When his doctor mentioned the prostate biopsy, Stan’s heart sank. What did this mean? Did he have cancer? And if so, how would his life change?
Quietly, he listened his doctor explain. Stan had high levels of prostate-specific antigen (PSA) and the doctor had found an unusual lump on his prostate during his digital rectal examination. These two factors made a biopsy necessary. Stan might have cancer and catching it early was important.
==================================================
Some men do develop ED for a time after a prostate biopsy. But not all do. Learn more here... (Click to tweet)
==================================================
The biopsy could be done at the office and would probably take about fifteen minutes. A needle would be used to remove about ten tissue samples from his prostate. Then, an expert would analyze the tissues in a lab, looking for cancer cells. Having the biopsy didn’t mean he had cancer. It just meant they needed to take a closer look.
Stan’s expression was stoic, but inside, his body was in turmoil. He was anxious about his prognosis, of course. Also, the idea of having a needle in his private parts made him nervous. He knew the biopsy was necessary. He knew it could save his life. But he had other questions, too.
For example, what would happen to his erections? Would the biopsy procedure affect his sex life?
Lots of men share Stan’s concerns. The anxiety of a biopsy is enough to cope with, but wondering about your erections afterward is also difficult.
Some men do develop erectile dysfunction (ED) for a time after a prostate biopsy. But not all do. Let’s look at this topic more closely.
What happens during a prostate biopsy?
As Stan’s doctor explained, a biopsy involves removing tissue with a special needle. To do a thorough analysis, the doctor removes several samples from different areas of the prostate. Then, a specialist examines the samples under a microscope to check for cancer.
Typically, a prostate biopsy is done in one of three ways:
- Through the rectum. With a transrectal biopsy, the needle travels through the rectum (the last part of the large intestine, which ends in the anus). This is the most common approach.
- Through the urethra. With the help of a tiny camera, the doctor removes tissue through the tube the carries semen and urine out of the body.
- Through the perineum. Doctors who use the transperineal method make a small cut in the perineum (the area between the scrotum and anus). The needle is passed through the cut to collect tissue.
Will I have problems with erections afterward?
You might. The prostate is surrounded by sensitive nerves important for erections. These nerves are hard to miss when placing the needle.
Sometimes, it depends on the type of biopsy you have. A 2015 study in BJU International found that men who have a transrectal biopsy can have trouble with erections up 12 weeks after the procedure, especially if they are over age 60.
Another 2015 study, published in the International Journal of Impotence Research, reported that men had a 5% increased risk for ED after a transperineal biopsy, but that the ED usually got better within three to six months.
Often, psychological issues contribute to ED as well. It’s possible that anxiety over the biopsy or depression after a cancer diagnosis, can lead to erectile difficulties.
If you have concerns about your erectile function after a prostate biopsy, be sure to mention them to your doctor. He or she can go over the types of procedures that are best for your situation and discuss the odds of ED afterward. Your doctor can also talk with you about treatments for ED, such as medications and vacuum devices. You may also be referred to a counselor who can help you (and your partner) cope with anxieties associated with ED or a pending cancer diagnosis.
We have lots of information on prostate cancer here on SexHealthMatters. Just click this link to read more. You’ll also find comprehensive information on ED and its treatment here.
Resources
American Cancer Society
“How is prostate cancer diagnosed?”
(Last revised: March 12, 2015)
http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-diagnosis
International Journal of Impotence Research
Pepe, P. and M. Pennisi
“Erectile dysfunction in 1050 men following extended (18 cores) vs saturation (28 cores) vs saturation plus MRI-targeted prostate biopsy (32 cores)”
(Full-text. August 20, 2015)
http://www.nature.com/ijir/journal/vaop/ncurrent/full/ijir201518a.html
BJU International
Murray, Katie S., et al.
“A prospective study of erectile function after transrectal ultrasonography-guided prostate biopsy”
(Abstract. March 23, 2015)
http://onlinelibrary.wiley.com/doi/10.1111/bju.13002/abstract;jsessionid=9A2ECAB5E2109C9FBFD5D45760D7FE93.f03t03
Johns Hopkins Medicine
“Prostate Biopsy”
http://www.hopkinsmedicine.org/healthlibrary/test_procedures/urology/prostate_biopsy_92,p07710/
Mayo Clinic
“Types of prostate biopsy procedures”
(April 26, 2013)
http://www.mayoclinic.org/tests-procedures/prostate-biopsy/basics/what-you-can-expect/prc-20013254
Medscape Medical News
Mulcahy, Nick
“ED Induced by Prostate Biopsy Likely 'Underestimated'”
(October 1, 2015)
You may also be interested in...
Other Popular Articles
What Is Jelqing, and Does It Actually Work?
The term “jelqing” refers to a set of penis stretching exercises that some believe can make the penis bigger. Although the practice has gained attention and popularity in blogs and internet forums in recent years, there is no scientific evidence that it is an effective way to permanently increase the size of one’s penis. In fact, in some cases, jelqing may actually cause damage to the penis, so it is a good idea to get all the facts before setting off to try it.
What Is Sensate Focus and How Does It Work?
Sensate focus is a technique used to improve intimacy and communication between partners around sex, reduce sexual performance anxiety, and shift away from ingrained, goal-oriented sexual patterns that may not be serving a couple.
What Is the Average Penis Size?
If you have ever wondered how your penis compares to others in terms of size, you are not alone. Many men are curious to know how their penises stack up compared to the average. Unfortunately, general curiosity can sometimes give way to full-on obsession and anxiety about penis size. This can be an unhealthy and often unnecessary fixation, especially because most men who think their penises are too small have perfectly normal-sized penises.
What Is Edging and Why Do People Do It?
Edging is the practice of stopping sexual stimulation before reaching orgasm to prolong a sexual experience. The term stems from the concept of approaching the metaphorical “edge” of orgasm but stopping before going over the edge.
Can Sex Reduce Menstrual Cramps?
The SMSNA periodically receives and publishes ‘guest editorials.’ The current article was submitted by Mia Barnes, a freelance writer and researcher who specializes in women's health, wellness, and healthy living. She is the Founder and Editor-in-Chief of Body+Mind Magazine.
Having sex while you experience menstrual cramps is healthy and can provide significant benefits. While it might not be the first activity that comes to mind when your PMS or period cramping begins, many people enjoy sex to reduce menstrual cramps, experience increased pleasure and benefit from other advantages. Learn more about having sex while menstrual cramps are happening and how it can help your body.
The Sex-Positivity Movement: What it Means to Be Sex-Positive
You may have heard references to “being sex-positive” or “the sex-positivity movement” in popular culture. Various celebrities have brought attention to this movement by speaking out about their beliefs and personal experiences regarding sexuality, sexual health, body positivity, “slut-shaming,” and sexual assault.
