Terrified of needle biopsy

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Dave - 21 Jul 2008 15:14 GMT

I had PVP about five years ago and now my local urologist wants to do
another needle biopsy if my PSA remains high. He did a needle biopsy on
my about 9 months ago and it came back negative for cancer but showed I
had an infection. He never treated the infection so I wold not surprised
if I have one now. The last time he did the biopsy on me I almost
fainted after the procedure. He said that was because of my apprehension
of the procedure. My ejaculate was blood red for two months after the
last biopsy and I was embarrassed to have sex because I did not want
anyone to see me shooting blood. Gross! I'm starting to think this
doctor is doing something wrong to cause me to bleed so much and for so
long. I also wonder why he wants to do another biopsy so soon after the
other one, with out first trying antibiotics and seeing if my infection
is the cause of my slightly high PSA. I'm thinking of finding a
different urologist. I'd like to hear your opinions.

BTW the doctor tells me he worries about men like me, who take
testosterone replacement. Every time he looks up inside me at the
results of my PVP he tells me that it looks like a bomb exploded in
there, and offers to clean me out with a turp. No thanks!

Dave

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M.Balarama - 21 Jul 2008 16:20 GMT

>I had PVP about five years ago and now my local urologist wants to do
>another needle biopsy if my PSA remains high. He did a needle biopsy on my
[quoted text clipped - 17 lines]
>
> Dave

I agree-sounds like you need a new \URO-this guy is not PVP guy-also My URO
gave me a week of cipro to kill a prostate infection--that tuff kills
everything-I was told...
when I moved to Dallas I called the URO's and found one who does PVP--not a
cool guy but he does PVP.
good luck-

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Derek F - 21 Jul 2008 19:01 GMT

>I had PVP about five years ago and now my local urologist wants to do
>another needle biopsy if my PSA remains high. He did a needle biopsy on my
[quoted text clipped - 17 lines]
>
> Dave

Obviously the testosterone does not give you balls:-)
A PVP is no worse than going to the dentist a biopsy only slightly worse.
With my first biopsy I passed brown (old blood) in my semen for about six
weeks. Red (new blood) would presumably indicate a problem. I bled so much
from my rectum after my second 16 needle biopsy that they kept me in
hospital overnight. I then got an infection that took six weeks of
antibiotic to clear up.
Derek.

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Dave - 21 Jul 2008 21:48 GMT

> Obviously the testosterone does not give you balls:-)

That's funny Derek. ;-)

Oh, but it it does and in every sense of the word!

> A PVP is no worse than going to the dentist a biopsy only slightly worse.
> With my first biopsy I passed brown (old blood) in my semen for about six
> weeks. Red (new blood) would presumably indicate a problem. I bled so much
> from my rectum after my second 16 needle biopsy that they kept me in
> hospital overnight. I then got an infection that took six weeks of
> antibiotic to clear up.

Even with my big balls, that frightens me! :-o

You got to find a better dentist. ;-)

I had a needle Biopsy earlier this year and passed big clot's of blood
that clogged up my dick so I could not finish peeing. I ended up banging
my dick on the sink repeatedly to brake things loose. It worked!
How's that for macho!?

I lost confidence in my urologist and just phoned the office of a new
one leaving a message for the nurse asking if he does PVPs. If she
answers in the affirmative it will mean to me that the doctor holds the
comfort of his patients as impotent as how he can quickly make money.
I'm convinced the real reason some doctors do not want to do PVPs is
because they can do a TURP faster. Time is money. Patients be damned.

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revesz.peter@gmail.com - 21 Jul 2008 22:05 GMT

> I'm convinced the real reason some doctors do not want to do PVPs is
> because they can do a TURP faster. Time is money. Patients be damned.

