Re: On to other PCa things or such

[Guest guest]

Hi Rich,

It might be worth searching under 'prostate mapping' for more info. I understand this procedure is often done before HIFU treatment. I realise you are not in this category as your previous biopsies are thankfully negative, but the search may give you more info if you can't get in touch direct with someone who has undergone such a biopsy.

Malaga,Spain

Re: On to other PCa things or such

You are right for a transrectal where they go in through teh anus but this procedure goes in through the skin between the scrotum and the anus, as I said previously. You are anethesized and 40 - 70 samples are taken, one every 5mm. The follow swelling is sufficient to require the subject to wear a catheter & bag for 24 hours. My objective is to see if I can find anyone who has undergone this procedure. The transpereneal biopsy is listed in many places but they do not indicate so many samples are taken. The advantage of it, apparently, is that there is easier access to the anterior (in front of the urethra) zones.Standard protocols for transrectal biospies are sextant, 5 zone, and 11 site with samples being paired from higher count regions for testing.Rich LGreen Bay, WI> >> > Today, as I expected, my urologist recommended another biopsy (would be my third transrectal if I choose that option). Of course, he also presented the transpereneal biopsy as a choice. In this he goes through the skin between the scrotum and the anus with the same type sample needle as used in the transrectal but he takes 40-70 cores. He takes one core every 5 mm in rows through the prostate....doesn't sound like fun. And, apparently a fair amount of gland swelling follows so one is fitted with a catheter for 24 hours...you can remove it yourself at that time (Oh, joy!) in my bathtub (reverting to childhood!?!?)> > Anyway, if I would chose that option, the resultant data, if negative, would pretty much eliminate the annual transrectal biopsy train that I seem to be on.> > My question is, has anyone here had a transpereneal biopsy? Private emails would be OK if you prefer. I am looking for whether he is doing the "good doctor" thing of saying, "This won't hurt," that is, understating the problems and overstating the potential result.> > > > Rich L> > Green Bay, WI> > > > PS Now I will try to get postings without checking in again. > >>

[Guest guest]

I don't see an email trail on this, but I'm amazed that they would take that

many samples. The " normal " is from 10 to 18 depending upon the doctor involved.

Just,

Bob

>

> Today, as I expected, my urologist recommended another biopsy (would be my

third transrectal if I choose that option). Of course, he also presented the

transpereneal biopsy as a choice. In this he goes through the skin between the

scrotum and the anus with the same type sample needle as used in the transrectal

but he takes 40-70 cores. He takes one core every 5 mm in rows through the

prostate....doesn't sound like fun. And, apparently a fair amount of gland

swelling follows so one is fitted with a catheter for 24 hours...you can remove

it yourself at that time (Oh, joy!) in my bathtub (reverting to childhood!?!?)

> Anyway, if I would chose that option, the resultant data, if negative, would

pretty much eliminate the annual transrectal biopsy train that I seem to be on.

> My question is, has anyone here had a transpereneal biopsy? Private emails

would be OK if you prefer. I am looking for whether he is doing the " good

doctor " thing of saying, " This won't hurt, " that is, understating the problems

and overstating the potential result.

>

> Rich L

> Green Bay, WI

>

> PS Now I will try to get postings without checking in again.

>

[Guest guest]

I don't see an email trail on this, but I'm amazed that they would take that

many samples. The " normal " is from 10 to 18 depending upon the doctor involved.

Just,

Bob

>

> Today, as I expected, my urologist recommended another biopsy (would be my

third transrectal if I choose that option). Of course, he also presented the

transpereneal biopsy as a choice. In this he goes through the skin between the

scrotum and the anus with the same type sample needle as used in the transrectal

but he takes 40-70 cores. He takes one core every 5 mm in rows through the

prostate....doesn't sound like fun. And, apparently a fair amount of gland

swelling follows so one is fitted with a catheter for 24 hours...you can remove

it yourself at that time (Oh, joy!) in my bathtub (reverting to childhood!?!?)

> Anyway, if I would chose that option, the resultant data, if negative, would

pretty much eliminate the annual transrectal biopsy train that I seem to be on.

> My question is, has anyone here had a transpereneal biopsy? Private emails

would be OK if you prefer. I am looking for whether he is doing the " good

doctor " thing of saying, " This won't hurt, " that is, understating the problems

and overstating the potential result.

