Friday, 31 January 2020

Trans Perineal Biopsy - Prostate Cancer

got to tell you about this as I have suspected Prostate Cancer.
Can't find info about this Biopsy. No one tells you what they actually do so here you are this is what happened to me. Your hospital maybe different,
Carlisle, Cumberland Infirmary.
They have just started doing this as a local anaesthetic procedure, used to be a general day case.
I was booked for a Trans Rectal Biopsy but it got delayed then consultant decided this was more appropriate. At the time they said most were switching to this as there was less chance of infection after wards.

The doctor talked to me and explained basically what they were going to do.
I signed the consent. I asked if there was bleeding - no he said. Just wait 20 mins after the procedure and then if Ok you can go home.
So, go in strip off. remember to put your gown on "open at back". I didn't.
Lie on table.
Bottom to end. Legs up in to stirrups (Like having a baby)
they lft up your bits and hold them with a sticky patch. (not uncomfortable).
Wash bottom in a antiseptic solution. then spray with a cold numbing spray.
Next inject the local anaesthetic. about 6 injections I had. Not really painful just the prick as they go in. Like a filling.
Now you wait 5 minutes for the anaesthetic to work. Seems an hour and all I had to lok at was a boring ceiling. The doctors and nurses chatted amongst themselves. There was one who kept asking if i was Ok. "yes i'm OK. Lie, back relax and think of England" - or anything to calm you and take your mind of it. Its not pleasant.
Now the gel and the probe goes up your bottom. I've had an endoscope before so no surprises.
Then the needle for th eBiopsy. I felt the pressure than a sort of pop as it obviously went in. The doctor was doing OK. Further in not feeling much. Then they get to your prostate. More pressure, a gentle shove and the "click" or "snap" obviously as the sample is taken.
all together they did 12. 3 front, back, left and right. They said they may need 16. All depends on the area they are targeting.
It lasts for about 15minutes then they with draw the needle. then the probe.
relief.
Then they wipe your bum.
that's is. Untie your ankles, you can sit up, swing your legs around, Stand up and return to get dressed.
there was a toilet in the room so I went and wiped my bum. Some fresh blood. I got some tissue and placed it in my pants.
I did think they could have explained what to do after wards better. I was left to return to waiting room where my lift man was waiting. Problem, which way was it? Maze of doors and corridors, no signs but with a bit of trial and error found my way there.

I was the last case of the day  so every one had gone. What if I was ill, who would I call?

anyway went home. A bit sore and bow legged. No pain as such till the numbness wore off. checked my bum. Still spots of fresh blood so got one of my wife's panty liners to put in my pants. good idea!

Relax and rest. Next day just sore and tired. It takes it out of you.