Are Prostate Biopsies Safe
One of the main issues with prostate cancer screening tests is that they can lead to misdiagnosis and as a result, overtreatment.
Even if you take many samples, a biopsy can still sometimes miss cancer. This occurs if none of the biopsy needles pass through the rights areas. Thus, the biopsy will have a false-negative result.
Prostate Biopsy In Clinical Practice
The decision to proceed with biopsy is complex, evolving, and should be made on an individualized basis. Traditionally, biopsy is performed for three general indications: abnormal digital rectal exam , increased prostatic-specific antigen , and clinical suspicion of prostate cancer.
Prior to the advent of PSA screening, prostate biopsy was performed solely for lesions palpable on DRE. Concerning findings on DRE include nodularity, asymmetry, or diffuse firmness. DRE has a poor positive predictive value for detecting cancer and is not recommended as a sole screening tool. However, detection of suspicious gross abnormality on DRE may be an indication for biopsy regardless of PSA depending on contextual patient factors.
PSA is an important biomarker that correlates with the risk of prostate cancer. Screening for prostate cancer using PSA has been shown to reduce prostate cancer mortality, but its utility is highly age dependent. The American Urological Association provides guidance on who should be screened using PSA. Their recommendations include avoiding screening altogether in men under the age of 40, average risk men age 4054, men age 70 or older and men with a life expectancy less than 1015years. They recommend that for men aged 5569, the decision to screen using PSA should be shared amongst the physician and patient and that a biennial interval may preserve the benefits of annual screening while reducing overdiagnosis.
Prostate Biopsy At A Glance
- A prostate biopsy is the removal of tissue samples from the male prostate gland so a laboratory can examine the tissue for the presence of prostate cancer.
- A biopsy is generally recommended when a prostate-specific antigen screening, a digital rectal exam or an imaging test indicate a suspicious area that requires further examination.
- We will discuss our findings with the patient and the prospect of conducting a prostate biopsy to learn more.
- Urologists perform the removal of the tissue in our offices using transrectal ultrasound and a small needle to obtain cell samples from the prostate for a biopsy.
- The biopsies are sent to the pathology lab where they are stained and reviewed by a pathologist, with results typically available within one week of the biopsy.
- Prostate biopsy is the only method of definitively diagnosing prostate cancer.
Don’t Miss: Prostatitis Viagra
A Traditional Prostate Biopsy Which Is A Random Sampling Of The Prostate Can Miss Prostate Cancers Says Michael Herman Md Director Of Urologic Oncology At South Nassau Communities Hospital In Oceanside Ny
The miss rate, continues Dr. Herman, is up to 25 percent of the time. That is not reassuring.
Dr. Herman continues, This often led to patients requiring repeat biopsies because of a persistently elevated PSA.
Solution to Biopsies Missing Prostate Cancer
However, over the last few years, we have developed the use of MRI before biopsy to more accurately target areas in the prostate that are concerning, explains Dr. Herman.
These MRI-targeted biopsies are up to 30 percent more accurate than traditional biopsies.
How We Approach Prostate Biopsies And Prostate Cancer Diagnosis At Ctca
When you come to CTCA for a prostate biopsy or a second opinion, youll have access to tests that may help increase the accuracy of each biopsy. Our team has expertise with these tests and procedures, allowing us to work quickly and efficiently.
If youre diagnosed with prostate cancer, a multidisciplinary team of genitourinary experts, which may include a urologist, a urologic oncologist, a radiation oncologist and a medical oncologist, will review your case and develop a personalized plan based on your specific circumstances and needs.
We only treat cancer at CTCA, which means our cancer experts are skilled at assessing risk associated with each persons circumstances. We give you the pros and cons of the treatment options available to you, allowing you time to talk with your team of doctors and other experts about those options.
Our cancer experts are also vigilant about what patients need and when they need it. We know that when men are told they have slow-growing prostate cancer, some of them wont keep up with the necessary follow-ups, so we help keep them on track.
If you choose to receive treatment with us, you may benefit from our integrative approach to cancer treatment. Our multidisciplinary team works together to help prevent and manage the side effects of cancer and its treatment, providing supportive care services, such as:
Recommended Reading: Does Enlarged Prostate Affect Ejaculation
You May Like: Pentostatin Side Effects
What Is A Prostate Biopsy
A prostate biopsy is a procedure to detect prostate cancer. They remove small samples of the prostate and then observed them under the microscope.
Doctors usually recommend a biopsy of your prostate gland based on certain findings. One is if your prostate-specific antigen blood test results are higher than average for your age.
Another is if your doctor detects signs of a prostate problem during your digital rectal exam . Although the PSA and DRE or show a possible problem with your prostate, it requires a biopsy to confirm if its cancer.
A prostate biopsy involves:
- Collecting minute samples of the prostate gland. The doctor passes a needle through the rectal wall or makes a small cut in the area between the anus and rectum to obtain the samples. A CT or MRI scan is also used to guide them through the procedure.
