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Prostate Biopsy Risks & Side-effects- Are there any?

December 5, 2009 by Prostate Dr. · Leave a Comment 

Standard sextant prostate biopsy scheme of the PZ of the prostateSometimes people ask about prostate biopsy side effects, or about prostate biopsy risks . The greatest risk is not getting accurate prostate samples, that is not making correct conclusions as a result of the biopsy. If there IS indeed a cancer and it’s stage is high, not detecting it could be very dangerous, because it could methastasize in the mean time. It’s is well known that in the case of…

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Prostate Biopsy Evaluation & Results

December 5, 2009 by Prostate Dr. · Leave a Comment 

The pathologist is the physician who receives the tissue specimens (blood, biopsies, prostates) from your urologist or surgeon . He works in the lab, and will now analyze and diagnose the received specimens. Nobody really emphasizes the importance of the pathologist, and the lab seems like a black box most of the time: the samples go in and the diagnostic comes out. The inner workings are a mistery for most…

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Who is prostate biopsy for? Prerequisites…

December 5, 2009 by Prostate Dr. · Leave a Comment 

After PSA testing and DRE (Digital Rectal Exam), a prostate biopsy may be required by your doctor, in order to make a correct and as precise as possible diagnostic.

So we may conclude that a biopsy of the prostate is necessary if either the PSA or DRE result is abnormal.

Why is prostate biopsy done?

It is performed for two reasons:

  1. in order to find the true cause behind the elevated PSA levels.
  2. because, as we…
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Prostate Biopsy- How is it done? Procedure…

December 5, 2009 by Prostate Dr. · Leave a Comment 

Standard sextant biopsy scheme of the PZ of the prostate
Standard sextant biopsy scheme of the peripheral zone of the prostate in the coronal plane on right and left sides at the base (top), midgland, and apex (bottom).
Ten-biopsy scheme of the PZ of the prostate
Ten-biopsy scheme of the peripheral zone (PZ) of the prostate in the coronal plane. Standard sextant scheme (closed circles) and additional biopsies from the lateral peripheral zone at the base and midgland (open circles). .

Nowadays, six prostate biopsies are usually performed in the…

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Prostate Biopsy- Is it a Perfect Procedure?

December 5, 2009 by Prostate Dr. · Leave a Comment 

Joseph C. Presti Jr. says in “Prostate Cancer: Principles and Practice” (page 23):

“…needle biopsy of the prostate represents a sampling of the gland, and accurate prediction of tumor grade within the prostate may be hindered by sampling error. In general, in several series correlating tumor grade on the biopsy with the grade of tumor in the radical prostatectomy specimen, needle biopsies exactly correlate with the prostatectomy in 31% to 59% of…

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Prostate Biopsy- How does it feel?

December 5, 2009 by Prostate Dr. · Leave a Comment 

This is quite a subjective topic. Some people (most people) only feel a slight sting, while others accuse very bad consequences (such as prostatitis) following prostate biopsy. Just like someone may cry when gets stinged by a needle, while others will look at the the sting and feel ok.

But one thing is certain: when the needle is inserted, you will feel a sharp pain in the prostate. Calm down, take…

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The Prostate Biopsy

December 5, 2009 by Prostate Dr. · Leave a Comment 

Gleason score: prostate cancer (prostate biopsy)The prostate biopsy is an important part of the diagnosis process of cancer, and this is because an accurate and early estimation of tumor grade significantly helps prostate cancer patients in their management of prostate disorders.

There are many kinds of biopsies: lung, breast, liver etc. and of course, prostate biopsies.

The etimology of this word sais it all: Biopsy= bios (greek- life) + opsis (greek- view).

So it’s a “slice” of a living organ[ism] which…

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Digital Rectal Exam & Prostate Biopsy

December 5, 2009 by Prostate Dr. · Leave a Comment 

Digital Rectal Exam & Prostate Biopsy

Part 3

DRE (Digital Rectal Exam)In more recent studies, only 26% to 34% of men with suspicious findings on DRE have positive biopsies for cancer (1,2 and 3). So unfortunately the most widely used test for the detection of prostate cancer turns out to be the most subjective. Some factors affecting the results of DRE include: examiners’ skills, varied indication for the examination, selection of patients based on symptoms and age,…

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