- Education and Science
Taking the Fear out of Prostate Exam
Most men have not been able to adapt to certain medical examinations. In fact, most men would rather be in a war zone with grenades exploding and bullets ricocheting around them rather than submit to a simple procedure of a prostate needle biopsy.
A prostate examination is recommended for every man over the age of 40 years.
At about 50 years old, most men will notice signs of an enlarged prostate gland. If medical steps are not taken to prevent this increase, then a man will run the risk of causing irreparable damage to their health.
If in case a prostate has to be removed, for most men, this would have tremendous bearing on their manhood. A man is of the opinion that you can mess with my heart, take my leg but do not mess with the “token” of my manhood.
Men see any procedure that has any dealing with this area of their body as an invasion of privacy and therefore a man will anticipate extreme emotional and physical pain at the very thought of his symbolic area undergoing medical turmoil.
How is prostate needle biopsy procedure or TRUS biopsy done from a patient's point of view?
Transrectal ultrasound (TRUS) begins in the operating room.
You are asked kindly to lay on your side. The Urologist then takes her position behind you so that she can view the video monitor as she inserts a small probe in your rectum. Not to worry, the small ultrasonic probe that they will insert in your rectum, is about the size of a man’s thumb.
You are given a local anesthetic to numb the area of concern. In the mean time, the Urologist is in constant communication with the patient so that the patient is always alerted as to what will take place next as the procedure continues. This alleviates the level of fear that was in the patient.
The probe is inserted and the Urologist locates the site in the prostate gland, using the video monitor, from which the tiny tissue samples are to be removed. The Urologist then tells the patient not to be alarmed by the clicking sound that will follow as the tiny tissue sample are removed from several areas of the prostate gland.
Within 15 - 20 minutes the procedure is over and you are left with a slight buzz. You are then taken out to a recovery area where the remainder of the anesthetic is allowed to wear off.
The nurse in the recovery room will again take your blood pressure, temperature and pulse.
What I have written, was the result of a personal prostate needle procedure at Mt. Sinai Hospital in Chicago, Illinois. Doctor Doreen Chung and her team were very hospitable.
Their excellence and professionalism has been far above what I have observed at other medical health facilities. I totally recommend this urologist and her team.