- A prostate biopsy takes about 10 minutes and is usually done in the doctors office. The samples will be sent to a lab and will be looked at under a microscope to see if they contain cancer cells.
- If cancer is detected in the patient, it will also be assigned a grade. The results are available after 1 to 3 days, but it can sometimes take longer.
Getting My Gallery Absolutely Sent Me To Tears
– Liz & John
Kailey was absolutely incredible! I was able to book her for just as many hours as I needed, and her pricing was very reasonable. She arrived early, took the photos I was expecting and hoping for, and she was very professional throughout the entire process. Im nervous having my picture taken, so wedding photos were something that I really wasnt looking forward to. When I told this to Kailey she reassured me that she would make it fun, and she definitely made good on that promise. Not only was I relaxed and comfortable for the portraits, but they came out AMAZING!!! Everyone has complimented how gorgeous my wedding photos are, and I could not be happier.
You May Like: Prostate Disease Definition
What Does My Prostate Do
The prostate is beneath the bladder and in front of the rectum. Itâs a walnut-shaped gland that surrounds part of the urethra. . Hereâs what it does:
- It produces fluid for semen, which includes sperm produced in the testicles.
- It prevents urine from being included during ejaculation.
If it gets too big, your prostate can block pee from passing through the urethra and out the penis.
What Will I Experience During And After The Biopsy
If you receive IV contrast for the MRI-guided procedure, you may feel coolness and a flushing sensation for a minute or two when the contrast material is injected. The intravenous needle may cause you some discomfort when it is inserted and you may experience some bruising once it is removed.
Rarely, patients may experience side effects from the MR contrast material, including nausea and local pain, hives, itchy eyes or other reactions. If you experience allergic symptoms, a radiologist or other physician will be available for immediate assistance.
When the ultrasound probe or endorectal coil is inserted into the rectum, you will feel pressure and may have some temporary discomfort.
You will hear a clicking noise when the biopsy needle samples the prostate, and you may feel a stinging or burning sensation in the area.
Some patients find it uncomfortable to remain still during MR imaging. Others experience a sense of being closed-in . Therefore, sedation can be arranged for those patients who anticipate anxiety.
If you feel heating on your skin at any time during MR imaging, the MR technician should be notified so that they can perform a closer examination of the area.
Some patients experience a small amount of bleeding from the rectum or perineum immediately after the biopsy procedure. If this occurs, it will cease with gentle pressure.
You may feel pain and discomfort in the area of the prostate for a day or two after the biopsy, particularly when you are seated.
Read Also: What Is The Definition Of Prostate Gland
Will A Prostate Biopsy Spread Your Cancer
J. Stephen Jones, MD, is chairman of the department of regional urology at the Cleveland Clinic Glickman Urological and Kidney Institute, and is professor of surgery at Cleveland Clinic Lerner College of Medicine at Case Western Reserve University. He is author of The Complete Prostate Book and Overcoming Impotence.
Sign up to be a Bottom Line Insider today!
Get The Latest Health, Life & Money Trends
Finding The Perfect Richmond Wedding Photographer
Many couples kick off their wedding planning by searching for photographers because these are the types of vendors that book up years in advance. Finding the best wedding photographers in Richmond will take a bit of patience, but you can do most of your research online. Browse their portfolios to find ones that match your style, whether thats classic, artistic, modern or whimsical. You can set up a time to meet in person for any of your favorite Richmond wedding photographers and be sure to ask them to see more samples of their work beyond the posed photos . Narrow down your options further by reading reviews from other couples and considering your budget. The typical cost for wedding photography in Richmond is roughly ten percent of the overall wedding budget or between $2,500 and $4,000, but each couple is unique and that price can vary.
Prostate Biopsy Can Cause Urinary Erectile Problems
By Amy Norton, Reuters Health
6 Min Read
NEW YORK – Biopsies taken to diagnose prostate cancer commonly cause temporary erectile dysfunction and, in some cases, lingering urinary problems, according to a new study.
The findings, reported in the Journal of Urology, highlight the fact that even the tests for diagnosing prostate cancer can have side effects.
And men who are undergoing prostate biopsies — as well as those considering prostate cancer screening — should be aware of those risks, experts say.
This is especially important for men facing the prospect of multiple biopsies, since the risk of side effects appears to be related to the number of needle sticks used.
For the study, German researchers followed 198 men who had been randomly assigned to undergo one of three forms of biopsy to check for suspected prostate cancer: a standard biopsy, where a needle was used to take no more than 10 tissue samples a 10-sample biopsy along with the use of a periprostatic nerve block to lessen any pain from the procedure or a saturation biopsy, where 20 tissue samples were taken.
Saturation biopsies may be done in some cases where the doctor suspects a man has a particularly elevated risk of having cancer — such as a man who has had a negative biopsy in the past yet has persistently suspicious findings on PSA screening tests. Taking more tissue samples during the biopsy should increase the chances of finding any tumor.
