These prostate biopsy side effects are normal, as is pain at the parts of the prostate gland where biopsies were taken. Your doctor can prescribe pain relieving medication and give advice about what is excessive if you feel that any of these things go on for too long.
The biopsy sites are tiny but they are still wounds which create scabs as part of the healing process. Normal movements dislodge the scabbing too early and the bleeding begins again until each area is totally healed.
New urinary symptoms will not appear after a transperineal procedure because the ureter was not used to access the prostate gland. Instead the skin of the perineum was cut so this area will feel sore and uncomfortable until healing begins.
In your case is it critical to do it now? What are the chances you will need a repeat biopsy of the prostate in 6 months? If it is not critical, could you use some of that time to improve your symptoms, say your PSA level?
If you go ahead,
The biopsy tissue samples are tested in a laboratory while you anxiously wait. If there is a positive result among the samples, the severity of cancer is graded by examining the tissue cells under a microscope. This grading is called a gleason score. This score measures the possibility of the presence of prostate cancer and is used to help plan treatment management.
If negative, phew, then in 6 months or a year’s time, you might have the pleasure of repeating all action up to this point. Use that second chance to look at ways of ensuring your PSA does not rise or to improve your general health and hopefully avoid a repeat prostate biopsy procedure.