Dr. Nadim Nasr

There's no prostate, so...

There's no prostate, so...

So we have a procedure room in the office and we do it all in the department itself. I would say it's about 50-50 whether we do it with local numbing versus getting anesthesia involved for some sedation for the procedure. I really leave it up to the patients. I mean, from my end, it's really the same procedure. I agree.

So we have a procedure room in the office and we do it all in the department itself. I would say it's about 50-50 whether we do it with local numbing versus getting anesthesia involved for some sedation for the procedure. I really leave it up to the patients. I mean, from my end, it's really the same procedure. I agree.

So we have a procedure room in the office and we do it all in the department itself. I would say it's about 50-50 whether we do it with local numbing versus getting anesthesia involved for some sedation for the procedure. I really leave it up to the patients. I mean, from my end, it's really the same procedure. I agree.

I think the vast majority of patients tolerate it very well with really just minimal discomfort. Some men do have about 10 to 15 minutes of some rectal pressure. feeling like they have to have a bowel movement, which dissipates in most of them. And we've had our share of a couple of guys who had a little vagal response and we had to wake them up a little bit.

I think the vast majority of patients tolerate it very well with really just minimal discomfort. Some men do have about 10 to 15 minutes of some rectal pressure. feeling like they have to have a bowel movement, which dissipates in most of them. And we've had our share of a couple of guys who had a little vagal response and we had to wake them up a little bit.

I think the vast majority of patients tolerate it very well with really just minimal discomfort. Some men do have about 10 to 15 minutes of some rectal pressure. feeling like they have to have a bowel movement, which dissipates in most of them. And we've had our share of a couple of guys who had a little vagal response and we had to wake them up a little bit.

But, you know, the guys who end up having some light sedation with anesthesia down in our department, by the time they wake up, they really have no symptoms whatsoever from it.

But, you know, the guys who end up having some light sedation with anesthesia down in our department, by the time they wake up, they really have no symptoms whatsoever from it.

But, you know, the guys who end up having some light sedation with anesthesia down in our department, by the time they wake up, they really have no symptoms whatsoever from it.

No, and honestly, we do almost a mirror image of what you guys do. We do three days of Cipro leading up to the fiducials and the spacer at the same time. Very similar in terms of setup. They do an enema the morning of before coming in, and we go from there for the actual procedure. And do you do the fiducials first and then the gel? I do the fiducials first.

No, and honestly, we do almost a mirror image of what you guys do. We do three days of Cipro leading up to the fiducials and the spacer at the same time. Very similar in terms of setup. They do an enema the morning of before coming in, and we go from there for the actual procedure. And do you do the fiducials first and then the gel? I do the fiducials first.

No, and honestly, we do almost a mirror image of what you guys do. We do three days of Cipro leading up to the fiducials and the spacer at the same time. Very similar in terms of setup. They do an enema the morning of before coming in, and we go from there for the actual procedure. And do you do the fiducials first and then the gel? I do the fiducials first.

I did make the mistake once of trying to put the spacer first, and what I didn't realize is that the ultrasound image It's completely distorted once that spacer goes in and you really cannot see where you're going with the fiducials. So I always start out with the fiducials first and then go with the spacer second.

I did make the mistake once of trying to put the spacer first, and what I didn't realize is that the ultrasound image It's completely distorted once that spacer goes in and you really cannot see where you're going with the fiducials. So I always start out with the fiducials first and then go with the spacer second.

I did make the mistake once of trying to put the spacer first, and what I didn't realize is that the ultrasound image It's completely distorted once that spacer goes in and you really cannot see where you're going with the fiducials. So I always start out with the fiducials first and then go with the spacer second.

I mean, I tell them that obviously if they're still awake during the procedure, if it's not a sedation procedure, that they're going to have a little discomfort while I'm putting in, you know, numbing them up, putting the markers in, putting the spacer in. And I talk them through it step by step as I'm doing it. And most men honestly tolerate it just fine.

I mean, I tell them that obviously if they're still awake during the procedure, if it's not a sedation procedure, that they're going to have a little discomfort while I'm putting in, you know, numbing them up, putting the markers in, putting the spacer in. And I talk them through it step by step as I'm doing it. And most men honestly tolerate it just fine.

I mean, I tell them that obviously if they're still awake during the procedure, if it's not a sedation procedure, that they're going to have a little discomfort while I'm putting in, you know, numbing them up, putting the markers in, putting the spacer in. And I talk them through it step by step as I'm doing it. And most men honestly tolerate it just fine.