I never heard of prostate cancer causing discomfort in the penis and anus. Also, PSA doesn't go down like yours did when it is only prostate cancer causing it to go up. It sounds like prostatitis -- are you taking an antibiotic for that? Even with antibiotics, prostatitis can be notoriously hard to treat and can go into remission and come back. It is possible to have both prostatitis and prostate cancer. If you are going ahead with the biopsy, make sure you take adequate antibiotics, as the biopsy can cause e coli infection of the prostate.
The Following User Says Thank You to Tall Allen For This Useful Post: kennethr1 (03-03-2011)
I would like to extend my own welcome to the Board, even though I have my doubts that we will be admitting you as a full member. Somehow I suspect that would not make you sad.
I see your situation the way Tall Allen sees it, but keep in mind that we are not doctors. I have had no enrolled medical training. However, it looks virtually certain that you have an infection that is driving the PSA, though there could potentially be some cancer there too, as he noted.
Originally Posted by kennethr1
they wont give me another antibiotiv because my blood/urine culture says there is no infection!!
That surprises me as I do not think that those cultures are comprehensive tests for all causes of infection. Can you get a second opinion? A biopsy is not a big deal, as has been well noted, but it may be unnecessary.
Take care and good luck with this,
The Following User Says Thank You to IADT3since2000 For This Useful Post: kennethr1 (03-14-2011)
I had a 6 needle biopsy and today recieved the results as negative malignancy, this is great news as I hasd an initial PSA score of 12.9 with a follow up a week later of 7.9 and all other signs from DRE and ultrasound were not looking great
I wasn't too happy with the level of care and the way my case was handled and am wondering wether I should get everything re checked with a prostate specialist clinic, as one minute i was told I had a significant e coli infection, one week later no infection apparent , then ultsrsound and DRE followed by six needle biopsy which turns out negative ( great news)
But my symptoms remain the same after 6 weeks, pain urinating , hip pain and some anus pressure, consatant feeling of need to urinate
I am very releived at todays news but still worried
I'm glad to hear that your test was negative. I think that if you don't feel you're getting proper attention, you should definitely seek out a caring and expert urologist to help with the issues you describe.
Before cancer was discovered in my prostate, I had weird symptoms, although not like yours. Mine was initially diminishing ejaculation which subsequently developed into painful ejaculation as well. My urologist initially shrugged his shoulders about the diminishing ejaculation: "Never heard of that before." I wasn't too pleased with his attitude, but he was the clinic urologist and I didn't know any better.
Then I had my biopsy, during which he told graphic surgery war stories to the nurses, including copious blood loss. Talk about a gruesome bedside manner.
Anyway, you would do well to consult with someone else. Find a nearby hospital that has a good reputation and try there perhaps. As for your biopsy, most biopsies now use 12 needles, so yours may have been a bit skimpy. If you wanted, you could ask to have the results reviewed by an expert; this is a common request for those who have positive results and want to make sure about the Gleason score. But as others have said, you probably have prostatitis, and will want to see an expert to get that properly treated so your symptoms go away.
I wish you the best, and hope you find -- regretfully, of course -- that you no longer need to participate on our board.
The Following User Says Thank You to Gleason9 For This Useful Post: kennethr1 (03-14-2011)
thanks tom, I do hope you are right , but having gone this far I truly wish to close the door on this issue and avoid the constant worry of looking over my shoulderm i too read that 6 needle is no longer sufficient and that raised my concern , i forgot to mention that the first thing my consultant talks about is how I will pay, never about how I am ( bad signal to me anyway)
I will meet him tomorrow for prognosis , may still seek second opinion but will have to return to UK for this at my expense, probably worth it long term !!
thanks for your support and wether or not i need to be part of this forum , i wish you all the best and sympathies to all of those who are suffering
I have to go on close monitoring for 6 months, ie urine and blood samples but hopefully everything ok, urologist just wants to eliminate sudden rise in PSA to 12.9, hopefully just caused by infection, fingers crossed