TRUS vs Transperineal Prostate biopsy - Advanced Prostate...

Advanced Prostate Cancer

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TRUS vs Transperineal Prostate biopsy

BB_1 profile image
BB_1
11 Replies

I have opted for the TP prostate biopsy over the TRUS biopsy. I could not find a Urologist in the Dallas/Fort Worth that does the TP biopsy. I did find a Dr. in Oklahoma city that does the TP biopsy. So I cancelled my TRUS biopsy in Fort Worth and Dr. Kelly Stratton with the Stephenson Cancer Center will do the biopsy on Aug. 24. Onward!

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John347 profile image
John347

I had TP biopsy in April under local anesthesia. 24 cores. Pain rank...3 out of 10. Not much side effects.... blood in urine lasted about a week.TP is preferred to TRUS as there is lower risk of infections as the needle does not go through the rectum.

Best wishes for your treatments.

Grandpa4 profile image
Grandpa4 in reply toJohn347

Me too. Not fun but not real painful.

BB_1 profile image
BB_1 in reply toGrandpa4

Thank u

addicted2cycling profile image
addicted2cycling in reply toJohn347

John347 wrote --- " ...TP is preferred to TRUS as there is lower risk of infections as the needle does not go through the rectum. ... "

While the ABOVE statement is true, the most important advantage of a TP biopsy is the ability to reach the anterior area that the TRUS can not reach AND that often has higher grade PCa cells.

BB_1 wrote --- " I have opted for the TP prostate biopsy over the TRUS biopsy... "

HOPING that YOUR TP Biopsy is being done utilizing MRI or Ultrasound methods.

GOOD LUCK 👍👍

Currumpaw profile image
Currumpaw in reply toaddicted2cycling

Well said addicted2cycling!

Just one more point. With the black box warnings upgraded for the fluoroquinolones, Cipro and Levaquin being two common fluoros used, Rocephin or Cefdinir should be the drugs used to prevent sepsis or infections that could possibly result from the biopsy.

Currumpaw

addicted2cycling profile image
addicted2cycling in reply toCurrumpaw

DOH!!! THANKS Currumpaw, I forgot to mention that. 👍TOO many guys have been messed up by having their doctor's prescribe the *offending* antibiotic.

BB_1 profile image
BB_1 in reply toaddicted2cycling

Thank u

BB_1 profile image
BB_1 in reply toaddicted2cycling

Thank u...using ultrasound

BB_1 profile image
BB_1 in reply toJohn347

thank u

Definitely the right choice. IMO urologists should no longer offer nor perform such an inacurate and potentially infection causing TRUS biopsy procedure.

BB_1 profile image
BB_1 in reply toHopingForTheBest1

Agree...thank u

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