anyone had to do a prostate biopsy through the pouch.....any problems with that....Doc wants to biopsy and I am unsure of involving the pouch.

steve

Just went through this a couple of months ago. Again. I had a biopsy done about 2 years ago (with a j-pouch) and then again this year (2009) in Feb. for high PSA levels. They took 12 samples each time.

I went for a 4 month check last week. The dr. did the manual check (finger probe) and told me if my PSA keeps going up I'll be getting another biopsy later this year.

I was the same way. Very apprehensive and I let the dr. know I was apprehensive as well.

You should be okay, but let the dr. know that you have a j-pouch.

Steve,

I have a j-pouch but also have a loop ileostomy so I don't really use the pouch. When the urologist wanted to do a DRE I checked with my surgeon and she indicated that it was not really a problem if he needed to do a biopsy at the same time. I just needed to be dilated since my pouch is inactive. He did the dilation but did not need to do the biopsy. It sure wouldn't hurt to check with your surgeon for your particular case just to be sure.

Jim

thanks for the comments....

I actually met with the doctor and he thinks he can do the biopsy from the outside and not have to go into the pouch. Of course it will be alot more involved i.e. sedation but well worth it, I think. I have a great surgeon and he actually called and talked to the urologist for me.

Sixteen patients were identified. Mean prostate-specific antigen was 9.3 ng/mL (median, 5.9 ng/mL; range, 4.3 to 26.8 ng/mL). Prostatic biopsy was performed without complication by a variety of radiographic techniques. Successful RRP was achieved in all patients without pouch violation or pouch-related postoperative complications. The most common intraoperative finding was pelvic adhesions between the posterior prostate/seminal vesicles and the IPAA. Neurovascular bundle preservation was not altered by pelvic adhesions in any patient in whom this was the goal of the operation.

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