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Cancer: Prostate Message Board
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Old 05-06-2012, 11:01 AM   #1
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Join Date: May 2012
Location: englewood florida USA
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mrsplash HB User
Question PSA increases

I recently received results of my annual PSA test. resulting in a score of 2.7.

Well within range but 30% increase over last year. My reading in2005 was1.7 and the following years to present were as follows1.0,1.2.1.1 1.4,1.6. 1.5.

Based on this I was advised to see a urologist. He directed 3 tests as follows:

1. Complex Uroflow
2. cystocopy (Bladder)
3..Prostrate Biopsy.

I completed the first two with good results and was ready for the Biopsy but forgot to take the fleet enema the day of the test. We discussed this further and I told the doctor I was hesitatant about doing the biopsy based on my numbers still being within range. This was partially based upon the pain experienced with the cystocopy this was 5 days ago and still feels like I am peeing razor blades.

I asked him if i coulld wait 3 months and take another blood test and proceed from there. He agree and that is where I am at.

Does anyone have an experience similair it mine??

Any comment would be appreciated. Not sure if I am doing the right thing??

Also can you get put to sleep for this test?? My doctor does not put you under. If I have to have this test I would prefer to be knocked out.


Thanks


Mr Splash

 
Old 05-09-2012, 09:58 AM   #2
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Johnt1 HB UserJohnt1 HB UserJohnt1 HB UserJohnt1 HB UserJohnt1 HB UserJohnt1 HB User
Re: PSA increases

Mr. Splash,

I would first ask your doctor for a free psa test and a urine PCA3 test. If these are abnormal then by all means get a biopsy.
Taking a valium and a viocodine before a biopsy makes all the diference in the world. I've had 13 biopsies and they aren't that bad especially with a viocodine. There are some doctors that will use a twilight sleep, but is more costly.

 
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Old 05-15-2012, 02:44 AM   #3
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Re: PSA increases

Mr Splash,
I agree with Johnt1 in getting your Free PSA done, it will give you one more marker to go by. If you wish to have your urine tested as well it certainly can not hurt but IMO I feel that with a DRE, PSA and Free PSA you have all you need to make a decision on whether or not to have a biopsy done.

In regards to a TRUS. By all means you do not have to go through the pain of getting a biopsy without comfort. If your doctor will not at the minimum give you something to relax you and also Numb your prostate with lydocaine or other numbing agents, then you need to keep searching for a Urologist that will give you both of the above.

There are Urologists out there that will put you under to do the biopsy if that is the way you are certain you want to go. Honestly though with a Xanax and my Prostate numb the biopsy was easily tolerable.

Good luck!

 
Old 05-17-2012, 07:37 AM   #4
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Re: PSA increases

Hi Mr. Splash,

You have already received some responses that I hope have helped you, but here are some additional thoughts.

While benign prostate growth that is normal as we age would not account for the increase of PSA from .5 to 2.7, an infection or inflammation of the prostate might be the cause. These tend to wax and wane, so a PSA test in two to three months time could be informative. If your PSA was the same or higher, that would not help much; but if the PSA fell, that would suggest that something other than prostate cancer was at least involved and perhaps accounting for almost all of the large increase, with BPH (benign growth) probably accounting for a small portion.

Depending on where you live, a color Doppler ultrasound (CDU) could be done by an expert in prostate cancer CDU imaging. While a CDU can be done with biopsy, it can be done alone, or with option to convert to a biopsy, with your consent, in real time if suspicious areas are found. A CDU reveals growth of new blood vessels, and those are indicators of growing prostate tumors. The absence of such vessels is an indicator that there is no cancer, though the imaging is not conclusive. (A CDU also reveals other key clues such as the shape, location, and size of any tumors, as well as hints about aggressiveness.)

There has also been great improvement in what is known as multiparametric MRI imaging. That is another informative non-invasive technique that could be done, but, at this point, it too is not accepted as a basis for diagnosing prostate cancer; only a biopsy is now accepted for that purpose.

There is an outstanding recent book that discusses the biopsy decision - "The Invasion of the Prostate Snatchers," by Dr. Mark Scholz and survivor Ralph Blum. This book is also excellent on presenting the rationale for "Active Surveillance" as a key option for men who are diagnosed with prostate cancer but with low-risk case characteristics. The book can inoculate you mentally against an unwarranted rush to surgery, radiation or some other treatment that is not necessary at the time of diagnosis and that may well be unnecessary throughout the patients life, even for some younger patients.

This would also be an ideal time to capitalize on your motivation by learning lifestyle tactics to prevent or minimize prostate cancer. The key tactics are nutrition/supplements, strength and aerobic exercise, relaxation and stress reduction, and mild medications (if appropriate) such as a statin drug. Dr. Charles "Snuffy" Myers' (MD) book "Beating Prostate Cancer: Hormonal Therapy & Diet," covers these areas, as do books by Dr. Mark Moyad, MD. Other books are also available.

Take care and good luck with this,

Jim

Quote:
Originally Posted by mrsplash View Post
I recently received results of my annual PSA test. resulting in a score of 2.7.

Well within range but 30% increase over last year. My reading in2005 was1.7 and the following years to present were as follows1.0,1.2.1.1 1.4,1.6. 1.5.

Based on this I was advised to see a urologist. He directed 3 tests as follows:

1. Complex Uroflow
2. cystocopy (Bladder)
3..Prostrate Biopsy.

I completed the first two with good results and was ready for the Biopsy but forgot to take the fleet enema the day of the test. We discussed this further and I told the doctor I was hesitatant about doing the biopsy based on my numbers still being within range. This was partially based upon the pain experienced with the cystocopy this was 5 days ago and still feels like I am peeing razor blades.

I asked him if i coulld wait 3 months and take another blood test and proceed from there. He agree and that is where I am at.

Does anyone have an experience similair it mine??

Any comment would be appreciated. Not sure if I am doing the right thing??

Also can you get put to sleep for this test?? My doctor does not put you under. If I have to have this test I would prefer to be knocked out.


Thanks


Mr Splash

 
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