It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Cancer: Prostate Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 07-12-2010, 07:22 AM   #1
Junior Member
(male)
 
Join Date: Sep 2009
Posts: 46
captain2 HB User
is taking prostate biospy necesssary

I am scheduled for a prostate biospy tomorrow. My Doctor a urologest said he will use nunbing jell and inject lidocane into prostate. I have an enlarged prostate causing me issues and I am 59. My psa is 4.3. When I take cipro it seems to help me, but the pain in groin snd urinaty issues come back after a few weeks stopping ciptr.

My psa 3 years ago was 3.8 and is now 4.3 taken 6 mths ago. Every 6 months is seems to go up about .1 or .2 Doctor said that he was being consevative for the last 2 yrs and now that it is over 4 and my prostate is big for my age he would like to rule out any cancer so I can ignore small fluctations, unless it shot up from a 4 to a 8 in one yr.


Is it a mistake too take biospy and can bph cause psa to gover 4.0. If a small mocrosopic cancer is found I plan a wait and see attitude for the next year. I will not rush into surgery, maybe in future use seed theaphry , but I plan not to do anything until after november

Last edited by captain2; 07-12-2010 at 07:23 AM.

 
Old 07-12-2010, 04:19 PM   #2
Junior Member
(male)
 
Join Date: May 2009
Posts: 21
WhiteLightning HB User
Re: is taking prostate biospy necesssary

It is the only way to tell if there is cancer in your prostate.

 
Sponsors Lightbulb
   
Old 07-14-2010, 01:02 PM   #3
Senior Veteran
(male)
 
Join Date: Nov 2007
Location: Annandale, VA, USA
Posts: 1,730
Blog Entries: 3
IADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB UserIADT3since2000 HB User
Re: is taking prostate biospy necesssary

Hello captain2,

Welcome to the board! I'll add some thoughts in green in addition to the key point made in the previous post.


Quote:
Originally Posted by captain2 View Post
I am scheduled for a prostate biospy tomorrow. My Doctor a urologest said he will use nunbing jell and inject lidocane into prostate.

In my layman's opinion, that's the way biopsies should always be done to minimize the discomfort!

I have an enlarged prostate causing me issues and I am 59. My psa is 4.3.

The level is high for your age, as you probably already know, but PSA is typically more affected by infection and benign enlargement than by cancer.

When I take cipro it seems to help me, but the pain in groin snd urinaty issues come back after a few weeks stopping ciptr.

In my layman's opinion - fairly savvy now as a 10 1/2 year survivor but with no enrolled medical education - that's pretty solid evidence that you have an infection, possibly chronic.

My psa 3 years ago was 3.8 and is now 4.3 taken 6 mths ago. Every 6 months is seems to go up about .1 or .2 Doctor said that he was being consevative for the last 2 yrs and now that it is over 4 and my prostate is big for my age he would like to rule out any cancer so I can ignore small fluctations, unless it shot up from a 4 to a 8 in one yr.

Is it a mistake too take biospy

You could argue for deferring the biopsy, but the doctor's decision seems well within the bounds of sound practice to me.

and can bph cause psa to gover 4.0.

Oh yes! The rule of thumb, based on research, is that each cc of healthy prostate tissue produces 0.066 units of PSA. Therefore, a prostate of 50 cc, which is somewhat enlarged, would produce a PSA of about 3.3. A very enlarged prostate of 100 cc (uncommon but not rare) would produce a PSA of 6.6. Do you have the doctor's estimate of the size of your prostate from the biopsy? He can get a real good estimate based on the ultrasound.


If a small mocrosopic cancer is found I plan a wait and see attitude for the next year.

That approach is fully in line with recent guidance from leading authorities, as you may know. However, the "wait and see" should involve a PSA/DRE at the six month point, and the same tests with another biopsy at the first year point, most likely repeating the sequence for at least the second year. The approach is known as "active surveillance."

I will not rush into surgery, maybe in future use seed theaphry , but I plan not to do anything until after november

It's good to have a strategy in advance, but just be flexible enough so you can adjust if the biopsy finds the kind of cancer that needs more urgent attention. Seed therapy has an outstanding record for truly contained prostate cancer, when done by a talented doctor.

Take care,

Jim


 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Prostate Cancer at 37yrs old, looking for opinions K037 Cancer: Prostate 21 05-31-2012 11:19 PM
Prostate cancaer hrpc pkabra Cancer: Prostate 3 07-28-2010 06:47 AM
got biospy results from thyroid surgery 12/15/09 captain2 Thyroid Disorders 4 12-19-2009 02:41 PM
Does Anybody Believe In Fighting Prostate Cancer With Nutrition? csyleen Cancer: Prostate 21 11-18-2009 06:25 AM
Normal T level while taking TRT SkipperH Men's Health 10 10-19-2009 03:10 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Casodex
Cialis
Cipro
Flomax
Levaquin
  Levitra
Morphine
Proscar
Tylenol
Viagra




TOP THANKED CONTRIBUTORS



Tall Allen (174), IADT3since2000 (148), Baptista (97), Gleason9 (28), harpman (27), Johnt1 (22), honda50 (9), tumbleweed (6), flyfisher37 (6), GUAMJOHN (5)

Site Wide Totals

teteri66 (1180), MSJayhawk (1004), Apollo123 (905), Titchou (848), janewhite1 (823), Gabriel (759), ladybud (754), midwest1 (669), sammy64 (668), BlueSkies14 (610)



All times are GMT -7. The time now is 04:05 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!