>

> Rich L

> Green Bay, WI

>

> PS Now I will try to get postings without checking in again.

>

[Guest guest]

I had 13 and 7 were cancerous.  When removed it was found only in the right lobe.Cheers!

 

I don't see an email trail on this, but I'm amazed that they would take that many samples. The " normal " is from 10 to 18 depending upon the doctor involved.

Just,

Bob

>

> Today, as I expected, my urologist recommended another biopsy (would be my third transrectal if I choose that option). Of course, he also presented the transpereneal biopsy as a choice. In this he goes through the skin between the scrotum and the anus with the same type sample needle as used in the transrectal but he takes 40-70 cores. He takes one core every 5 mm in rows through the prostate....doesn't sound like fun. And, apparently a fair amount of gland swelling follows so one is fitted with a catheter for 24 hours...you can remove it yourself at that time (Oh, joy!) in my bathtub (reverting to childhood!?!?)

> Anyway, if I would chose that option, the resultant data, if negative, would pretty much eliminate the annual transrectal biopsy train that I seem to be on.

> My question is, has anyone here had a transpereneal biopsy? Private emails would be OK if you prefer. I am looking for whether he is doing the " good doctor " thing of saying, " This won't hurt, " that is, understating the problems and overstating the potential result.

>

> Rich L

> Green Bay, WI

>

> PS Now I will try to get postings without checking in again.

>

[Guest guest]

I had 13 and 7 were cancerous.  When removed it was found only in the right lobe.Cheers!

 

I don't see an email trail on this, but I'm amazed that they would take that many samples. The " normal " is from 10 to 18 depending upon the doctor involved.

Just,

Bob

>

> Today, as I expected, my urologist recommended another biopsy (would be my third transrectal if I choose that option). Of course, he also presented the transpereneal biopsy as a choice. In this he goes through the skin between the scrotum and the anus with the same type sample needle as used in the transrectal but he takes 40-70 cores. He takes one core every 5 mm in rows through the prostate....doesn't sound like fun. And, apparently a fair amount of gland swelling follows so one is fitted with a catheter for 24 hours...you can remove it yourself at that time (Oh, joy!) in my bathtub (reverting to childhood!?!?)

> Anyway, if I would chose that option, the resultant data, if negative, would pretty much eliminate the annual transrectal biopsy train that I seem to be on.

> My question is, has anyone here had a transpereneal biopsy? Private emails would be OK if you prefer. I am looking for whether he is doing the " good doctor " thing of saying, " This won't hurt, " that is, understating the problems and overstating the potential result.

>

> Rich L

> Green Bay, WI

>

> PS Now I will try to get postings without checking in again.

>

[Guest guest]

This sounds like a fishing trip to me. I would suggest a second opinion.

FWIW

" Il faut d'abord durer " Hemingway

On to other PCa things or such

> Today, as I expected, my urologist recommended another biopsy (would be my

> third transrectal if I choose that option). Of course, he also presented

> the transpereneal biopsy as a choice. In this he goes through the skin

> between the scrotum and the anus with the same type sample needle as used

> in the transrectal but he takes 40-70 cores. He takes one core every 5 mm

> in rows through the prostate....doesn't sound like fun. And, apparently a

> fair amount of gland swelling follows so one is fitted with a catheter for

> 24 hours...you can remove it yourself at that time (Oh, joy!) in my

> bathtub (reverting to childhood!?!?)

> Anyway, if I would chose that option, the resultant data, if negative,

> would pretty much eliminate the annual transrectal biopsy train that I

> seem to be on.

> My question is, has anyone here had a transpereneal biopsy? Private

> emails would be OK if you prefer. I am looking for whether he is doing the

> " good doctor " thing of saying, " This won't hurt, " that is, understating

> the problems and overstating the potential result.

>

> Rich L

> Green Bay, WI

>

> PS Now I will try to get postings without checking in again.

>

>

>

> ------------------------------------

>

> There are just two rules for this group

> 1 No Spam

> 2 Be kind to others

>

> Please recognise that Prostate Cancerhas different guises and needs

> different levels of treatment and in some cases no treatment at all. Some

> men even with all options offered chose radical options that you would not

> choose. We only ask that people be informed before choice is made, we

> cannot and should not tell other members what to do, other than look at

> other options.

