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Posted 7/27/2024 6:07 AM (GMT -5)
I'm having a transperineal biopsy at Duke August 29. He will do a targeted biopsy and 12 systematic cores and seminal vesicles. The order says it's out-patient with anesthesia. The anesthesia group will call me 2 weeks prior and I'm sure it will be discussed then but I wonder if anyone has an opinion of what they'll likely use.

Thanks
Posted 7/27/2024 7:48 AM (GMT -5)
Probably like an endoscopy and colonoscopy where three meds and combinations are commonly used, Versed (midasolam), fentanyl, and propofol. They are getting better with these as my last colonoscopy went quick and I felt wonderful an hour later which did not agree well with the restrictions on driving, etc.

It is all up to the anesthesiologist when they discuss your past medical history but the default is usually the above items.
Posted 7/27/2024 8:22 AM (GMT -5)

Mumbo said...
Probably like an endoscopy and colonoscopy where three meds and combinations are commonly used, Versed (midasolam), fentanyl, and propofol. They are getting better with these as my last colonoscopy went quick and I felt wonderful an hour later which did not agree well with the restrictions on driving, etc.

It is all up to the anesthesiologist when they discuss your past medical history but the default is usually the above items.

i had a colonoscopy a year or so ago. the drugs they used wore off very quickly and i was not out of it for the rest of the day like when i had a previous colonoscopy, liver biopsy etc. i was easily able to drive an hour after the procedure
Posted 7/27/2024 9:15 AM (GMT -5)
I've had propofol many times, most recently 10 days ago for open inguinal hernia repair. Great stuff. No after effects.
I thought they might use a local just to numb the area.
Posted 7/27/2024 3:25 PM (GMT -5)
They would not be talking anesthesia if it was local numbing like the transrectal version which can be done in an office setting with proper equipment. Of course, the advantage is low infection risk which is a really good benefit.
Posted 7/27/2024 7:01 PM (GMT -5)
I have had two transperineal biopsies, and no anesthesia was used, just local numbing injections.
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