Anyone had a prostate biopsy through the jpouch?

Mark NMember

Has anyone had a prostate biopsy the regular way through the Jpouch rectally the way they would through the colon? My PSA is high enough that they want to do a biopsy but I fear that the incision or punch or whatever they do through the pouch might hurt it. Comments or help anyone?

12/13/136:25 PM

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Jan DollarModerator, RN, retired

I believe there is no incision involved with transrectal needle prostate biopsy. No more of an issue to your pouch than it would be to your rectum.

Should be fine. You can contact your GI or colorectal surgeon for reassurance if you want. Or possibly have your urologist contact your colorectal surgeon for consultation regarding your j-pouch. They should be working in tandem on this, just in case further surgery might be needed.

Jan

12/16/133:04 PM

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Mike HMember

Nope I wpould not do it. My urologist said no. I would have your PSA checked again in 6 weeks and then get a second opinion. Some doctors think that 4 is high and some doctors think a score of 2.5 is high. Dont rush but I would not do anything until your surgeon OKs it. My surgeon said no matter what not to let anyone touch my J Pouch unless he knows about it first. The damn things are just to touchy.

12/18/1311:10 PM

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MDehnertMember

Hi Mike
Have had my jpouch since 1998. By 2009 my psa's were elevated and my urologist wanted to biopsy my prostate through the jpouch. My gastroenterologist said that the biopsy could not be performed through the jpouch wall. So I underwent (with some trepidation) a perianal (through the perineum)prostate biopsy in October 1999. Unfortunately, the urologist still punctured my j pouch (either with the biopsy needle or with the ultrasound probe inserted in the j pouch during the biopsy procedure). Peritonitis set in by the next day and I had to undergo a 6 hour surgery and 10 days in the hospital. Also had a temporary ileostomy and reversal five months later. My advice to you: do not trust anything a urologist tells you about how "safe" a prostate biopsy is. Consult with your gastroenterologist and do not allow your urologist to rush you into having a biopsy. There are new urine tests to measure prostate cancer cells and they can also perform an MRI of your prostate. Do not allow the radiologist to insert a rectal coil into your pouch either (part of the MRI). They can use external magnets to orient the MRI. If you have any questions, email me. Good luck. Monty

1/5/146:54 PM

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NoMember

Monty--

I had a J pouch procedure completed about 9 years ago successfully with no problems of pouchitis, etc. since.

I'm now facing an elevated PSA--from around 3 in 2016 to 5 in 2017 jumping to 9.1 currently. I have not yet consulted with the surgeon who did the procedure but my gastroenterologist seems to agree that diagnosis by MRI is the way to proceed versus any needle procedures.

At the end of your last post you refer to "New Urine Tests"--can you expound upon this?

9/12/187:38 AM

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danny DudMember

No posted:
Monty--
I had a J pouch procedure completed about 9 years ago successfully with no problems of pouchitis, etc. since.
I'm now facing an elevated PSA--from around 3 in 2016 to 5 in 2017 jumping to 9.1 currently. I have not yet consulted with the surgeon who did the procedure but my gastroenterologist seems to agree that diagnosis by MRI is the way to proceed versus any needle procedures.
At the end of your last post you refer to "New Urine Tests"--can you expound upon this?

I also had a high PSA of 6.2. My Dr. went the route of Cipro (1000 mg daily) for Five Days, retest in 6 weeks. dropped to 5.4, so I had a 3 filtered lower body MRI with external magnet, followed by five more days of Cipro. Mri score was a 2 0n a scale of 1-5. Six weeks later had the 4k PSA blood test, score was a 7 on a scale 0-100. This test uses many more markers than the standard test. and yes my PSA dropped to 3.0, normal for me at age 71. Hope this helps. And yes my gastro said a standard biopsy would be OK, but I do not think it is a good idea.

9/20/188:31 AM

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MJLMember

My husbands PSA levels are all over, 4 to 9. He has found that when his pouch is acting up and he has his PSA drawn, it is high. My husband after talking to his doc's and doing a lot of research, opted for a MRI rather than the traditional biopsy. Reasons why, risks of damage to pouch, less invasive, and lower risk of infection. He takes Cipro ans sometimes Flagyl as needed, which is a few times a week.

2/18/198:22 AM

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