Side Effects of Prostate Biopsy: When to Seek Further Help - Urology

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What are the side effects of prostate biopsy surgery?


Hello Dr.
Du, I previously inquired about my father's prostate cancer issue, and I appreciate your response.
We have not yet received the results of the orthopedic scan, but recently, due to prolonged sitting, he has been experiencing numbness and pain in his buttocks.
He consulted three urologists, and one prescribed ROWAPRAXIN (Pipoxolan HCl), which provided some relief; however, the discomfort returns with prolonged sitting.
One doctor mentioned that this could be a side effect of the biopsy.
Since he still has an MRI scheduled, will this condition affect the examination? This issue has been fluctuating between better and worse.
Should we consult a rehabilitation specialist, or is it sufficient to continue with the medication? Thank you for your assistance!

Ms. Chen, 30~39 year old female. Ask Date: 2018/02/17

Dr. Du Shixi reply Urology


Hello: The treatment approach may differ due to bone involvement, and this also applies to rehabilitation.
If the orthopedic scan results are normal, you may consider consulting a rehabilitation specialist.
Otherwise, the rehabilitation department might only prescribe medication for improvement.
Wishing you good health.

Reply Date: 2018/02/17

More Info


When it comes to understanding the side effects of a prostate biopsy and when to seek further help, it is essential to consider both the immediate and long-term implications of the procedure. Prostate biopsies, while generally safe, can lead to various side effects, including pain, discomfort, and complications that may arise from the procedure itself.

Firstly, it is not uncommon for patients to experience discomfort or pain in the pelvic region after a prostate biopsy. This discomfort can sometimes manifest as pain in the buttocks or a feeling of numbness, especially after prolonged sitting. The fact that your father has experienced these symptoms, particularly after sitting for extended periods, may indeed be related to the biopsy. The procedure can cause inflammation or irritation in the surrounding tissues, which may lead to temporary nerve compression or discomfort.

Regarding the medication ROWAPRAXIN (Pipoxolan HCl), it is a medication that can help alleviate discomfort associated with nerve-related pain. If your father has found some relief with this medication, it may be beneficial to continue its use, especially if it helps manage his symptoms. However, it is crucial to monitor the effectiveness of the medication and any potential side effects.

As for the upcoming MRI scan, it is essential to inform the radiology team about your father's recent biopsy and any ongoing symptoms. Generally, a prostate biopsy should not interfere with the MRI results; however, the presence of inflammation or other changes in the prostate area could potentially affect the interpretation of the MRI. It is always best to communicate openly with the healthcare providers to ensure that they have all the necessary information to interpret the results accurately.

If your father's symptoms persist or worsen, it may be advisable to consult with a rehabilitation specialist or a physical therapist. They can assess his condition more thoroughly and provide targeted interventions to help alleviate discomfort. Rehabilitation can be particularly beneficial if there are underlying issues related to muscle tension or nerve irritation that could be contributing to his symptoms.

In summary, while some discomfort after a prostate biopsy is normal, persistent or worsening symptoms warrant further evaluation. Continuing the prescribed medication may help manage symptoms, but if there is no significant improvement, seeking a consultation with a rehabilitation specialist could provide additional support. Always keep open lines of communication with healthcare providers to ensure that all aspects of your father's health are being addressed appropriately.

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