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Medical Forum / Diseases and Disorders / Prostate Cancer / May 2005

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Post Biopsy PSA 10+ Now

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Hogbreath - 01 May 2005 21:47 GMT
I had a biopsy back in December and it was normal.  At the time my PSA was a
little over 5.  They sent me some Cipro to take before the procedure and
some to take following the procedure to prevent any infection.

Last Thursday, my PSA was 10+ and my physician was concerned as was I.  He
referred me back to Urology.  I called Urology on Friday and spoke with the
Urology Physician.  She had already reviewed the consult.  She told me that
it's very possible that the biopsy caused my PSA to jump and that I might
have a low grade infection going on.  She also mentioned that since a biopsy
damages the prostate, it's not uncommon for the PSA to go up.  She is
sending me some more Cipro to take for a month and then I go in for another
PSA.  If it's still high, this time she will send me to the Topeka VA (I'm a
Vet), to have an ultrasound/biopsy done.  I also told her I would also want
a CT or MRI and she agreed.  She told me that she had been requesting the VA
to get her a prostate ultrasound machine for years to no avail.  Apathy on
the part of the VA I suppose.  More and more Vietnam veterans are coming
down with prostate cancer as a result of Agent Orange and I'm a candidate
for that as well.  I'm not too concerned as I don't have any symptoms like
urine retention, but I do get up a couple times at night to pee, but that's
not unusual for my age of 63 anyway.  My bloodpressure meds have taken care
of any erection functions, so I'm not too concerned about loss of it if I
have to have surgery.  I'll report back when I get my next PSA back.  Thanks
group for being here for us.

Signature

**Posted by Rich Greene via alt.net**

Alan Meyer - 02 May 2005 05:07 GMT
> ...  She told me that it's very possible that the biopsy caused my PSA to jump
...

That sounds plausible to me.  I had a PSA of 10.7 on a blood
draw taken about a half hour after a digital rectal exam.  My
PSA was 8.7 a month later.  A biopsy is more traumatic than
a DRE.

However, I did indeed have cancer.

> ... If it's still high, this time she will send me to the Topeka VA (I'm a Vet), to have
> an ultrasound/biopsy done ...

I didn't know anybody did biopsies these days without ultrasound.

Hmmmm.

   Alan
Hogbreath - 02 May 2005 15:38 GMT
>> ...  She told me that it's very possible that the biopsy caused my PSA to
>> jump
[quoted text clipped - 15 lines]
>
>    Alan

When I had my biopsy in December, no ultrasound was used because they didn't
have one.
I know she took about 10 or more plugs and showed them to me in the little
jar.  When I went to pee after the procedure, it was real bloody.  The next
time I peed when I got home, a clot came out and that was the end of any
blood in my urine that could be seen by the naked eye.  I had little
discomfort, and thanks to the folks here that told me what to expect.  But
now I don't know about the ultrasound biopsy procedure.  Where to they stick
the bulb to get a reading?  I told my wife this morning that when I get the
Cipro and start taking it, I won't get Anthrax.  That's the antibiotic they
gave postal workers during the Anthrax attacks.  Anyway, I feel just fine
and am looking forward to NOT having another biopsy because it will mean my
PSA went down.
Leonard Evens - 02 May 2005 16:02 GMT
>>>...  She told me that it's very possible that the biopsy caused my PSA to
>>>jump
[quoted text clipped - 30 lines]
> and am looking forward to NOT having another biopsy because it will mean my
> PSA went down.

I've never heard, these days, of a biopsy being done without using
ultrasound to guide it.
Steve Kramer - 02 May 2005 11:06 GMT
Your PSA can certainly jump after a biopsy and/or with benign prostate
problems.  Cipro is often the first line of defense.

However, there are often no symptoms of prostate cancer.  Indeed, most of us
had no symptoms before diagnosis.  That's not to scare you, just to assure
you that care needs to be taken to keep getting your DREs and PSAs.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05
PSA  .07 .05 .06 .05
non Illegitimi carborundum

> I had a biopsy back in December and it was normal.  At the time my PSA was a
> little over 5.  They sent me some Cipro to take before the procedure and
[quoted text clipped - 19 lines]
> have to have surgery.  I'll report back when I get my next PSA back.  Thanks
> group for being here for us.
David S. - 02 May 2005 16:35 GMT
Okay, I have to ask..."Hogbreath", how did you ever pick that?
Hogbreath - 04 May 2005 17:02 GMT
> Okay, I have to ask..."Hogbreath", how did you ever pick that?

I just knew sooner or later someone would ask me that.  I had a few
'handles' during the old CB days of the 70's and when picking a Nym for
Usenet, I try to remember one of them.  One I used was 'Bear Bait' or 'Gator
Bait'.  I took 'Hogbreath' from Clint Eastwood's 'Hogbreath Inn' in Carmel,
CA.  I have another Nym I use on Usenet, but for obvious reasons I don't use
it here.
I have a person on Usenet that just loves to follow me around to harass me
and the harder I make it for him to locate me, the better off I am.  I don't
want my medical problems 'out there'.
Oh, and I'm not looking for companionship either, therefore, 'Hogbreath'
shouldn't scare anyone away.
Dave LaCourse - 04 May 2005 20:43 GMT
>I just knew sooner or later someone would ask me that.  I had a few
>'handles' during the old CB days of the 70's and when picking a Nym for
[quoted text clipped - 7 lines]
>Oh, and I'm not looking for companionship either, therefore, 'Hogbreath'
>shouldn't scare anyone away.

Well, it's not me, Rich.  But I know of whom you speak.

Glad to hear from you, but not on this newsgroup.

Be well.

Dave LaCourse
 
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