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Blood in semen after biopsy

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User
Posted 23 Dec 2020 at 18:53

Was that under a general anesthetic?

I had 34 taken, but that was under general anesthetic and mainly targeted a specific area (anterior).

Before the current mpMRI scans, there used to be mapping biopsies, which is a type of transperineal template biopsy to sample all areas of the prostate. These were typically 100 cores.

With the development of effective transperineal local anesthetics over the past few years, they are doing transperineal biosies increasingly under local anesthetic.

The limit for TRUS was usually 12 samples, beyond which the patient becomes too uncomfortable.

 

User
Posted 25 Dec 2020 at 01:14

Thanks LynEyre and Andy62,

That's reassuring. This forum is so very helpful!

It was a general anaesthetic and I had an mpMRI about 2 years ago but that didn't indicate any specific area to target.

My best wishes to everyone here!

 

User
Posted 16 Jan 2021 at 00:06

I’m a little concern. Had my prostate biopsy done on 26 October last years. It’s been 11 weeks and I’m still having blood in my semen. Wondering if I should consult the doctor. 

User
Posted 16 Jan 2021 at 01:04

I think I would mention it to your doctor. It can take a while to clear up but 11 weeks is longer than I would expect. 

Dave

User
Posted 16 Jan 2021 at 08:20

Kian, that does seem like a long time. It was 3 weeks for me, and the leaflet I was given said up to 6 weeks. It does require a good number of ejaculations to get it out, and I did so daily to clear it in 3 weeks.

What colour is the blood? Blood is bright red for 3 days after it bled, but turns rust coloured after 3 days. So if the blood is bright red, you have fresh bleeding, but if it's been rust coloured except for first few days, then it hasn't bled since the procedure - it's just that you haven't got it all out.

Edited by member 16 Jan 2021 at 09:54  | Reason: Not specified

User
Posted 18 Jan 2021 at 15:41

Just to add to the proceedings. I am 2 weeks in and still ejaculating Lea and Perrins. I made the mistake of waiting a week before the first one and it was nigh on black!

User
Posted 18 Jan 2021 at 21:32

I've had a couple of support line calls from guys who waited a couple of months before daring to ejaculate, and were horrified to find it was black. It's the iron from the hemoglobin which has broken down and literally gone rusty. Not anything to worry about, but it may be better to get it out than leave it in there.

I didn't manage to get it all out from my second biopsy - I was already on hormone therapy and no longer ejaculating much. When I had a full body MRI scan a few months later, there's a bright white dot showing in my prostate. I asked the radiologist if that was the cancer because I didn't think it showed up that clearly. He said no, it's iron oxide left from blood which the body failed to reabsorb, and because iron oxide is magnetic there was enough there to show up bright white on an MRI scan.

Edited by member 18 Jan 2021 at 21:33  | Reason: Not specified

User
Posted 21 Jan 2021 at 13:15

Originally Posted by: Online Community Member

Hi Andy62 and others,

I saw my urologist and sections from all cores were negative for malignancy which is great news. There is some high grade PIN. PSA will continue to be monitored. What shocked me was that 41 needle cores were taken! No wonder recovery is taking some time.

It was a transperineal biopsy using Precision Point.

Has anyone here had a similar number of cores taken?

Can I ask what your PSA is Carey?

User
Posted 30 Jan 2021 at 04:53

Hi Dawnrazor,

It was 5.3 with 19% free/total ratio on 17/11/20.

Edited by member 30 Jan 2021 at 06:00  | Reason: Addressed to the person who asked the question.

User
Posted 30 Jan 2021 at 05:00

Originally Posted by: Online Community Member

Still having brown ejaculate. Procedure was about three weeks ago. Also seems like there’s not as much as there was pre-biopsy. Very little comes out. 

Hi dj,

Just wondering if everything returned to normal for you - colour, volume, consistency?

Carey

 
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