"No options for sedation for Prostate Biopsy "

I was recently referred for a prostate biopsy following an MRI scan and raised PSA levels. The time taken from the initial blood results to MRI and subsequent biopsy procedure was approximately 3 weeks. This time frame was outstanding and probably quicker than the private sector and the NHS should be congratulated on these timescales.

The biopsy procedure was booked within 24 hours as there had been a cancellation. At no point was I offered sedation or a general anaesthetic. I was told I would be having gas and air. The procedure itself was incredibly uncomfortable and painful. It was the worst medical procedure I had ever experienced (I am 63) to the extent that I was swearing out loud in pain. I counted approx 10-12 separate prostate biopsies taken by a young junior doctor overseen by a consultant in the room. Two nurses held my shoulders and were trying to reassure and comfort me. Normally I have quite a high pain tolerance but I found this procedure brutal and intolerable. At one point the consultant asked if I wanted to stop but I felt it was too late and just wanted the whole thing over.

My point is that sedation / general anaesthetic should be offered for this procedure. Gas and air did not even touch the sides for me. It had no effect as I was in such a heightened state of anxiety. I was also not given any reassurances or updates by the junior doctor performing the procedure which would have been massively helpful. At one point he appeared to be struggling and handed over to the consultant who stepped in to help.

I have also just returned from a colonoscopy procedure at Kingston Hospital where sedation was offered which I readily agreed to. As a result the colonoscopy procedure was pain free and the whole Colo/Rectal team and consultant offered an excellent 5 star service.