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Tom778 02-19-2013 10:24 AM

Two questions
I am due another PSA/DRE tomorrow, six months past my first biopsy, which showed "no cancer, no tumor." Since January I've developed a "shooting pain" on occasion in the perineum/prostate area (hard to pinpoint more precisely). Any idea what this could be?

Also, second question, should my PSA be higher than last tested should I consider a second biopsy? How often should a prostate biopsy be done?

Thanks for the input!

Tall Allen 02-19-2013 10:18 PM

Re: Two questions
Hi Tom,
Congrats on the negative biopsy! What was your last PSA and age? (I'm not being snoopy - PSA goes up with age). PC does not typically have symptoms like pain in early stages. Prostatitis sometimes does and can be accompanied by spikes in PSA. Do you have any reason to believe that your elevated PSA (if it is) isn't just prostatitis?
- Allen

Tom778 02-21-2013 10:16 AM

Re: Two questions
Just turning 60. My last PSA was 3.9 -- surprisingly, yesterday, it was down to 1.1! Urologist confirmed my prostate still enlarged, and prostatitis is likely cause of my symptoms. I was really surprised that PSA could drop to such a low level, though it's great news. Thanks for your input and reply!

*tony* 02-24-2013 04:40 PM

Re: Two questions
Tall Allen has a good point. Prostatitis can be painful and can also raise you PSA. When I began my prostate cancer journey, the first thing my urologist did before my first biopsy was to put me on an antibiotic regimen for two weeks to see if my elevated PSA was being caused by prostatitis. He also suggested that I refrain from ejaculating within 48 hours of having blood drawn for a PSA test. He told me that having sex within 48 hours of a PSA test could elevate the reading.

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