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Can you see your prostate during a colonoscopy?

Introduction: Intro: All colonoscopies begin with a digital rectal exam. This may or may not include a digital prostate exam in male patients. Some patients believe their prostates are examined at time of colonoscopy, and hence, they believe they are also being screened for Prostate Cancer.

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Introduction: Intro: All colonoscopies begin with a digital rectal exam. This may or may not include a digital prostate exam in male patients. Some patients believe their prostates are examined at time of colonoscopy, and hence, they believe they are also being screened for Prostate Cancer. It is unclear whether General Practitioners (GP) alter their Prostate Cancer screening practices if a patient had a recent colonoscopy. The beliefs of Endoscopists with regards to prostate examination during colonoscopy is not known. The present study was undertaken to investigate the perceptions and practices surrounding prostate exams at time of colonoscopy. Methods: Methods: 34 male patients were recruited from the gastroenterology unit at the Health Sciences center via a voluntary confidential survey. 15 General Practitioners (GP’s) from various clinics in St. John’s, NL were recruited via a voluntary confidential survey. 21 Endoscopists (Gastroenterologists and General Surgeons) were recruited via an electronic mailing list via an online voluntary confidential survey. Results: Results: 44% of patients believed that the prostate was examined during colonoscopy. 87% felt that it should be examined during each colonoscopy. 93.3% of GP’s did not reduce their frequency of prostate cancer screening when patients had a recent colonoscopy. 20% GP’s expected the prostate to be examined at time of colonoscopy. 42.8% of Endoscopists reported performing prostate exams at least 75% of the time, and 28.5% performed them during each colonoscopy. 28.5% of Endoscopists believed that patients expect for their prostate to be examined during colonoscopy. 61.9% do not feel confident in recognizing prostate pathology on digital examination. Conclusion: The results of this survey reveal that most endoscopists do not perform prostate exams, even though an overwhelming majority of patients believe that the prostate should be examined during colonoscopy. The majority of GP’s do not alter their prostate cancer screening practices if their patients had a recent colonoscopy. This study highlights a major discrepancy that exists between patient expectation and endoscopist practices in regards to prostate exams during colonoscopy.

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Fluxactive Complete is conveniently packed with over 14 essential prostate powerhouse herbs, vitamins and grade A nutrients which work synergistically to help you support a healthy prostate faster

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How painful is prostate biopsy?

You will feel some pressure when the probe is inserted, but it is usually not painful. Usually between 6 – 12 (sometimes more) prostatic tissue samples are obtained and the entire procedure lasts about 10 minutes. A local anesthetic can be used to numb the area and reduce any pain.

Although the DRE and PSA tests are useful, they are not enough to make a clear diagnosis of prostate cancer. When results are abnormal or questionable, the doctor may prescribe a transrectal ultrasound and a biopsy. These examinations usually provide enough information for a precise diagnosis. Having to undergo prostate biopsies can be scary: fear of the intervention, the pain it can cause, the unknown … or knowing you have prostate cancer. But remember, if you have cancer, the sooner it is diagnosed, the greater your chances of a complete cure with treatment!

Why a biopsy

Abnormalities detected during a digital rectal exam and a high PSA level often lead to a prostate biopsy. This procedure consists of taking small tissue samples of your prostate in order for the pathologist to examine them under a microscope to determine if they are cancerous or not. That prostate biopsies are indicated does not mean that you necessarily have prostate cancer. Indeed, the analysis of microscopic specimens makes it possible to differentiate a benign hypertrophy from a cancer of the prostate. To this day, the actual diagnosis of prostate cancer can only be made with a prostate biopsy.

How

A prostate biopsy is usually performed during a transrectal ultrasound (TRUS biopsy). The images taken with the ultrasound help guide a fine needle to the areas selected for sampling. The spring-loaded needle is attached to the ultrasound probe and enters the prostate through the rectum. You will feel some pressure when the probe is inserted, but it is usually not painful. Usually between 6 – 12 (sometimes more) prostatic tissue samples are obtained and the entire procedure lasts about 10 minutes. A local anesthetic can be used to numb the area and reduce any pain.

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