Other Cancer Treatment Effects On Ejaculation
Some cancer treatments reduce the amount of semen thats produced. After radiation to the prostate, some men ejaculate less semen. Toward the end of radiation treatments, men often feel a sharp pain as they ejaculate. The pain is caused by irritation in the urethra . It should go away over time after treatment ends.
In most cases, men who have hormone therapy for prostate cancer also make less semen than before.
Chemotherapy and other drugs used to treat cancer very rarely affects ejaculation. But there are some drugs that may cause retrograde ejaculation by damaging the nerves that control emission.
Temporary Effects On Your Bowel Movements Urine And Semen
- You might see blood in your bowel movements. You might also have a small amount of bleeding from your rectum. These can happen right after your procedure or for the next few days when you have a bowel movement.
- You might see blood in your urine for 7 to 14 days after your procedure. This bleeding might come and go.
- Your semen might look rust-colored for up to 12 weeks after the biopsy. This is because small amounts of blood might be in it.
I Have Had Biopsies Three Times With Each One Turning Out Negative My Psa Went From 5 To 7 To 135 And Now It Is At 115 My Doctor Wants To Do Exploratory Surgery I Am Wondering If This Is Really Necessary Would You Recommend That I Get More Testing Done At Well
Im not certain what he meant by exploratory surgery. Sometimes, performing multiple biopsies under anesthesia can help find cancers that were missed by out-patient office biopsies. Please see other Q&A about high PSA and multiple negative biopsies. The key is to have the prostate gland sampled thoughtout especially the anterior region, which is often missed on office biopsies.
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Treating Blood In Semen
The treatment your GP or urologist recommends will depend on what they think is the underlying reason for the blood in your semen.
In many cases, particularly if you have no other symptoms or the blood in your semen was an isolated incident, no treatment is necessary and the problem will usually resolve on its own.
If a clear;reason is identified, the treatment you’re offered will depend on the specific cause.
For example, you may be given antibiotics to treat an infection and cysts may need to be drained with a needle.
If there’s a serious underlying cause, such as a blood clotting disorder or cancer, you’ll be referred to an appropriate specialist for any necessary treatment.
Page last reviewed: 18 July 2019 Next review due: 18 July 2022
Are Biopsy Samples Ever Mixed Up And Is A Second Biopsy Reviewed By A Different Pathology Lab Advisable If A Man Thinks That Might Have Happened
It is very unlikely that the biopsy cores were mixed up, but there are ways to check to be certain. The biopsy could be tissue typed to see if it matches your tissue for a cost. I do not think another biopsy would be advisableToo many biopsies can cause scarring around the prostate gland that can make nerve-sparing surgery more difficult.
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What Happens After A Prostate Ultrasound And Biopsy
When the procedure is finished, you may resume your normal meals and daily activities, unless otherwise instructed. Some urologists may prescribe an antibiotic after the biopsy to prevent any infections, but given antibiotics only prior to the biopsy. Some men may have soreness for a few days after the procedure, which is normal. Your provider will contact you when your results are available
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Regarding A Post Radical Prostatectomy Report What Do The Following Mean Tertiary Pattern 5 Mx Ro
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Reduced Risk Of Infection
The transperineal biopsy has the additional potential advantage of a much lower risk of infection, as the skin of the perineum can be easily disinfected by routine surgical preparation immediately prior to the procedure.
A higher number of tissue samples are usually taken by transperineal biopsy. Also, some of the samples are taken from areas closer to the urethra, which runs through the prostate. As a result, there appears to be a higher risk of temporary voiding difficulty, including urinary retention. Fortunately, this may last only a day or two, and is easy to treat.
Urologists at AUA are experts in transperineal biopsy of the prostate and published an award-winning paper on their own results showing a rate of zero serious infection when using this technique. As a result of their clinical research, AUA urologists offer the transperineal approach to the vast majority of their patients who require prostate biopsy.
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How To Get The Best Results
Most men do not find prostate biopsy excessively painful or uncomfortable, and the complications are usually not seriousbut can be. Certain steps taken before, during, and after the procedure can improve the outcome:
Take antibiotics.;Taking preventive antibioticsbefore and after the procedurecuts the risk of infection substantially. Most infections are not dangerous but could become so if they get out of control. The overall chance of being hospitalized with an infection after prostate biopsy is 1% to 3%.
Review medications.;Before the biopsy, your doctor may advise you to stop taking daily low-dose aspirin or an anticoagulant such as warfarin , dabigatran , edoxaban , rivaroxaban , or apixaban . These drugs reduce the blood’s ability to clot. Your doctor will weigh the chance of bleeding against the need for anticoagulants to prevent heart problems or stroke.