>

> Try to delete old material that is no longer applying when clicking reply

> Try to change the title if the content requires it

[Guest guest]

You are right for a transrectal where they go in through teh anus but this

procedure goes in through the skin between the scrotum and the anus, as I said

previously. You are anethesized and 40 - 70 samples are taken, one every 5mm.

The follow swelling is sufficient to require the subject to wear a catheter &

bag for 24 hours.

My objective is to see if I can find anyone who has undergone this procedure.

The transpereneal biopsy is listed in many places but they do not indicate so

many samples are taken. The advantage of it, apparently, is that there is easier

access to the anterior (in front of the urethra) zones.

Standard protocols for transrectal biospies are sextant, 5 zone, and 11 site

with samples being paired from higher count regions for testing.

Rich L

Green Bay, WI

> >

> > Today, as I expected, my urologist recommended another biopsy (would be my

third transrectal if I choose that option). Of course, he also presented the

transpereneal biopsy as a choice. In this he goes through the skin between the

scrotum and the anus with the same type sample needle as used in the transrectal

but he takes 40-70 cores. He takes one core every 5 mm in rows through the

prostate....doesn't sound like fun. And, apparently a fair amount of gland

swelling follows so one is fitted with a catheter for 24 hours...you can remove

it yourself at that time (Oh, joy!) in my bathtub (reverting to childhood!?!?)

> > Anyway, if I would chose that option, the resultant data, if negative, would

pretty much eliminate the annual transrectal biopsy train that I seem to be on.

> > My question is, has anyone here had a transpereneal biopsy? Private emails

would be OK if you prefer. I am looking for whether he is doing the " good

doctor " thing of saying, " This won't hurt, " that is, understating the problems

and overstating the potential result.

> >

> > Rich L

> > Green Bay, WI

> >

> > PS Now I will try to get postings without checking in again.

> >

>

[Guest guest]

Thanks, good input.

It was a productive search.

I really don't know why I didn't think of that. That was what the urologist

first called it when he frist brought it up way back before my second biopsy. I

think I might have searched on it then but found nothing. There were maybe 6

good hits this time.

Rich L

Green Bay, WI

> > >

> > > Today, as I expected, my urologist recommended another biopsy (would be

my third transrectal if I choose that option). Of course, he also presented the

transpereneal biopsy as a choice. In this he goes through the skin between the

scrotum and the anus with the same type sample needle as used in the transrectal

but he takes 40-70 cores. He takes one core every 5 mm in rows through the

prostate....doesn't sound like fun. And, apparently a fair amount of gland

swelling follows so one is fitted with a catheter for 24 hours...you can remove

it yourself at that time (Oh, joy!) in my bathtub (reverting to childhood!?!?)

> > > Anyway, if I would chose that option, the resultant data, if negative,

would pretty much eliminate the annual transrectal biopsy train that I seem to

be on.

> > > My question is, has anyone here had a transpereneal biopsy? Private

emails would be OK if you prefer. I am looking for whether he is doing the " good

doctor " thing of saying, " This won't hurt, " that is, understating the problems

and overstating the potential result.

> > >

> > > Rich L

> > > Green Bay, WI

> > >

> > > PS Now I will try to get postings without checking in again.

> > >

> >

>

[Guest guest]