Richmond Va Wedding Photographer
You couldn’t ask for a better wedding to photograph. Julie’s now husband Brian is one of the kindest grooms I have had the pleasure of working with. Putting these two together was clearly a God thing, and I loved every minute of their wedding day! Everything seemed to run perfectly and I know they will look back on this day for many years to come with just as big of smiles on their face.
Congratulations you two, and thank you so much for letting me take part in your special day.
Read Also: Prostate Cancer Perineural Invasion
There Are Risks To Getting Prostate Cancer Tests And Treatments
If your PSA is not normal, you will probably have a biopsy. The doctor puts a needle through the wall of the rectum and into the prostate to take a few samples. Biopsies can be painful and cause bleeding. Men can get serious infections from biopsies, and they may need hospital care.
Surgery or radiation are the usual treatments for prostate cancer. They can do more harm than good. Treatment can cause serious complications, such as heart attacks, blood clots in the legs or lungs, or even death. In addition, 40 men out of 1,000 will become impotent or incontinent from treatment.
Types Of Prostate Biopsy Method
Prostate biopsy tests can be gathered in various ways. Your prostate biopsy may include:
- The needle going through the mass of the rectum . This is the most widely recognized method for performing a prostate biopsy.
- Inserting the needle through the area of skin between the butt and scrotum . A little cut is made in the skin area between the butt and the scrotum. The biopsy needle is embedded through the cut and into the prostate to draw out a specimen of tissue. An MRI or CT output is for the most part used to guide this technique.
You May Like: Does Enlarged Prostate Affect Ejaculation
Top 10 Wedding Photographers In Richmond Va
Whether youre after bold and creative or softly-toned and whimsical, theres a wedding photographer out there to suit you. Couples getting married in Virginia will find there’s no shortage of outstanding photographers calling the state home.
Read on to check out our comprehensive list of the top wedding photographers in Richmond. Read on to view their portfolios, see a little about their personalities, and evaluate their services for your big day.
What Makes Us Unique
No matter which direction you take your festivities, youll need an experienced local photographer with the skills you need the most. However, with so many options when looking for a Richmond wedding photographer, how can you narrow down who to book before your day arrives?
When you need a friend in the wedding industry helping you locate the ideal photojournalist, you need Eivans Photo Inc. to make the right decision. Weve assisted more couples over the past 30 years, acting like your perfect pairing process for any ceremony type.
Having been in the service for a long time, we have a good grasp of what brides want their wedding to be like. Utilizing that knowledge and our pairing process, we are confident that we can meet your expectations.
Rest assured, Eivans wedding photographers in Richmond are certified, professionals. They studied and worked on this field for years, giving them the skill set necessary to capture your beautiful moments behind the camera.
Our primary service is to match you up with capable Richmond wedding photographers, which we do after careful consideration. Once we learn the kind of wedding you have in mind, we then begin our search for the right expert.
Whether you have scrapbooks full of ideas or you havent begun planning your wedding yet, we make it simple to know who can best capture every moment. Begin your hunt with our online style quiz, which reveals what types of photos that you prefer the most.
You May Like: Is Zinc Good For Prostate
Does A Photographer Need To Enter My Home
There are many situations in which a photographer does not need to enter your home. Its not uncommon for people to prefer to have their pictures taken outdoors. If you’re hiring a photographer, maintain safe distances, avoid being in the same room, sanitize all involved surfaces and conduct payment using digital platforms. You can discuss strategies as you complete your search for local photographers.
An Intimate Wedding + Celebration In Richmond Virginia
Jeff & Brandys Ceremony
Jeff and Brandys family gathered at Bryan Park for an intimate ceremony by the water. They had a few chairs set up as well as ice packs because it was a hot August day. Jeff anxiously waited for Brandy to walk around the pond, but funny enough, we could hear her across the pond yell, OH MY GOSH!!! ITS SO BEAUTIFUL! Thats our girl! HAHA! While a soft guitar played in the background, Brandy walked around the pond with her father. Tears filled her eyes as she saw Jeff and their family standing there waiting for her. Everything came together better than she expected! But goodness When Jeff and Brandy shared their hearts at the altar, there wasnt a dry eye! Brandy shared her heart through her talented voice and wrote a song for Jeff. Every one of us could feel their words of intention and purpose to be there for each other until death do us part! To conclude their ceremony, they performed the ancient Celtic tradition, the handfasting ceremony, and were pronounced husband and wife with the seal of a kiss!
Jeff & Brandys Celebration
Recommended Reading: Does Enlarged Prostate Affect Ejaculation
Book The Perfect Photoshoot Location In Richmond
Peerspace is the easiest way to book the perfect photoshoot space. Enjoy the largest location library and hassle-free bookings today.
Kim Johnson highlights your bond as the centerpiece of her work i.e., shes not simply showcasing the wedding but the love that lights you up. Her artistic style is light and airy, with an editorial feel, perfect for those who want an intuitive wedding photographer who understands how important the craft is. Recently married, she knows both the effort that goes into planning a wedding and the love that begs to be documented as keepsakes for years to come.