Expect anesthesia.;Get local anesthesia for the biopsy. This means an injection of a numbing drug into the prostate gland to reduce pain during the biopsy.
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Dealing With Bph Since 2003
Based on the experience of 2003, I will never again have a prostate biopsy. Since having my left cancerous kidney removed in April of 2015, the condition of my prostate has been monitored by more PSA tests and semi-annual prostate sonograms. My new urologist has me on the drug Avodart containing dutasteride to help shrink the prostate and another, Harnal containing tamsulosin hydrochloride, which makes it easier for me to urinate during the night.
This content is accurate and true to the best of the authorâs knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. Drugs, supplements, and natural remedies may have dangerous side effects. If pregnant or nursing, consult with a qualified provider on an individual basis. Seek immediate help if you are experiencing a medical emergency.
My Prostate Biopsy Showed No Cancer But There Was High
High-grade prostatic intraepithelial neoplasia and atypical glands are sometimes precancerous changes, as about 25-30% of patients who have them may later be diagnosed with prostate cancer. Sometimes the conversion can take 10 years or more. My policy is to check the patients Prostate Health Index blood test quarterly for the next year and then decide whether a follow-up biopsy is indicated to rule out the development of cancer.
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Day Before Prostate Biopsy
You will be given a prescription for an antibiotic that should be the day before and the morning of your biopsy. Enough antibiotics have been given for you to continue taking them for two more days after the biopsy. You will also have to purchase two fleets enemas at your local pharmacy. Follow the instructions in the box and take one the evening before and one two hours before your biopsy. You should also not eat any solid foods after dinner the night before your biopsy. You may drink any type of liquid that you choose right up to the point of your biopsy. It helps to have some fluid in the bladder during the biopsy.
Types Of Prostate Biopsy
A prostate biopsy may be done in several different ways:
- Transrectal method
At the moment, most biopsies are done using a transrectal ultrasound-guided technique. A TRUS prostate biopsy is where the needle goes through the wall of the back passage .
- Perineal method
This is done through the skin between the scrotum and the rectum.
- Transurethral method
This is a type of biopsy done through the urethra using a cystoscope .
- Transperineal biopsy
Unlike the TRUS Guided Biopsy, this is where the doctor inserts a needle into the prostate through the skin between the testicles and the anus. This area is the perineum.
The needle is inserted through a template or grid. This is a targeted biopsy, which can be target a specific area of the prostate using MRI scans. An advantage of the TP biopsy is that it can now be performed under local anesthesia.
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Is Having Blood In My Semen Dangerous
Although its frightening to see blood in your semen, its rarely a symptom of a major health problem. A single episode of blood in your semen is usually not a sign of cancer. However, you may still want to see your healthcare provider to be reassured, to fully discuss this symptom and get an exam and perhaps other tests if your provider thinks theyre needed.
What Are The Different Types Of A Prostate Biopsy Procedure
The surgeon can choose any of the three different ways of performing a prostate biopsy. These are as follows:
- Transrectal method: This is the most common method of performing a prostate biopsy. In this, the surgical instruments are inserted through the rectum .
- Perineal method: This is done through the area lying between the scrotum and rectum.
- Transurethral method: A cystoscope is inserted through the urethra .
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Risks And Complications Associated With Biopsies
It is normal to expect some minor bleeding after needle biopsy, because the needle has entered areas that contain small veins. Blood in the urine, semen, and with bowel movements may occur intermittently for a few days and possibly for a few weeks. The two primary risks of needle biopsy are severe bleeding and infection of the prostate gland or urinary tract. These risks are very rare, occurring in less than one percent of patients.
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How Is Blood In Semen Diagnosed
Initial evaluation
Your healthcare provider will:
- Take a full medical history, including asking questions about your current symptoms, when you first noticed the blood, how often youve seen blood in your semen, and your sexual activities/practices. You will also be asked about medications you take, if youve had any recent medical procedures, have any bleeding disorders, or have any symptoms of a urinary tract infection.
- Conduct a physical exam to check for lumps, swelling, redness or discharge from your genitals.
- Perform a rectal exam to check the prostate for swelling, tenderness or a lump.
- Check your blood pressure.
Your healthcare provider may order one or more of these tests:
- Urine culture to check for infections or abnormalities.
- STD test to detect any sexually-transmitted disease.
- Prostate Specific Antigen test to check for prostate cancer.
Specialized tests
The results of your exam and tests may not show the cause of blood in your semen. Your provider may refer you to a urologist if your initial evaluation and urinalysis are not normal or if blood in your semen in present for longer than a month. Your urologist may order some or all of the following tests:
- Transrectal ultrasound to diagnosis prostate problems including cysts, calculi, varices, inflammatory changes.
