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Cancer: Prostate Message Board
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Old 03-14-2012, 05:49 AM   #1
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High PSA

I am new to this site and just started researching prostate cancer. My husband, 47, has had some urinary problems during the past few months. He saw his doctor who referred him to a urologist. After an exam my husband was told he had a firm prostate and had the symptoms of prostatitis. He was on antibiotics for 2 weeks. We went back to the urologist yesterday. My husband's PSA was 36 and the prostrate is still firm. His back pain is gone but the other urinary issues are still there. He is sending us for a biopsy on Monday. We are very concerned this is cancer. Does anyone know of a PSA coming back so high and still being an infection? Also, the urologist performed a cytoscopy in the office. There were no problems with the bladder but there was some inflammation and redness in the urethra.

 
Old 03-14-2012, 10:36 AM   #2
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Re: High PSA

Yes, that's just what exactly what happens with prostatitis,and he had all the classic symptoms. The Dr probably gave him Cipro or another antibiotic, which hopefully will fix it. It's sometimes hard to get rid of. High PSA can be from several things -- prostatitis, BPH, or cancer.
- Allen

 
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Old 03-14-2012, 11:45 AM   #3
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Re: High PSA

I agree with Alen. Prostatitis may be the problem and sometimes it is difficult to cure it. In any case the biopsy will provide you an answer and your husband can start from there. Please note that there are many ways to treat prostate cancer so that a positive result it is not a death penalty. This is a difficult moment in your lives but you should be positive confronting the situation.

Wishing you the best.

Baptista

 
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Old 03-14-2012, 12:45 PM   #4
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Re: High PSA

Absolutely no need for a biopsy if the antibiotics can bring it down. Way too many unnecessary biopsies are done. imho. Take it one step at a time.
- Allen

 
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Old 03-14-2012, 12:56 PM   #5
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Re: High PSA

Thank you for your responses! He was on Cipro for 2 weeks. It did relieve the back pain but not the other symptoms. I am assuming the doctor ordered the biopsy because his prostate is still firm and his PSA is high.

 
Old 03-14-2012, 01:38 PM   #6
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Re: High PSA

Usually they try a second antibiotic like Bactrim for about 6 weeks. Prostatitis is notoriously hard to treat. The reason I think many biopsies are unnecessary is because they usually will find something, something that if left alone might not ever be a problem. Therefore, they may lead to unnecessary anguish and treatments. For that reason, I always tell my friends in my support group to definitively rule out prostatitis (with a long course of antibiotics) and BPH (with finasteride) before taking the next step. It usually is a slippery slope.

Also, keep in mind that biopsies are only a sample from a few places (usually 12) in the prostate, and can easily miss cancers when they are there.

There are many new blood and urine tests they can do now that do a better job of finding cancer than biopsies do. These tests include % free PSA, [-2] proPSA, PCA3 and T2-ERG. What those tests can't do is give you a Gleason score (a tissue analysis). BTW, you may want to tell the doctor to send the biopsy specimens to Bostwick, Epstein, or another lab that specializes in prostate tissue -- it makes a difference who reads it.

If you're going ahead with the biopsy, make sure he's taking antibiotics -- the rectum is full of bacteria and poking holes from there into the prostate can cause prostatitis (this happened to me).

Let us know how it turns out.

- Allen

 
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