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Old 10-30-2011, 02:35 PM   #1
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Could my prostrate problems and hip pain be connected?

Hi Guys,

My PSA is 3.7, which I believe is high for a 52 year old.
It was 4.4 but has come down on it's own.

My urologist wants to wait and see every 3 months new PSA, but I have been having really bad hip pain, first the right, now the left.
Not at rest, but on sitting down or getting up and of course any movement inc walking.
It feels like right inside the hip joint within my groin.

I wanted some re-assurance that this isn't prostrate cancer spreading rapidly?

I mentioned it to my urologist on my last visit and he said it was unconnected (how can he say that?)

I am convinced my condition is prostatis as some of my others symptoms over the years as been, painful urination, feeling of not emptying both urine and motion, blood in urine, pain in thigh.
These all seem to be supporting the prostatis idea, but I can't get any doctors to listen to me, and now with this new pain, things just getting worse, some days I can hardly walk or get up.

Any advice would be most welcome.

 
Old 11-01-2011, 02:11 AM   #2
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Re: Could my prostrate problems and hip pain be connected?

Quote:
Originally Posted by majorwally View Post
Hi Guys,

My PSA is 3.7, which I believe is high for a 52 year old.
It was 4.4 but has come down on it's own.

My urologist wants to wait and see every 3 months new PSA, but I have been having really bad hip pain, first the right, now the left.
Not at rest, but on sitting down or getting up and of course any movement inc walking.
It feels like right inside the hip joint within my groin.

I wanted some re-assurance that this isn't prostrate cancer spreading rapidly?

I mentioned it to my urologist on my last visit and he said it was unconnected (how can he say that?)

I am convinced my condition is prostatis as some of my others symptoms over the years as been, painful urination, feeling of not emptying both urine and motion, blood in urine, pain in thigh.
These all seem to be supporting the prostatis idea, but I can't get any doctors to listen to me, and now with this new pain, things just getting worse, some days I can hardly walk or get up.

Any advice would be most welcome.
Major
Welcome to the board.
Antibiotics or anti-inflammatory medications are usually taken to treat prostatitis or benign prostatic hyperplasia, which cases are not cancer related. These conditions can also cause erratic PSA levels (ups and fast downs). The pain you are experiencing could as well be a cause from any inflammation.
I would recommend you to get a second opinion from another physician and additional tests such as a DRE and MRI. These would help in accessing your status and it would be valuable information in any future diagnosis on prostate cancer.

Wishing you peace of mind.
Baptista

 
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Old 11-01-2011, 06:07 AM   #3
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Re: Could my prostrate problems and hip pain be connected?

Hi MajorW,
Your urologist is probably right, that is the two are not related.

In 2005, I had terrible pain in my legs and knees and hips. I was also diagnosed with a Gleason 8 prostate cancer at that time. Of course with an aggressive cancer like that, there was the possibility that the cancer had spread to the bones in my legs. I had surgery in 2005 and salvage radiation in 2008 when the cancer returned. My psa level dropped to undetectable but the pain in my legs was still there and was even worse.

X-rays of my joints revealed that I had an advanced case of osteoarthritis in my hips. The knees were fine on the x-rays but they hurt so much that I couldn't stand for more than a minute at the most. In 2010 I had both hips replace and guess what, the pain was completely gone! The pain in my knees was caused by my hip joints and when they were replaced ever bit of pain disappeared from my legs.

So the point here being, have you had your hip joints checked for arthritis? From the sounds of your psa levels, it would seem that you probably don't have cancer and as Baptista mentioned, it could be BPH.

Good luck.

Lionel

 
Old 11-02-2011, 03:25 AM   #4
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Re: Could my prostrate problems and hip pain be connected?

I had a DRE last november which was normal.

Can you have a normal DRE and still have cancer?

 
Old 11-02-2011, 03:05 PM   #5
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Re: Could my prostrate problems and hip pain be connected?

Yes. You can have a negative digital rectum examination and still have cancer.
Positive DRE can identify by touch any deformations (nodes) in the outer shell of the prostate which could be related to a cancer tumour invading the prostate capsule. When positive, doctors perform additional tests (biopsy, etc.) to check for cancer.
Negative DRE in the presence of cancer it means that the cancer has not formed a hard tumour closer to the capsule.

Positive DRE can also indicate probable extra capsular extension which would be for an advanced case of PCa (metastases).

Regards
Baptista

 
Old 11-08-2011, 05:20 PM   #6
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Re: Could my prostrate problems and hip pain be connected?

majorwally,
Your doctor wants to wait and this makes you uncomfortable so my suggestion is that you seek a private consultation to allay your fears and confirm you condition if possible.


My PSA was 3.95 nine months before my RP surgery Sep 01 and the cancer had already spread beyond the capsule. I was advised to seek no further treatment but I was not satisfied and finally went to Loma Linda for Proton Beam Therapy. My case is similar to yours as Canada also has a government medical system which is not very good and I don't trust it as we do not have the most modern medical technology and medical care is rationed . As I am happy with the results of my Proton Therapy, I suggest you consult the Rinecker Proton Therapy Center in Munich which I believe is the closest Proton medical facility to you.

If you can afford it I don't see the benefit of waiting and not seeking a second opinion at a world class centre of excellence.

Good Luck,
Bob

 
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