I'm nowhere near the amateur expert as some on this list, and of course there may well be a good medical reason for doing such an extensive biopsy that I don't know about -- but to me this uro sounds too damned determined to find cancer, even if he has to remove your whole prostate one biopsy at a time in the process! Given your history, I would think that Active Surveillance with standard biopsies if deemed necessary would suffice to catch anything unwanted, in plenty of time. Of course, I'm not a doctor -- but I'd suggest you get a second opinion by a cancer specialist urologist before undergoing an aggressive procedure that may not leave you any better prepared to take action than Active Surveillance would. - Altadena, CAdiagnosed April, 2007da Vinci, January, 2008so far so good...> > >> > Today, as I expected, my urologist recommended another biopsy (would be my third transrectal if I choose that option). Of course, he also presented the transpereneal biopsy as a choice. In this he goes through the skin between the scrotum and the anus with the same type sample needle as used in the transrectal but he takes 40-70 cores. He takes one core every 5 mm in rows through the prostate....doesn't sound like fun. And, apparently a fair amount of gland swelling follows so one is fitted with a catheter for 24 hours...you can remove it yourself at that time (Oh, joy!) in my bathtub (reverting to childhood!?!?)> > Anyway, if I would chose that option, the resultant data, if negative, would pretty much eliminate the annual transrectal biopsy train that I seem to be on.> > My question is, has anyone here had a transpereneal biopsy? Private emails would be OK if you prefer. I am looking for whether he is doing the "good doctor" thing of saying, "This won't hurt," that is, understating the problems and overstating the potential result.> > > > Rich L> > Green Bay, WI> > > > PS Now I will try to get postings without checking in again. > >> > > > > ------------------------------------> > There are just two rules for this group > 1 No Spam > 2 Be kind to others> > Please recognise that Prostate Cancerhas different guises and needs different levels of treatment and in some cases no treatment at all. Some men even with all options offered chose radical options that you would not choose. We only ask that people be informed before choice is made, we cannot and should not tell other members what to do, other than look at other options. > > Try to delete old material that is no longer applying when clicking reply> Try to change the title if the content requires it

[Guest guest]

I'm nowhere near the amateur expert as some on this list, and of course there may well be a good medical reason for doing such an extensive biopsy that I don't know about -- but to me this uro sounds too damned determined to find cancer, even if he has to remove your whole prostate one biopsy at a time in the process! Given your history, I would think that Active Surveillance with standard biopsies if deemed necessary would suffice to catch anything unwanted, in plenty of time. Of course, I'm not a doctor -- but I'd suggest you get a second opinion by a cancer specialist urologist before undergoing an aggressive procedure that may not leave you any better prepared to take action than Active Surveillance would. - Altadena, CAdiagnosed April, 2007da Vinci, January, 2008so far so good...> > >> > Today, as I expected, my urologist recommended another biopsy (would be my third transrectal if I choose that option). Of course, he also presented the transpereneal biopsy as a choice. In this he goes through the skin between the scrotum and the anus with the same type sample needle as used in the transrectal but he takes 40-70 cores. He takes one core every 5 mm in rows through the prostate....doesn't sound like fun. And, apparently a fair amount of gland swelling follows so one is fitted with a catheter for 24 hours...you can remove it yourself at that time (Oh, joy!) in my bathtub (reverting to childhood!?!?)> > Anyway, if I would chose that option, the resultant data, if negative, would pretty much eliminate the annual transrectal biopsy train that I seem to be on.> > My question is, has anyone here had a transpereneal biopsy? Private emails would be OK if you prefer. I am looking for whether he is doing the "good doctor" thing of saying, "This won't hurt," that is, understating the problems and overstating the potential result.> > > > Rich L> > Green Bay, WI> > > > PS Now I will try to get postings without checking in again. > >> > > > > ------------------------------------> > There are just two rules for this group > 1 No Spam > 2 Be kind to others> > Please recognise that Prostate Cancerhas different guises and needs different levels of treatment and in some cases no treatment at all. Some men even with all options offered chose radical options that you would not choose. We only ask that people be informed before choice is made, we cannot and should not tell other members what to do, other than look at other options. > > Try to delete old material that is no longer applying when clicking reply> Try to change the title if the content requires it

[Guest guest]

FWIW --

said it better than I could.

\

>

>

>

>

> I'm nowhere near the amateur expert as some on this list, and of course there

may well be a good medical reason for doing such an extensive biopsy that I

don't know about -- but to me this uro sounds too damned determined to find

cancer, even if he has to remove your whole prostate one biopsy at a time in the

process! Given your history, I would think that Active Surveillance with

standard biopsies if deemed necessary would suffice to catch anything unwanted,

in plenty of time. Of course, I'm not a doctor -- but I'd suggest you get a

second opinion by a cancer specialist urologist before undergoing an aggressive

procedure that may not leave you any better prepared to take action than Active

Surveillance would.

>

> -

>

> Altadena, CA

> diagnosed April, 2007

> da Vinci, January, 2008

> so far so good...

>

>

>