- Computed tomography or magnetic resonance imaging .
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The Results Of My Prostate Biopsy Showed Only Inflammation In My Prostate Is There Anything I Should Be Doing To Treat The Chronic Inflammation
Prostatic inflammation is the most common cause of an elevated PSA. In the past, we treated patients with long-term antibiotic therapy; however, our infectious disease experts are concerned that this would lead to the intestines becoming colonized with bacteria that are resistant to multiple antibiotics. Accordingly, we now must rely on the patients immune system to deal with the prostate inflammation unless the patient is acutely ill with a high fever and/or a urinary tract infection.
To 7 Days Before Your Procedure
You may need to stop taking some of your usual medications before your surgery. Examples include anticoagulants, aspirin, medications that contain aspirin, and vitamin E. Follow your healthcare providers instructions.
You can read about medications that contain aspirin and vitamin E in the resource Common Medications Containing Aspirin, Other Nonsteroidal Anti-inflammatory Drugs , or Vitamin E.
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I Am 52 Psa 32 Gleason 3+3=6 But The Path Report Found Cancer Cells In 7 Of 8 Cores Does This Indicate Wide
Not necessarily. The relatively low PSA and Gleason grade are countervailing favorable features. You might have diffuse cancer in your prostate gland that still has not escaped. In general, if you are healthy, and all other tests suggest that the cancer has not spread, I would say that radical prostatectomy is the most effective treatment for you.
How Long Does It Take To Recover From A Prostate Biopsy
A patient may take about four to six weeks or even more recover after a prostate biopsy. The recovery process after biopsy usually depends on the patient’s health and age. Doctors may recommend only light activities for 24-48 hours after a prostate biopsy. The doctor prescribes painkillers, vitamins, and antibiotics for a few days to speed up the healing process.
After the biopsy, it is normal to experience the following sensations or symptoms:
- Burning urination: It may start within 24 hours after the biopsy and may continue until three to seven days. This burning sensation is a side effect of the procedure and usually considered normal.;
- Frequent urination: It may gradually improve over the first 24-36 hours.
- Blood in the urine: It is considered normal to have slightly red-tinged urine or urine that resembles the color of a rose or red wine. This may last from 12 hours to 3 weeks after the biopsy.
- Blood in stool: A patient may notice red stains on the toilet tissue or see some bloody streaks in the stool. This may last for up to five days.
- Blood in the semen: This may persist for up to six weeks after the biopsy.
- Tiredness: A patient may feel tired for a month or two. It usually takes 30-45 days to regain full normal strength after the procedure; hence, sufficient rest is usually advised by the doctor.;
Post-biopsy restrictions and instructions:
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Prostate Biopsy Specimens: Ask For Meticulous Labeling
The way that prostate biopsy samples are handled varies among hospitals. The samples, or “cores,” are put onto glass slides to be examined under a microscope for signs of cancer. Find out if the physician doing the biopsy will place each core in a separate, labeled container. If cancer is discovered, its location in the prostate gland can affect decisions about further testing and possible treatment.
Individual labeling of biopsy cores is more expensive, and not all hospitals provide this level of service. “If all of the samples from the right and left side of the prostate gland are processed together, as opposed to individually, consider having the biopsy done elsewhere,” Dr. Garnick says.
Does A Needle Biopsy Of The Prostate Spread Cancer Cells
There is no clinical evidence suggesting that needle biopsy compromises the chances for cure. First, the needle is designed so that it enters the prostate as a solid piece of metal; once in the prostate it opens up and bites off a sliver of prostate tissue and then closes and comes out again as a solid piece of metal. All of this takes place in a fraction of a second. There is no evidence that tumor cells track along the path of the needle. Also, there are countless patients who have been cured of prostate cancer after having had many needle biopsies.
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Pain During Erection Or Ejaculation
Some men find that erections and ejaculating is painful after surgery, or during and after their course of radiotherapy.
Painful erections following surgery could be due to internal bruising caused by the operation. The tube which carries urine from the bladder to the outside of the body ;gets inflamed by the radiotherapy treatment.
This side effect should disappear a few weeks after you finish radiotherapy or as you recover from surgery. Talk to your specialist nurse for specific advice. If masturbation and sex is important to you, its important to keep stimulating the penis to keep it healthy. On the other hand, if erections are very painful, you might need to avoid ejaculation for a while and try again later.
The penile injections to stimulate an erection can cause painful erections in some men. This pain might lessen with continued treatment.