Medical Forum / Diseases and Disorders / Prostate Cancer / March 2006
DRE post surgery?
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dave481 - 03 Mar 2006 13:48 GMT Do they eprform DREs post surgery? I've gathered that, reading the posts. If they do, why? The prostate is gone isn't it.? Any PC would be cells in one or another spot, right? I really don't enjoy DREs. I've never had a cute lil ol blonde do one, that might put a new twist onit, but I doubt it. They've started hormonal drugs on me, (casodex and volatrex). I swear, my voice is a little higher this morning and my pecker is a little shorter. My tits are softer and bigger, .......who knows I might start enjoying those DREs. hmmmm ....................yuk!
Leonard Evens - 03 Mar 2006 15:24 GMT > Do they eprform DREs post surgery? I've gathered that, reading the > posts. If they do, why? I think some urologists do them routinely after surgery and some don't. If there were a local recurrence of cancer, it might be detectable on DRE, but normally one would expect to see a significant rise in PSA before that would happen. Also, a DRE can sometimes find other conditions, either on the rectal wall, or in the prostate bed. Since the procedure is so easy to do and entails few if any risks for the patient, it would seem to be prudent to do it from time to time.
My urologist does do a DRE every time I see him. On occasion he has medical students there and he asks me if they can do it also. I am happy to comply. I long ago decided it is all just so much plumbing and since I'm relaxed and used to it, it is not specially uncomfortable. It does bother my hemorrhoids a bit on occasion, but I feel I should do my part in furthering medical education.
My primary care physician is happy to skip that part of the exam and leave it to my urologist.
> The prostate is gone isn't it.? Any PC would be cells in one or another > spot, right? I really don't enjoy DREs. I've never had a cute lil ol > blonde do one, that might put a new twist onit, but I doubt it. If you are in the right position, the muscles will be relaxed and it shouldn't hurt. Of course there are psychological considerations, but after going through various diagnostic procedures and having had a RP, I'm so used to being poked and prodded that my old hangups on the subject are gone.
> They've started hormonal drugs on me, (casodex and volatrex). I swear, > my voice is a little higher this morning and my pecker is a little > shorter. My tits are softer and bigger, .......who knows I might start > enjoying those DREs. hmmmm ....................yuk! Clarence Crow - 03 Mar 2006 21:32 GMT <snip>
>My urologist does do a DRE every time I see him. On occasion he has >medical students there and he asks me if they can do it also. I am >happy to comply. I long ago decided it is all just so much plumbing and >since I'm relaxed and used to it, it is not specially uncomfortable. It >does bother my hemorrhoids a bit on occasion, but I feel I should do my >part in furthering medical education. <snip> Doncha' just get a little pissed when the Uro frowns and mutters "H'mm" a nice bunch of haemorrhoids you've got there".
And I say, "I came here for a Prostate "feel"! Are you a spotter for a Dr. pal, who snips out the piles?"
Have a nice day, unless you've something else planned.
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-- CC
Steve Kramer - 03 Mar 2006 17:47 GMT > Do they eprform DREs post surgery? I've gathered that, reading the > posts. If they do, why? They continue to feel for anomolies. Recently, by uro switched to 8-month DREs. I was a happy camper.
 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, 5/05, 10/05, 2/06 PSA .07 .05 .06 .09 .08 .132 Non Illegitimi Carborundum
DP - 03 Mar 2006 18:24 GMT >> Do they eprform DREs post surgery? I've gathered that, reading the >> posts. If they do, why? > > They continue to feel for anomolies. Recently, by uro switched to 8-month > DREs. I was a happy camper. Steve,
You are exactly correct. One rad oncologist I went to gave me one of the most thorough DREs I ever had when I was four years post-op. He was trained as an army doctor, if that makes any difference. The urologist I go to now has not done one, and I have not mentioned it to him. After all of this time, I don't think there will be anything there to feel.
Dale P
Claude - 03 Mar 2006 20:06 GMT > Do they eprform DREs post surgery? I've gathered that, reading the > posts. If they do, why? > The prostate is gone isn't it.? Any PC would be cells in one or another > spot, right? I really don't enjoy DREs. I've never had a cute lil ol > blonde do one, that might put a new twist onit, but I doubt it. You're right---they're still unpleasant. "Jackie" did my most recent. Since she was of opposite gender, there had to be an observer. So not only was the experience just as unpleasant as with my male uro, but now I had one of the other women also there watching it all.
Bob C - 03 Mar 2006 22:48 GMT My urologist explained that he is looking for any changes at the base of the bladder and where the knob of scar tissue is. He makes it a point to check it once a year.
> Do they eprform DREs post surgery? I've gathered that, reading the > posts. If they do, why? [quoted text clipped - 5 lines] > shorter. My tits are softer and bigger, .......who knows I might start > enjoying those DREs. hmmmm ....................yuk! Steve Jordan - 03 Mar 2006 23:52 GMT On March 3, dave481 wrote, in pertinent part:
(snip)
> They've started hormonal drugs on me, (casodex and volatrex). (snip)
I tried to find volatrex on rxlist.com. No joy, they have no listing.
Please recheck the spelling and advise.
Thanks.
Regards,
Steve J
dave481 - 04 Mar 2006 03:41 GMT Steve, maybe it was volaDEX. It was in a syringe with a 14 ga. needle. The stuck it in my stomach, right through the abdomen wall. I just glanced at the wrapper. the nurse said ,"I have to inject you in the stomach, it'll hurt, please bear with me>" It wan't that bad, over quick. David
dave481 - 04 Mar 2006 03:41 GMT Steve, maybe it was volaDEX. It was in a syringe with a 14 ga. needle. The stuck it in my stomach, right through the abdomen wall. I just glanced at the wrapper. the nurse said ,"I have to inject you in the stomach, it'll hurt, please bear with me>" It wan't that bad, over quick. David
dan - 04 Mar 2006 07:00 GMT Dave,
I think you mean Zoladex, an LHRH agonist, it stops the production of testosterone.
Have the nurse spray some of the "freezy stuff" on your tummy, the injection will be almost painless.
Dan
 Signature PSA = 2.2 , 03/05/2003 PSA = 7.92, 09/30/2004, @ 54 Biopsy, 11/10/2004, G9(5+4) (multiple cores) (6 of 8 cores positive), T1C EBRT, 01-03/2005 @55 Casodex (daily), begin. 11/16/2004 Zoladex, 12/23/2004, 03/10/2005, 06/14/2005, 09/14/2005, 12/14/2005 PSA, 0.1, <0.1, <0.1, <0.1
> Steve, maybe it was volaDEX. It was in a syringe with a 14 ga. needle. > The stuck it in my stomach, right through the abdomen wall. I just > glanced at the wrapper. the nurse said ,"I have to inject you in the > stomach, it'll hurt, please bear with me>" It wan't that bad, over > quick. > David Steve Jordan - 04 Mar 2006 07:19 GMT > Dave, > > I think you mean Zoladex, an LHRH agonist, it stops the production of > testosterone. > I believe Dan is correct. There is no "Voladex" listed on rxlist.com.
I note that Dave referred to it as a hormonal drug, and Zoladex could be so called.
Regards,
Steve J
dave481 - 04 Mar 2006 13:32 GMT I think you are right, it probably is Zoladex. Hell, besides turning me into a woman, now I'm gettin dyslexic. Do the afflictions ever stop???? LOL
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