Dave it is not that simple: the doctors try to do TURP or PVP as fast
as
possible: during these procedures the prostate/bladder is irrigated
with a solution.
During a prolonger operation this fluid can re-enter the bloodstream,
and if this happens
in a significant amount you have "TURP Syndrome" - a potentially
serous complication.
PVP as far as I know is a slower procedure for the same amount of
prostate to be removed.
I think that is why doctors try not to do PVP for larger prostates.
Peter

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Derek F - 21 Jul 2008 22:58 GMT

>> I'm convinced the real reason some doctors do not want to do PVPs is
>> because they can do a TURP faster. Time is money. Patients be damned.
[quoted text clipped - 11 lines]
> I think that is why doctors try not to do PVP for larger prostates.
> Peter

I believe that TURP syndrome is a thing of the past as they now use a
different solution to irrigate. It was one of the factors that put me of
having a TURP in 1995.
Glad that I waited ten years for PVP to get to the NHS.
There seems to be doubt as to whether PVP is right for big prostates. The
urologist I had in the UK and they were new to the procedure (I was patient
No 37 spread between the three Uro's) thought that it was ideal for big
prostates and older patients. They were about to do a 200 gramme prostate on
a patient in his 90's.
Derek.

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Dave - 22 Jul 2008 18:08 GMT

> PVP as far as I know is a slower procedure for the same amount of
> prostate to be removed.
> I think that is why doctors try not to do PVP for larger prostates.
> Peter

I have had lengthy discussions on this topic with urologists. I had a
very large prostate at one time. I had two different urologists tell me
that it was the biggest one they have ever seen. I forget the number I
was given but I was told by one doctor that it it exceeded the range of
the ultra sound thing that they place in your butt to measure it.

The bigger a prostate becomes the more "vasculated" it becomes. That
is, there are a lot of blood vessels in it that bleed when poked and
prodded.

If an inexperienced doctor is doing the PVP procedure his view becomes
obscured by the blood gushing out of the organ when it's hit with a
laser. He must cauterize these wounds to stop the bleeding, clear the
view, and start over again. This is a long laborious procedure. A very
experienced doctor can do it much faster and the blood is not too much
of a problem to them. If you have a VERY big prostate you need a VERY
experienced doctor. A less experienced doctor might even suggest an
open protectomy. (I had one doctor stop half way through the PVP
procedure and tell me that should have an open prostecomy and what that
involved. Can you picture me jumping off the table and running out of
the room screeming with my pants around my ankles? That was the urge I
had.) I was lucky and found a different very good and experienced
doctor who did a successful PVP on me.

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Derek F - 21 Jul 2008 23:11 GMT

Worry not Dave, I am the worlds biggest coward when waiting for things to be
done. However once I get there I am O.K.

>> Obviously the testosterone does not give you balls:-)
>
[quoted text clipped - 10 lines]
>
> You got to find a better dentist. ;-)

In England I am lucky to even have a dentist:-). Millions of people cannot
find one. Those that still exist in the NHS system in the main no longer try
to save teeth as they do not get paid for the time it can take. Better for
them to yank then out.

> I had a needle Biopsy earlier this year and passed big clot's of blood
> that clogged up my dick so I could not finish peeing. I ended up banging
> my dick on the sink repeatedly to brake things loose. It worked!
> How's that for macho!?

Sounds like a scene from a John Cleese movie or a Tom and Gerry cartoon.

> I lost confidence in my urologist and just phoned the office of a new one
> leaving a message for the nurse asking if he does PVPs. If she answers in
> the affirmative it will mean to me that the doctor holds the comfort of
> his patients as impotent as how he can quickly make money. I'm convinced
> the real reason some doctors do not want to do PVPs is because they can do
> a TURP faster. Time is money. Patients be damned.

As with our dentists:-) Not sure how long a TURP takes. My PVP for a 75 gram
prostate took 57 lasing minutes he said.
Just make sure that you do not get the man hating Aussie bitch who did my
second biopsy without local anaesthetic of precautionary antibiotics. Six
months later she took blood for my next PSA test. Five minutes later blood
was pouring down my arm.
Derek.

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