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Hey all,

I've to have a prostate biopsy next week. They are going in via the perineum. Anyone with an implant had this done before? Or know if the needle they use goes anywhere near any component of the implant?

Cheers!

He didn't discuss the method, but my surgeon did say there were no issues with prostate surgery or colonoscopies when you have an implant. Just inform your doctor that you have an implant.

I had a prostate biopsy done in Jan 2010 which led to a diagnosis of low grade stage 1 prostate cancer (Gleason 6, PSA4) which was treated in Sep 2010 with a very precise method of radiation treatment called Cyberknife (which was new at the time) and I have been cancer free ever since.

This is the way a prostate biospy is normally done:

An ultrasound guided biospy tool is inserted in your rectum and the prostate is pierced transrectally w/the gun. This is how it was done to me. I was given Bactrin to take before and after the procedure to prevent infection, which never occured in my case.

This is link to an illustration of what the procedure looks like:

https://www.mayoclinic.org/-/media/kcms ... hu_jpg.jpg

And, here's a link to a general description of the procedure:

https://my.clevelandclinic.org/health/d ... and-biopsy

Good luck!

SteveSW wrote:He didn't discuss the method, but my surgeon did say there were no issues with prostate surgery or colonoscopies when you have an implant. Just inform your doctor that you have an implant.

Thanks for this. Yeah I will tell the dr that does it but I was so distracted when talking to my urologist I didnt think to mention it.

sswinsfba wrote:I had a prostate biopsy done in Jan 2010 which led to a diagnosis of low grade stage 1 prostate cancer (Gleason 6, PSA4) which was treated in Sep 2010 with a very precise method of radiation treatment called Cyberknife (which was new at the time) and I have been cancer free ever since.

This is the way a prostate biospy is normally done:

An ultrasound guided biospy tool is inserted in your rectum and the prostate is pierced transrectally w/the gun. This is how it was done to me. I was given Bactrin to take before and after the procedure to prevent infection, which never occured in my case.

This is link to an illustration of what the procedure looks like:

https://www.mayoclinic.org/-/media/kcms ... hu_jpg.jpg

And, here's a link to a general description of the procedure:

https://my.clevelandclinic.org/health/d ... and-biopsy

Good luck!

Glad you got treated successfully.

Yeah the infection risk is the issue. I am taking antibiotics ahead it. They now seem to prefer inserting the needle via the perineum though to avoid bacteria getting in through the rectum, the ultrasound thing still goes in through the anus though.

jump.ship wrote:Glad you got treated successfully.

Thanks!

I chose Cyberknife because of the high risk of ED (which mattered to me at the time) and incontinence following prostate surgery and I thought that brachiatheray and normal external beam radiation too risky as well.

jump.ship wrote:Yeah the infection risk is the issue. I am taking antibiotics ahead it. They now seem to prefer inserting the needle via the perineum though to avoid bacteria getting in through the rectum, the ultrasound thing still goes in through the anus though.

I wasn't familiar w/the transperineal method until you mentioned it and it appears to be a fairly recently development because, back in 2019, the Mayo Clinic said that 99% of prostate biospies were being done transrectally then.

See: https://www.mayoclinic.org/medical-prof ... c-20473283

Not sure how many are still being done transrectally now but it certainly makes sense to make the change to transperineal to reduce the risk of infection.

sswinsfba wrote:

jump.ship wrote:
I wasn't familiar w/the transperineal method until you mentioned it and it appears to be a fairly recently development because, back in 2019, the Mayo Clinic said that 99% of prostate biospies were being done transrectally then.

See: https://www.mayoclinic.org/medical-prof ... c-20473283

Not sure how many are still being done transrectally now but it certainly makes sense to make the change to transperineal to reduce the risk of infection.

Yeah i'm glad for it as the thought of sepsis was terrifying me!