oct 2005 18:52 GMT Huge difference, not only in flexibility, but in diameter (WOW). I was sched. for a cysto a few years ago and had no idea what the procedure was, and FAILED to ask. I did what I thought at the time was prudent and searched the net. I saw photos and videos of the procedure and the instruments, it had me scared, were these tools designed for a horse? It was all for naught, (1) My Uro had not used the rigid instruments in several years. (2) I was OUT for the procedure. ( 3) The worst part was the anticipation of the first trip to the urinal following the cysto., which turned out pretty uneventful except for the nurse wanting to look at the bowl before I flushed (to check for blood). It's been a long time since Mom checked to make sure I did what I was supposed to do. As a side note: Since that first cysto.and the following procedures, I've lost most of any modesty I may have ever had.
Tom
> "Bob Anthony" >> There is a major difference in the rigid scope and the flexible scope. [quoted text clipped - 8 lines] > > I.P. I. P. Freely - 15 Oct 2005 19:42 GMT > It's been a long time since Mom checked to make sure I did what I was > supposed to do. And DIDN'T do what you WEREN'T suposed to do.
> Since that first cysto.and the following procedures, I've lost most of any > modesty I may have ever had. Now that several dozen strangers have stared at my blood-encrusted, swollen AND shrunken, discolored gonads, and many oters have shoved so DARN many things into orifices I was only vaguely aware of anyway, the only things that makes me wear clothes any more are the weather, the law, and the wife. ;-)
I.P.
Ron B - 15 Oct 2005 20:07 GMT I.P. speaks correctly about modesty.
I didn't have MUCH...but all was gone when, during my RRP surgery, I was showing my cath and penis to the dear lady who was cleaning the floors each day.
"Looks good Mr. Burton" was her response.
I had the catheter, big bag, and swollen testicles.
I figured that I should show everyone who came into my room my situation.
:-) What the hell?
Ron B.
Chicago
Bob Anthony - 15 Oct 2005 21:10 GMT > I had the catheter, big bag, and swollen testicles. > > I figured that I should show everyone who came into my room my > situation. > > :-) You've got balls!
B.A.
I. P. Freely - 14 Oct 2005 22:54 GMT > My PSA at the time was only 4.2 or 4.4 depending on which test(s) were > correct. [quoted text clipped - 4 lines] > > **Would anyone following this thread disagree? 100%.
My 6-month teeth cleaning hurts more than my 12-core rectal prostate biopsy did -- and my teeth are quite clean. A PSA incr from 3 to 4 is WAY more threatening than missing a teeth cleaning. And waiting for symptoms before getting PC testing is almost like waiting for a heart attack to start exercising and eating right.
I.P.
Steve Kramer - 15 Oct 2005 17:36 GMT Luke,
You've told us of your bikes and a.shole doc, but nothing of yourself. What was your age? I believe there is a large number of doctors who would prescribe a biopsy with a rise from 3.1 to 4.4 if the patient were in his 40s or early 50s (though not through the penis).
 Signature PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05 PSA .07 .05 .06 .05 non Illegitimi carborundum
> Mr P. ... > My PSA at the time was only 4.2 or 4.4 depending on which test(s) were [quoted text clipped - 7 lines] > > moto moto - 15 Oct 2005 22:01 GMT Steve ... Oh sh.t, I forgot that.
I just turned 70, told I look mid 50s, most of the time, like right now, feel mid 40s. :)
I've been damned lucky in my life. And with only two exceptions, one big, and one small, very lucky with the docs I've had contact with.
If only I'd married the first time the lady I'm now married to, my life woulda Picture Perfect.
All in all tho, I'm still One Lucky Mutha.
moto
Steve Kramer - 15 Oct 2005 22:46 GMT Okay. You win. If you underwent a biopsy for a 4.4 rising from a 3.1 after two years at 70 years old, and that was the only reason, I'd say it was unnecessary. I guess the proof will be in the results. If you end up with cancer, your doctor is a genius.
 Signature PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05 PSA .07 .05 .06 .05 non Illegitimi carborundum
> Steve ... > Oh sh.t, I forgot that. [quoted text clipped - 12 lines] > > moto Steve Kramer - 15 Oct 2005 17:32 GMT To answer your text question, "Not, me."
To answer your subject question, "Yup."
 Signature PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05 PSA .07 .05 .06 .05 non Illegitimi carborundum
> who has had their biopsy done through the penis? > [quoted text clipped - 6 lines] > > moto
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